Periodontitis and the impact of oral health on the quality of life of psoriatic individuals: a case-control study
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ORIGINAL ARTICLE
Periodontitis and the impact of oral health on the quality of life of psoriatic individuals: a case-control study Amanda Almeida Costa 1 & Luís Otávio Miranda Cota 1 & Victor Silva Mendes 1 & Alcione Maria Soares Dutra Oliveira 2 & Renata Magalhães Cyrino 1 & Fernando Oliveira Costa 1,3 Received: 7 August 2020 / Accepted: 16 September 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Aim To evaluate the periodontal condition and the impact of oral health on the quality of life (OHRQL) among individuals with and without psoriasis. Methods This case-control study comprised 295 individuals with psoriasis and 359 controls. A full mouth examination was performed for all periodontal clinical parameters. To evaluate OHRQL, the Oral Impact on Daily Performance (OIDP) questionnaire was applied. Data was analyzed using the chi-square, Fischer, Kruskal–Wallis, Mann–Whitney, and Bootstrap intervals tests to determine different profiles in relation to the OIDP. Results Individuals with psoriasis had a 1.40 greater chance of having periodontitis than controls (OR = 1.40 95%CI: 1.01–1.93; p = 0.019). Individuals with psoriasis with periodontitis (+P) had greater impacts on OHRQL (13.76 ± 15.58), when compared with those without periodontitis (−P) (4.83 ± 8.25; p < 0.001). Additionally, psoriasis +P stage III/IV patients (13.94 ± 15.68) had worse indicators than controls −P (9.49 ± 22.54; p = 0.001). The final multivariate model demonstrated higher OIDP scores related to the following variables: diabetes, anxiolytics use, periodontitis, and psoriasis, showing worse OHRQoL. Conclusions This study demonstrated an important risk association between psoriasis and periodontitis, as both diseases demonstrated worse OHRQL indicators. Moreover, the severity of periodontitis and psoriasis significantly increased these negative impacts. Clinical relevance Practical implications: Multidisciplinary interaction is desirable to improve the impact of these diseases on the QoL of individuals with psoriasis and periodontitis. Keywords Periodontitis . Psoriasis . Quality of life . Risk factors
Introduction Since the 1990s, considerable evidence has emerged on the potential effects of periodontitis on systemic diseases, such as
* Fernando Oliveira Costa [email protected] 1
Department of Dental Clinics, Oral Pathology, and Oral Surgery, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
2
Pontific Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais 31270-901, Brazil
3
Faculty of Dentistry, Department of Periodontology, Federal University of Minas Gerais, Antônio Carlos Avenue, 6627, Pampulha, Belo Horizonte, Minas Gerais 31270-901, Brazil
endocrine, respiratory, and cardiac disorders, changes in the gestational course and autoimmune disorders [1, 2]. It is hypothesized that bacterial colonization in the oral cavity can trigger an exaggerated immune response in a susceptible host, leading to an exacerbated inflammatory process associated with
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