Periodontitis in Patients with Cirrhosis at Chandka Medical College Hospital and Bibi Aseefa Dental College Hospital Larkana

Abstract

Background: In the patients of cirrhosis oral health id generally poor and may lead oral infections. Periodontal disease is an infection of structures in mouth that surround the teeth, which is linked with several systemic diseases, including cirrhosis. Objective: To determine the frequency of Periodontitis in patients with cirrhosis at Chandka medical college hospital and Bibi Asifa dental college hospital Larkana. Study Design: cross-sectional study. Settings: Department of Medicine and Department of Periodontology at Chandka Medical College Hospital and Bibi Asifa dental college Hospital Larkana Pakistan. Duration: Six months from 01-08-2019 to 31-01-2020. Methodology: All the diagnosed patients of liver cirrhosis of based on either elastography and/or clinical, biochemical, and ultrasonic findings having, age >18 years having and either of gender were included in the study. Severity of liver cirrhosis was assessed by Child-Pugh classification taking help of gastroenterologists. Periodontitis was defined as progressive chronic inflammatory destruction of connective tissue of tooth and surrounding structures eventually leads to tooth loss. Data was collected via study proforma and analyzed by using SPSS software version 20.0. Results: Total 100 cirrhosis patients were studied; patients mean age was 46.10+9.01 years and average of disease duration was 2.10+1.7 years. Males were most common 62.0%. Plaque was seen almost in all cases 98.0%. Most of the cases had moderate and severe periodontitis 36.0% and 35.0% respectively 26.0% had mild periodontitis. Moderate and severe periodontitis were significantly high in patients having age more than 40 years, female gender and having child Pugh class II and III, (p=0.001). However, there was no significant association between severity of periodontitis and duration of cirrhosis. Conclusion: In the observation of this study the periodontitis rate was higher in patients of cirrhosis and it was significantly linked to child Pugh class II and III. Oral health status should be assessed maintained among patients of cirrhosis.