The association of aggressive and chronic periodontitis with systemic manifestations and dental anomalies in a jordanian population: a case control study

Khansa T Ababneh,Muna S Abbadi,Yousef S Khader,Jumana A Karasneh,Anas H Taha

doi:10.1186/1746-160x-6-30

Khansa T Ababneh, Muna S Abbadi + Show 3 more

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https://doi.org/10.1186/1746-160x-6-30

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Abstract

BackgroundThe relationship between dental anomalies and periodontitis has not been documented by earlier studies. Although psychological factors have been implicated in the etiopathogenesis of periodontitis, very little information has so far been published about the association of anxiety and depression with aggressive periodontitis. The aim of this study was to investigate the association of chronic periodontitis and aggressive periodontitis with certain systemic manifestations and dental anomalies.MethodsA total of 262 patients (100 chronic periodontitis, 81 aggressive periodontitis and 81 controls), attending the Periodontology clinics at Jordan University of Science and Technology, Dental Teaching Centre) were included. All subjects had a full periodontal and radiographic examination to assess the periodontal condition and to check for the presence of any of the following dental anomalies: dens invaginatus, dens evaginatus, congenitally missing lateral incisors or peg-shaped lateral incisors. Participants were interrogated regarding the following: depressive mood, fatigue, weight loss, or loss of appetite; and their anxiety and depression status was assessed using the Hospital Anxiety and Depression (HAD) scale.ResultsPatients with aggressive periodontitis reported more systemic symptoms (51%) than the chronic periodontitis (36%) and control (30%) patients (p < 0.05). Aggressive periodontitis patients had a higher tendency for both anxiety and depression than chronic periodontitis and control patients. Dental anomalies were significantly (p < 0.05) more frequent among both of chronic and aggressive periodontitis patients (15% and 16%, respectively), compared to controls.ConclusionIn this group of Jordanians, systemic symptoms were strongly associated with aggressive periodontitis, and dental anomalies were positively associated with both aggressive and chronic periodontitis.

Highlights

The relationship between dental anomalies and periodontitis has not been documented by earlier studies
This paper focuses on two types of periodontitis: chronic periodontitis (CP) and aggressive periodontitis (AP) and their association with certain dental anomalies and psychological stress
The aims of this study were to examine the association of certain systemic manifestations with both AP and CP, to assess the anxiety and depression status in both types of periodontitis using the Hospital Anxiety and Depression (HAD) scale and to explore the association of CP and AP with certain dental anomalies

Summary

Introduction

The relationship between dental anomalies and periodontitis has not been documented by earlier studies. Psychological factors have been implicated in the etiopathogenesis of periodontitis, very little information has so far been published about the association of anxiety and depression with aggressive periodontitis. The aim of this study was to investigate the association of chronic periodontitis and aggressive periodontitis with certain systemic manifestations and dental anomalies. This paper focuses on two types of periodontitis: chronic periodontitis (CP) and aggressive periodontitis (AP) and their association with certain dental anomalies and psychological stress. Numerous diseases of the dentition exist that may involve the crowns or roots of teeth so that the size, shape or number of teeth may be affected. The reported prevalence of dens invaginatus ranges between 0.04 to 10% [7]. Clinicians most commonly use the classification proposed by Oehlers (1957) [5] which classifies dens invaginatus into:

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