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Obstructive Lung Diseases |

The Interlink Between Chronic Obstructive Pulmonary Disease and Periodontitis

Kriti Agarwal, MDS; Sudhir Agarwal, MD; Kanika Agarwal, MDS; Nishant Kumar, MDS
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DJ Dental College, Modinagar, India


Chest. 2013;144(4_MeetingAbstracts):706A. doi:10.1378/chest.1704257
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Abstract

SESSION TITLE: COPD Diagnosis & Evaluation Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 30, 2013 at 01:30 PM - 02:30 PM

PURPOSE: The oropharyngeal colonization by respiratory pathogens which cause COPD is more common in persons with teeth or dentures than in edentulous patients. Mouth may serve as an important reservoir of lower respiratory tract infection. Poor oral hygiene and periodontal disease enhance colonization of oral cavity by respiratory pathogens. The present study was undertaken to evaluate the link between chronic obstructive pulmonary disease and periodontitis.

METHODS: Eighty patients with COPD (test group) of varying severity were enrolled in this study. All these patients underwent detailed history taking, clinical examination and spirometry to determine the airflow limitation. Eighty patients without COPD (control group) were also recruited for this study. Periodontal parameters were determined by measuring Probing Pocket Depth (PPD), Clinical Attachment Loss (CAL) and Plaque index for all the subjects.

RESULTS: The mean age of subjects with COPD was 52.6 years while that of controls was 55.1 years. Subjects with COPD were observed to have statistically significant higher mean Clinical Attachment Loss (CAL) of 6.10±0.24 and a higher mean Plaque Index score of 3.51±0.63 than those without COPD. The levels of lung function as related to periodontal disease showed a diminishing lung function trend with increase in the amount of Clinical Attachment Loss.

CONCLUSIONS: Patients with COPD had more mean Clinical Attachment Loss (CAL) than those without COPD. Also, lung function appeared to diminish as the amount of attachment loss increased. The results of the present study support an association between chronic obstructive lung disease and periodontitis.

CLINICAL IMPLICATIONS: Periodontal parameters by measuring Probing Pocket Depth (PPD), Clinical Attachment Loss (CAL) and Plaque index may be clinically important in patients with COPD

DISCLOSURE: The following authors have nothing to disclose: Kriti Agarwal, Sudhir Agarwal, Kanika Agarwal, Nishant Kumar

No Product/Research Disclosure Information


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