Periodontitis en individuos con dermatitis atópica

• Fernando Valenzuela ^[1] ; Marcela Aroca Chandia ^[2] ; Gisselle Astudillo Urrea ^[2] ; Javier Fernández ^[2] ; Constanza Jiménez Lizana ^[2] ; Alejandra Fernández Moraga ^[2]
  1. [1] Universidad de Chile

     Universidad de Chile

     Santiago, Chile

     
  2. [2] Universidad Andrés Bello

     Universidad Andrés Bello

     Santiago, Chile

     
• Localización: Piel: Formación continua en dermatología, ISSN 0213-9251, Vol. 36, Nº. 4 (ABRIL), 2021, págs. 218-223
• Idioma: español
• DOI: 10.1016/j.piel.2020.06.005
• Títulos paralelos:
  • Periodontitis in individuals with atopic dermatitis
• Enlaces
  • Texto Completo Ejemplar
• Resumen
  • español

    Introducción: La dermatitis atópica (DA) y la periodontitis son enfermedades de naturaleza inflamatoria crónica. Hasta la fecha, no se ha evaluado el estado periodontal en individuos con DA. El objetivo del presente estudio es comparar la prevalencia de la intensidad de la periodontitis en individuos con DA y controles sanos.

    Método: Estudio observacional piloto. Se incluyeron a 46 individuos en total; 23 con DA y 23 controles sanos, evaluados en el Centro Internacional de Estudios Clínicos y en la Clínica Odontológica de la Universidad Andrés Bello. El diagnóstico de DA fue realizado por un dermatólogo con base en la historia clínica y un examen físico. Se evaluó el estado periodontal y los hábitos de higiene a través de un periodontograma completo de la boca y la cumplimentación de una ficha clínica.

    Resultados: Los individuos con DA presentaron periodontitis leve en un 33,33%, periodontitis moderada en un 38,10% y periodontitis avanzada en un 28,57%. El grupo control presentó periodontitis leve en un 80%, periodontitis moderada en un 10% y periodontitis avanzada en un 10%. Los individuos con DA presentaron un riesgo aumentado de presentar periodontitis moderada (OR: 9,14; IC 95%: 1,53-54,54; p = 0,015) y avanzada (OR: 6,85; IC 95%:

    1,09-42,75; p = 0,039) en comparación con el grupo control.

    Conclusión: Los individuos con DA presentan mayor prevalencia de periodontitis moderada y avanzada en relación al grupo control. Además, se muestra una asociación entre la DA y la enfermedad periodontal moderada y avanzada

  • English

    Introduction: Atopic dermatitis (AD) and periodontitis are chronic inflammatory diseases. To date, the periodontal status of AD patients remains unexplored. The aim of this study was to compare the prevalence and severity of periodontitis in adults with AD and systemically healthy controls.

    Method: An observational pilot study was conducted including 23 patients with AD and 23 systemically healthy adults, recruited from Centro Internacional de Estudios Clínicos and the Dental Clinic of Universidad Andrés Bello. The diagnosis of AD was made by a dermatologist based on the medical history and physical examination. All patients received full-mouth periodontal examination and a complete evaluation of their oral hygiene habits.

    Results: Individuals with AD diagnosis presented mild, moderate and severe periodontitis in 33.33%, 38.10% and 28.57% respectively. Systemically healthy controls presented mild periodontitis in 80%, moderate periodontitis in 10% and severe periodontitis in 10%.

    Individuals with AD showed an increased risk of presenting moderate (OR: 9.14; 95% CI:

    1.53-54.54; p = 0.015) or severe periodontitis (OR: 6.85; 95% CI: 1.09-42.75; p = 0.039) compared to controls.

    Conclusion: Subjects with AD presented a higher prevalence of moderate and severe periodontitis compared to systemically healthy controls.

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