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Collegium antropologicum, Vol. 37 No. 3, 2013.

Original scientific paper

Periodontal Disease Increases Risk for Chronic Obstructive Pulmonary Disease

Karla Ledić ; Dental Office, Dom Zdravlja Zagreb – Centar, Zagreb, Croatia
Sonja Marinković ; University of Zagreb, University Hospital for Lung Diseases »Jordanovac«, Zagreb, Croatia
Ivan Puhar ; University of Zagreb, School of Dental Medicine, Department of Periodontology, Zagreb, Croatia
Stjepan Špalj ; University of Rijeka, School of Medicine, Department of Paediatric Dentistry and Orthodontics, Rijeka, Croatia
Sanja Popović-Grle ; University of Zagreb, University Hospital for Lung Diseases »Jordanovac«, Zagreb, Croatia
Marija Ivić-Kardum ; University of Zagreb, School of Dental Medicine, Department of Periodontology, Zagreb, Croatia
Miroslav Samardžija ; University of Zagreb, University Hospital for Lung Diseases »Jordanovac«, Zagreb, Croatia
Darije Plenčak ; University of Zagreb, School of Dental Medicine, Department of Periodontology, Zagreb, Croatia

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Abstract

The aim of this study was to explore whether a periodontal disease could be a risk indicator for a chronic obstructive pulmonary disease (COPD). The examined group comprised 93 patients with COPD (mean age 65.8 years). The control group comprised 43 systemically healthy individuals (mean age 62.1 years). Respiratory and periodontal conditions were examined in both groups. COPB subjects had significantly worse periodontal conditions than controls (p<0.05) with regard to each parameter of periodontal condition, except for gingival inflammation. COPD patients had higher Plaque Index than control patients (82.84±22.81 vs. 57.15±26.96; p<0.001), higher periodontal depth (3.02±0.92 vs. 2.57±0.79 mm; p=0.007), higher gingival recession (1.97±1.09 vs. 0.91±0.79 mm; p<0.001), and higher mean clinical attachment loss (CAL) (4.12±1.74 vs. 2.91±1.27 mm; p<0.001). Multiple logistic regression model, after controlling for other risk indicators, showed that periodontal disease, presented as CAL ³4 mm at ³60% sites, was associated with odds ratio of 3.2 (95% CI 1.0–9.8) for the COPB group. Data suggest that periodontal disease could be a risk indicator for COPD.

Keywords

chronic obstructive pulmonary disease; smoking; periodontitis; clinical attachment loss; case-control study; Croatia

Hrčak ID:

118298

URI

https://hrcak.srce.hr/118298

Publication date:

30.9.2013.

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