The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 14 , ISSUE 2 ( March-April, 2013 ) > List of Articles

RESEARCH ARTICLE

Evaluation of Periodontal Status in Alcoholic Liver Cirrhosis Patients: A Comparative Study

K Vijay Raghava, H Shivananda, Darshan Mundinamane, Vinita Boloor, Biju Thomas

Citation Information : Raghava KV, Shivananda H, Mundinamane D, Boloor V, Thomas B. Evaluation of Periodontal Status in Alcoholic Liver Cirrhosis Patients: A Comparative Study. J Contemp Dent Pract 2013; 14 (2):179-182.

DOI: 10.5005/jp-journals-10024-1296

Published Online: 01-04-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

Bacterial infections are common complicating findings in course of liver cirrhosis, most of them being Gram-negative. Similarly periodontal pathogens are also mostly Gram-negative bacteria hence the objective was to evaluate the periodontal status in alcoholic liver cirrhosis patients and to compare the periodontal status of alcoholic liver cirrhosis patients in: a. Smokers with periodontitis and b. Nonsmokers with periodontitis.

Materials and methods

A total of 150 patients made up the sample of this study. The sample size was divided into four groups. The first two groups comprised of 50 patients each comprising of patients with periodontitis who were nonsmokers and patients with periodontitis who were smokers respectively and the next two groups comprised of 25 patients each, which included patients diagnosed as suffering from alcoholic liver cirrhosis who are nonsmokers and patients diagnosed as suffering from alcoholic liver cirrhosis who are smokers. Screening examination included a proper medical history, dental history and Russell's periodontal index was done to evaluate and compare the periodontal status among the selected groups.

Results

The data obtained was subjected to statistical analysis using the ANOVA Fisher's F-test. Multiple group comparisons were made using the Tukey's HSD test.

Conclusion

Conclusions that can be drawn from this study are: 1. Alcoholic liver cirrhosis patients demonstrated greater alveolar bone loss and increased periodontal destruction. 2. There is very high statistically significant difference on periodontal destruction in alcoholic liver cirrhosis patients (with or without smokers) when compared to the control group.

Clinical significance

Periodontal diseases are bacterial infections associated with a bacterial load or insult to the host that elicits a strong inflammatory response cumulating to produce significant pathologic alterations in the systemic status of the host. Alcoholic liver cirrhosis patients as a consequence of liver dysfunction have elevated levels of serum cytokines. These are involved in the destructive process of periodontal disease probably through enhancement of collagenase and metalloproteinase activity. Hence, a study has been planned to evaluate periodontal status in patients with alcoholic liver cirrhosis.

How to cite this article

Raghava KV, Shivananda H, Mundinamane D, Boloor V, Thomas B. Evaluation of Periodontal Status in Alcoholic Liver Cirrhosis Patients: A Comparative Study. J Contemp Dent Pract 2013;14(2):179-182.


PDF Share
  1. Alcoholic liver disease. Available from: http://www.columbia.edu . (Accessed: 9-06-2006).
  2. Relationships between clinical parameters. Interleukin-1β and histopathologic findings of gingival tissue in periodontitis patients. Cytokine 1996;8:161-67.
  3. Increased presence of interleukin-6 (IL-6) and IL-8 secreting fibroblast subpopulations in adult periodontitis. J Periodontal 1998;69:899-910.
  4. Methods in biostatistics (6th ed). New Delhi: Jaypee Brothers Medical Publishers 1999:130-56.
  5. Dentistry and the alcoholic patient. Dent Clin North Am 1983;27:341.
  6. Three-year tooth loss among black and white older adults in North Carolina. J Dent Res 1995;74:675-80.
  7. Directs effects of ethanol on bone resorption and formation in vitro. Arch Biochem Biophys 1985;238:305-14.
  8. Periodontal changes in liver cirrhosis and posttransplantation patients. I: Clinical Findings. J Periodontol 2001;72:1236-40.
  9. Periodontal changes in liver cirrhosis and posttransplantation patients. II: Radiographic Findings: J Periodontol 2002;73:313-16.
  10. Relationship between periodontal disease and cirrhosis of the liver in humens. J Clin Periodontol 1981;8:450-58.
  11. Cigarette smoking and the periodontal patient. J Periodontol 2004;75:196-209.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.