Oral Manifestation of Inflammatory Bowel Disease in Tertiary Care Centre Hospital in South-Eastern Part of India: A Prospective Study
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 6, Pages 813-818
AbstractBackground: Cohn’s disease (CD) and ulcerative colitis (UC) remain two different chronic digestive disease that coming below the inflammatory bowel disease (IBD) group. Abdominal cramps, vomiting, and ulceration of the digestive tract are all signs of IBD. Follic acid and ironanaemia have occurred due to improper absorption of vitamins B,& D. Bothmalnutrition and anaemia cannister source severe oral health problems, along with erythema, oedema, and angular cheilitis, burning mouth syndrome i.e. sensation in the mouth, candidiasis, lichen planus and gingivitis. Aim: The main aim of the study was to record the different oral events in patients with IBD in a tertiary carehospital in south eastern part of India. Methods: The study included 100 patients with inflammatory bowel disease. All patients had an oral examination and data was collected in prescribed format. Results:Out of 100 patients in 54 patients IBD were studied i.e. 42 CD patients and 12 UC patients.CD was most frequently seen in female (66.66%) than male (33.33%) patients and age group ranged from 31 years to 60 years. More possibilities of IBD seen in patients having poor nutritional status habits, bruxism seen in 53 IBD patients i.e. 42 patients having CD and 11 patients having UC, temporomandibular disorder also seen and most frequent of hyper mobility in 35 patients and clicking in 18 patients.Decayed teeth mostly seen i.e. 46.3% , filled teeth was 42.6% and missing teeth was 11.1%. The most frequent findings were those of periodontitis (85.18%) and gingivitis (85.18%) followed by oral ulcer (81.48%), lip swelling (77.77%) and other lesions like gingival erosion (66.66%), lip crust (79.62%), mucosal tags (55.55%) and mucosal erosions (5.55%) were found in patients and these were highly seen in CD patients (77.77%) than UC patients (22.22%). Conclusion: Systematic oral manifestations may be considered as the initial diagnostic evaluation of patients with suspected CD. Early diagnosis will result in better treatment and pronostics for the patient.
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