Dietary and metabolic effects on the oral status of patients with phenylketonuria: a nation-based cross-sectional study.

Bingöl, Anne Carolin; Bingöl, Memduh; Pandis, Nikolaos; Stolz, Simone; Beblo, Skadi; Jost-Brinkmann, Paul-Georg; Mönch, Eberhard; Bartzela, Theodosia (2023). Dietary and metabolic effects on the oral status of patients with phenylketonuria: a nation-based cross-sectional study. Clinical oral investigations, 27(5), pp. 1981-1991. Springer-Verlag 10.1007/s00784-022-04827-w

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OBJECTIVES

The aim of this study was to compare the prevalence of oral diseases (caries, periodontal disease, enamel defects) between patients with phenylketonuria (PKU), their siblings, and a matched control group.

MATERIALS AND METHODS

A total of 109 patients with PKU, 14 siblings of PKU patients, and 100 healthy individuals aged 6 to 68 years were recruited. All participants completed a questionnaire based on their health status. The patients' decayed/missing/filled teeth index (dmft/DMFT), gingival bleeding index (GBI), plaque control record (PCR), periodontal screening and recording index (PSR), and developmental enamel defects index (DDE) were recorded. Descriptive statistics and regression modeling were used to examine potential associations between the exposure and the outcomes of interest.

RESULTS

Patients with PKU had 1.6 times more caries (95% confidence interval (CI) 1.22 to 2.20; p = 0.001), seven times more enamel defects (95% CI 3.94 to 14.21; p < 0.001), and four times higher PSR values (95% CI 2.26 to 7.15; p < 0.001) than the control group. The siblings had significantly fewer enamel defects but no significant differences in caries and periodontal parameters compared to the PKU patients.

CONCLUSIONS

The results showed a higher risk for the development of caries, periodontitis, and enamel defects in PKU patients.

CLINICAL RELEVANCE

Implementation of preventive measures and regular dental care is necessary for patients with PKU.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics

UniBE Contributor:

Pandis, Nikolaos

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1432-6981

Publisher:

Springer-Verlag

Language:

English

Submitter:

Pubmed Import

Date Deposited:

23 Feb 2023 12:49

Last Modified:

05 May 2023 00:14

Publisher DOI:

10.1007/s00784-022-04827-w

PubMed ID:

36805804

Uncontrolled Keywords:

Caries Enamel defects Oral health Oral status Phenylketonuria

BORIS DOI:

10.48350/179059

URI:

https://boris.unibe.ch/id/eprint/179059

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