Patients with inflammatory bowel disease have more oral health problems and higher costs of professional dental care than healthy controls: the Periodontitis Prevalence in ulcerative Colitis and Crohn's disease (PPCC) case-control study.

Bertl, Kristina; Burisch, Johan; Pandis, Nikolaos; Klinge, Björn; Stavropoulos, Andreas (2024). Patients with inflammatory bowel disease have more oral health problems and higher costs of professional dental care than healthy controls: the Periodontitis Prevalence in ulcerative Colitis and Crohn's disease (PPCC) case-control study. Journal of periodontology, 95(2), pp. 159-174. American Academy of Periodontology 10.1002/JPER.23-0325

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BACKGROUND

To describe the frequency and impact of oral lesions and professional dental care costs in patients with inflammatory bowel disease (IBD) [i.e., Crohn's disease (CD) or ulcerative colitis (UC)] compared to matched controls.

METHODS

IBD patients and matched controls were surveyed on general anamnestic information, eating and drinking habits, and oral health- and dental care related questions; IBD patients were additionally surveyed on oral lesions. Problems related to oral lesions and the amount of money spent for professional dental care in the last 12 months were defined as primary outcome parameters.

RESULTS

Answers from 1108 IBD patients and 3429 controls were analyzed. About 30% of the patients indicated having had problems with oral lesions, with CD patients having 46% higher odds and having them more often in a generalized form compared to UC patients. Further, self-reported severe periodontitis increased the odds of having oral lesions by almost 2.3-times. However, only about 12.5% of IBD patients were informed by their physician about oral lesions and about 10% indicated receiving treatment for them. Compared to controls, IBD patients required more often dental treatment and spent more money; specifically, UC and CD patients had 27 and 89% higher odds, respectively, for having spent ≥3000 DKK (ca. 440 USD) at the dentist compared to controls.

CONCLUSIONS

IBD patients have more often oral health problems and higher expenses for professional dental care compared to matched controls. This included problems with IBD-related oral lesions, but these are rarely addressed by the medical- or dental team. This article is protected by copyright. All rights reserved.

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