Oral Health of Patients Suffered with Psoriasis: Results of Pilot Study
The purpose of study: periodontitis and psoriasis, including complicated state of the disease such as psoriatic arthritis, share common risk factors and comorbidities. Hence, further investigation of possible association between periodontitis and psoriasis is needed.The aim of current study was evaluation of oral health and periodontal status of patients, suffering with psoriasis.Materials and methods: 25 patients with a clinical diagnosis of psoriasis, who were on inpatient treatment, had been included in the study group. 22 systemically well patients had been included in the control group. Comorbid conditions and significant factors were recorded in the chart, developed by us. Dermatological status of the study group was determined by Psoriasis Area Severity Index (PASI), history of the disease also was studied. Oral examination included inspection of oral mucosa and dentitions, evaluation of oral hygiene and gum bleeding. To check periodontal health, measuring of periodontal pocket depth and clinical attachment loss was performed. Statistical analysis included determination of differences significance by Mann - Whitney method and logistic regression analysis.Results: when compared with controls, psoriasis individuals had oral lesions more often (n=1 and n=11 respectively, р<0.002). Psoriatic patients had more missing teeth than systemically well patients (4.58±4.75 and 1.48±4.32 respectively, р=0.043). Clinical attachment loss in the study group was 2.15±1.38 and the controls had 1.59±0.98, р=0.041. Measured pocket depth in psoriasis group was 2.09±0.93 and 1.52±0.57 in the control group respectively (р<0.05).Conclusions: within the limits of the present study the different state of the oral health of somatically well patients and patients suffering with psoriasis was established. Patients with moderate and severe psoriasis had worse periodontal state. Further investigation of the problem is required.