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Dental plaque and gingival bleeding in adolescents with juvenile idiopathic arthritis and controls: a multilevel analysis.

Authors :
Gil, Elisabeth Grut
Åstrøm, Anne Nordrehaug
Lie, Stein Atle
Rygg, Marite
Fischer, Johannes
Rosén, Annika
Bletsa, Athanasia
Luukko, Keijo
Shi, Xie-Qi
Halbig, Josefine
Frid, Paula
Cetrelli, Lena
Tylleskär, Karin
Rosendahl, Karen
Skeie, Marit Slåttelid
Source :
Acta Odontologica Scandinavica. Jan2023, Vol. 81 Issue 1, p50-65. 16p.
Publication Year :
2023

Abstract

To explore whether plaque and gingival bleeding are more frequently experienced by adolescents with juvenile idiopathic arthritis (JIA) compared to matched controls without JIA; explore whether surface- and site-specific periodontal outcomes vary between the two groups; and for participants with JIA, investigate associations between disease-specific features and periodontal outcomes. In this comparative cross-sectional study, selected surfaces, and sites of index teeth in 10–16-year-olds with JIA and matched controls were examined by modified versions of Simplified Oral Hygiene Index (OHI-S) and Gingival Bleeding Index (GBI). Mixed-effects logistic regressions, reporting odds ratios (OR) with 95% confidence interval (CI), were applied. Intra-class correlation coefficients (ICCs) were calculated to quantify the degree of dependency of measures within the same individual. 144 and 159 adolescents with JIA were evaluated according to OHI-S and GBI; corresponding numbers of controls were 154 and 161. Plaque and gingival bleeding were more frequent in individuals with JIA than controls. Adjusted analyses showed association between JIA status and OHI-S > 0 (OR = 2.33, 95% CI: 1.47 − 3.67, ICC = 0.45) and GBI > 0 (OR = 1.54, 95% CI: 1.10 − 2.16, ICC = 0.41 and 0.30). Surface-specific distribution of plaque varied among the two groups. Our results highlight the importance of increased awareness of oral health care in patients with JIA and that surface- and site-specific differences in periodontal outcomes exist between individuals with JIA and controls. Few JIA disease-specific variables associated with plaque or gingival bleeding. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00016357
Volume :
81
Issue :
1
Database :
Academic Search Index
Journal :
Acta Odontologica Scandinavica
Publication Type :
Academic Journal
Accession number :
161786921
Full Text :
https://doi.org/10.1080/00016357.2022.2078505