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Research ArticleResearch

Periodontitis Risk Factors in Adults with Cystic Fibrosis: A pilot study

Alaa A. Alkhateeb, Lloyd A. Mancl, Kathleen J. Ramos, Marilynn L. Rothen, Georgios A. Kotsakis, Dace L. Trence and Donald L. Chi
American Dental Hygienists' Association April 2023, 97 (2) 7-21;
Alaa A. Alkhateeb
Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, USA.
Department of Dental Health Sciences, School of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
MS, PhD
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  • For correspondence: [email protected]
Lloyd A. Mancl
Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, USA
PhD
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Kathleen J. Ramos
Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, WA, USA.
MD, MSc
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Marilynn L. Rothen
Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, USA.
RDH, MS
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Georgios A. Kotsakis
Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, USA
DDS, MS
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Dace L. Trence
Division of Metabolism, Endocrinology, and Nutrition, Department of Medicine, University of Washington, Seattle, WA, USA.
MD, MACE
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Donald L. Chi
Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA.
DDS, PhD
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Abstract

Purpose Individuals with cystic fibrosis (CF) present with multiple condition-specific risk factors for periodontitis including CF-related diabetes, chronic inhaled treatments that induce xerostomia, and increased systemic inflammation because of frequent lung infections. General factors like age, oral hygiene, and diet may also contribute to the risk of periodontitis. However the relative importance of these specific risk factors and periodontitis in individuals with CF has not yet been evaluated. The purpose of this pilot study was to assess the associations between CF condition-specific and general risk factors and the prevalence of periodontitis in adults with CF.

Methods This cross-sectional pilot study was designed to assess a multifactorial model of periodontitis risk factors in a population in adults with CF who were recruited from the University of Washington Adult CF center. Periodontitis was defined using the Centers for Disease Control and Prevention and the American Academy of Periodontology (CDC/AAP) case definition. Risk factors included condition-specific and general factors. Differences between participants with moderate/severe periodontitis and those with no/mild periodontitis was assessed using the Mann-Whitney test, the Fisher’s exact test, and the exact chi-square test (α=0.05).

Results Thirty-two participants were enrolled. Twenty-eight percent of the participants had moderate periodontitis, 72% had no/mild periodontitis; none of the participants had severe periodontitis. There were no significant differences in condition-specific factors between between the two study groups. Participants with moderate periodontitis were older (p=0.028) and reported daily flossing in higher proportions than those with no/mild periodontitis (p=0.023).

Conclusions The findings from this pilot study suggest that future research is needed to determine whether sociodemographic and other general risk factors are more important contributors to periodontitis risk than CF-specific factors.

Keywords
  • cystic fibrosis
  • periodontitis
  • risk factors
  • medically compromised
  • oral health
  • Received August 3, 2022.
  • Accepted November 16, 2022.
  • Copyright © 2023 The American Dental Hygienists’ Association
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American Dental Hygienists' Association: 97 (2)
American Dental Hygienists' Association
Vol. 97, Issue 2
April 2023
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Periodontitis Risk Factors in Adults with Cystic Fibrosis: A pilot study
Alaa A. Alkhateeb, Lloyd A. Mancl, Kathleen J. Ramos, Marilynn L. Rothen, Georgios A. Kotsakis, Dace L. Trence, Donald L. Chi
American Dental Hygienists' Association Apr 2023, 97 (2) 7-21;

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Periodontitis Risk Factors in Adults with Cystic Fibrosis: A pilot study
Alaa A. Alkhateeb, Lloyd A. Mancl, Kathleen J. Ramos, Marilynn L. Rothen, Georgios A. Kotsakis, Dace L. Trence, Donald L. Chi
American Dental Hygienists' Association Apr 2023, 97 (2) 7-21;
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Keywords

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  • medically compromised
  • oral health

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