Simple F Kothari1,2, Gustavo G Nascimento3, Mille B Jakobsen1, Jørgen F Nielsen1,4, Mohit Kothari1,4. 1. Hammel Neurorehabilitation Centre, University Research Clinic, Hammel, Denmark. 2. Section of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark. 3. Section of Periodontology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark. 4. JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, India.
Abstract
Aim: To investigate the association of periodontitis to orofacial health-related systemic impairment in patients with acquired brain injury (ABI). Methods: Ninety individuals with ABI were included. Full mouth periodontal examination was performed. Orofacial health-related 'motor' and 'cognitive' scores, dysphagia and feeding status, onset of pneumonia were retrieved from e-journal. Factor analysis dubbed periodontal data as 'moderate' and 'severe' periodontitis while orofacial health-related brain injury scores were dubbed into 'motor' and 'cognitive' domains. Association between periodontal findings and systemic impairments were analyzed using multivariable linear regression models. Results: Higher scores of 'moderate' periodontitis were significantly associated with lower scores of motor impairment (β = -0.2), feeding tube dependency (β = 0.2) and dysphagia (β = 1.21), whereas higher scores of 'severe' periodontitis were associated with lower scores of cognition (β = -0.2) and reduced dental visits (β = -0.2). Both periodontal domains were significantly associated with aging (β = 0.02) and onset of pneumonia (β = 0.5-0.7).Conclusions: Robust association between 'moderate' periodontitis and motor impairment, feeding problems and dysphagia, reflects an acute clinical condition, demanding cross-disciplinary intervention. Periodontal examination can be an early indicator tool for systemic chronic conditions, as ABI and periodontitis share a common environmental, social and biological background. Periodontitis majorly affects ageing population and are prone to pneumonia, compromising rehabilitation plan.
Aim: To investigate the association of periodontitis to orofacial health-related systemic impairment in patients with acquired brain injury (ABI). Methods: Ninety individuals with ABI were included. Full mouth periodontal examination was performed. Orofacial health-related 'motor' and 'cognitive' scores, dysphagia and feeding status, onset of pneumonia were retrieved from e-journal. Factor analysis dubbed periodontal data as 'moderate' and 'severe' periodontitis while orofacial health-related brain injury scores were dubbed into 'motor' and 'cognitive' domains. Association between periodontal findings and systemic impairments were analyzed using multivariable linear regression models. Results: Higher scores of 'moderate' periodontitis were significantly associated with lower scores of motor impairment (β = -0.2), feeding tube dependency (β = 0.2) and dysphagia (β = 1.21), whereas higher scores of 'severe' periodontitis were associated with lower scores of cognition (β = -0.2) and reduced dental visits (β = -0.2). Both periodontal domains were significantly associated with aging (β = 0.02) and onset of pneumonia (β = 0.5-0.7).Conclusions: Robust association between 'moderate' periodontitis and motor impairment, feeding problems and dysphagia, reflects an acute clinical condition, demanding cross-disciplinary intervention. Periodontal examination can be an early indicator tool for systemic chronic conditions, as ABI and periodontitis share a common environmental, social and biological background. Periodontitis majorly affects ageing population and are prone to pneumonia, compromising rehabilitation plan.
Authors: Simple F Kothari; Gustavo G Nascimento; Mille B Jakobsen; Jørgen F Nielsen; Mohit Kothari Journal: Front Neurol Date: 2021-12-15 Impact factor: 4.003