Autor: |
Sven Pischke, Anita Shiprov, Ulrike Peters, Julian Schulze zur Wiesch, Johannes Kluwe, Tim Westphal, Frank Fischer, Maria Mader, Thorben Fründt, Karoline Horvatits, Thomas Horvatits, Ghazal Aarabi, Thomas Beikler |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
Annals of Hepatology, Vol 28, Iss 2, Pp 100887- (2023) |
Druh dokumentu: |
article |
ISSN: |
1665-2681 |
DOI: |
10.1016/j.aohep.2022.100887 |
Popis: |
Introduction and Objectives: Recent translational research indicated a bidirectional relationship between NASH (non-alcoholic steatohepatitis) and periodontitis; however, few clinical cohorts have studied this in detail. Thus we investigated this assumed association in a well-defined cohort. Materials and Methods: Data were generated prospectively for 132 patients (32 patients with NASH and 100 unselected, consecutively collected, anonymized controls from a local dental practice): detailed periodontal parameters, i.e., pocket-probing-depths (PPD), bleeding-on-probing (BOP), plaque-index, and utilization of dental care were assessed and correlated with relevant hepatic parameters (liver stiffness via fibroscan, AST, ALT, bilirubin, and MELD-score). Gingiva samples were tested for Porphyromonas gingvalis (P.g.) and Actinobacillus actinomyctemcomitans (A.a.) by PCR. Results: 87.5% of NASH patients and 47% of controls suffered from moderate to severe periodontitis (p=0.01). Liver stiffness was significantly correlated with elevated PPD (p=0.02) and BOP (p=0.03). 34 % of the NASH patients did not make use of regular dental health care. In these patients, AST (p=0.04), MELD score (p |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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