Periodontal Health Status And Risk Factors In Patients With Chronic Hepatitis B

Objective: To investigate the periodontal status of chronic hepatitis B patients,and to analyze the risk factors affecting periodontal indicators in chronic hepatitis B population,and to explore the correlation between chronic periodontitis and chronic hepatitis B.Try to establish a database of oral health awareness levels in chronic hepatitis B population,which is conducive to targeted oral health education.Relevant specialist medical staff will recognize the importance of screening chronic periodontitis in patients with chronic hepatitis B,improve the quality of life of patients.Methods: From March 2018 to November 2018,the chronic hepatitis B patients in the inpatient department of the Department of Infectious Diseases of Zunyi Medical University and the healthy control population in the accompanying family were selected as the subjects of investigation.According to the exclusion criteria,210 subjects were included,including 106 chronic hepatitis B patients.A healthy control of 104 people.Conducted by two dental practitioners who received professional training.The details including questionnaire survey,periodontal examination,clinical and biochemical examination.The questionnaire included general conditions and oral health awareness.Periodontal examination includes plaque index,depth of probing,clinical attachment level,and probing bleeding.Clinical and biochemical tests included blood pressure,blood lipids,total bilirubin,albumin,and clotting time,and the score according to the Child-Pugh.Compare the general population,plaque index,average rate of probing bleeding,prevalence and severity of chronic periodontitis in chronic hepatitis B and control groups,and analyze the risk factors of chronic periodontitis and probing hemorrhage in chronic hepatitis B group.Statistics on oral health awareness level of hepatitis B population,and to make oral health education targetable.Results:1.There was no significant difference in the general population between the chronic hepatitis B group and the control group.There was no significant difference in gender,age,smoking,alcohol consumption,hypertension,hyperlipidemia,and academic qualifications(P>0.05).2.There was no significant difference in plaque index between chronic hepatitis B group and control group,and there was no significant difference in oral hygiene level(P>0.05).The average positive rate of peritoneal bleeding and the prevalence of chronic periodontitis in the chronic hepatitis B group were 32.98% and 79.26%.The control group was 30.02% and 55.77%,respectively.The difference has significant difference(P<0.05).The proportion of moderate and severe chronic periodontitis in the chronic hepatitis B group was higher than that in the control group(P<0.05).3.The univariate analysis of chronic hepatitis B group showed that smoking,drinking,hypertension,hyperlipidemia,age,high Child-Pugh score were correlated with the average positive rate of probing bleeding(P<0.05);and gender,education were uncorrelated(P>0.05).Gender,smoking,alcohol consumption,hyperlipidemia,age,Child-Pugh score were associated with the prevalence of chronic periodontitis in the chronic hepatitis B group(P<0.05),but there was no correlation between hypertension and education(P>0.05).After adjusting for gender,age,smoking,alcohol consumption,hyperlipidemia,child-Pugh score and other confounding factors,gender and Child-Pugh scores were still risk factors for chronic periodontitis in the chronic hepatitis B group(P<0.05).4.Establish a database of oral health awareness levels in chronic hepatitis B population.As to the number of brushing times,for never or once is 49%,for twice is 30%,for thrice is21%.As to brushing time,31%less than one min,39% is one to two min,30% more than two min.As to brushing method,the horizontal direction of the saw is 48%,the Bass brushing method is 10%,has no specific rule is 42%;As to the frequency of replacement toothbrush,73% more than three months,27% less than three months.There is 69% never use flossing,and once or twice a week accounted for 20%,once a day accounted for 11%.The frequency of washing teeth,never,biennial,once a year,once every six months,the number of people accounted for 31%,45%,10%,14%.For periodontal treatment,20% of people had never had periodontal treatment,and 37% of them receive regular oral examinations or professional physician guidance during the past year,69% of people have received general dental cleaning and 11% have been treated in the periodontal system in hospitals.Conclusion:1.Chronic hepatitis B is a high-risk group of chronic periodontitis,and screening for chronic periodontitis is necessary in this group.2.Among the chronic hepatitis B population,smoking,drinking,hypertension,hyperlipidemia,age,and high Child-Pugh score were closely related to the average positive rate of bleeding.Gender,smoking,alcohol consumption,hyperlipidemia,age,and Child-Pugh scores constitute a high risk factor for chronic periodontitis.3.The level of oral health care in chronic hepatitis B population is low,and the related health awareness needs to be strengthened.It is necessary to carry out targeted oral health education and intervention treatment measures.