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KMID : 1023820160080040321
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The Journal of Advanced Prosthodontics
2016 Volume.8 No. 4 p.321 ~ p.328
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Long-term evaluation of teeth and implants during the periodic maintenance in patients with viral liver disease
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Yoon Da-Le
Kim Yong-Gun
Cho Jin-Hyun
Lee Sang-Kyu
Lee Jae-Mok
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Abstract
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PURPOSE : This study was designed to investigate the maintenance of teeth and implants in patients with viral liver disease.
MATERIALS AND METHODS : 316 patients without any significant systemic disease were selected as a control group. Liver disease group was consisted of 230 patients. Necessary data were collected using clinical records and panoramic radiographs. Then, the patients were subdivided into 2 groups based on the type of active dental therapy received before maintenance period (Pre-Tx). Analysis for finding statistically significant difference was performed based on the need for re-treatment of active dental therapy (Re-Tx) and change in the number of teeth (N-teeth) and implants (N-implants).
RESULTS : Comparing to control group, the patients with liver disease showed higher value on N-teeth, N-implants, and Re-Tx. Statistically significant differences were found on N-teeth (P=.000) and Re-Tx (P=.000) in patients with non-surgical Pre-Tx. Analysis based on severity of liver disease showed that N-teeth and Re-Tx were directly related to severity of liver disease regardless of received type of Pre-Tx. Significant differences were found on N-teeth (P=.003) and Re-Tx (P=.044) in patients with non-surgical Pre-Tx.
CONCLUSION : In this study, it was concluded that liver disease might influence the loss of teeth and cause the relapse of dental disease during maintenance period in patients. A significant positive relationship between tooth and implant loss and severity of liver disease seems to exist.
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KEYWORD
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Liver disease, Long-term care, Tooth loss
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