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Article Dans Une Revue Expert Review of Gastroenterology & Hepatology Année : 2021

Periodontal and dental health in inflammatory bowel diseases: a systematic review

Résumé

Introduction: An increased risk of dental caries and periodontal diseases has been reported for inflammatory bowel disease (IBD) patients and are challenging conditions to manage. Areas covered: The authors searched international databases to find all studies assessing dental/periodontal outcomes in patients with IBD and other immune-mediated inflammatory disease (IMID), as well as the association between IMID medications and dental/periodontal status. Expert opinion: IBD are associated with a higher risk of both periodontitis and caries. Some evidence from rheumatoid arthritis suggests that periodontitis may be associated with a lower response to anti-TNF. There is no reliable evidence that IBD patients may be at greater risk of complications during routine dental care. On the basis of current data, guidelines can be proposed for the dental management focusing on the detection and eradication of infectious foci prior to the implementation of immunosuppressants/biologics and modified dental treatment protocol for invasive dental procedures that includes antibiotic prophylaxis.
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Dates et versions

hal-03551239 , version 1 (01-02-2022)

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Kevimy Agossa, Lidia Roman, Marjolaine Gosset, Clara Yzet, Mathurin Fumery. Periodontal and dental health in inflammatory bowel diseases: a systematic review. Expert Review of Gastroenterology & Hepatology, 2021, 15 (10), pp.1143-1157. ⟨10.1080/17474124.2021.1952866⟩. ⟨hal-03551239⟩
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