Article

Hepatitis C infection and associated oral health problems

Faculty of Dentistry, University of Adelaide.
Australian Dental Journal (Impact Factor: 1.48). 07/2000; 45(2):108-14. DOI: 10.1111/j.1834-7819.2000.tb00249.x
Source: PubMed

ABSTRACT Hepatitis C infection is widespread throughout the community. This study aimed to assess the status of oral health of persons infected with hepatitis C. DMFT and CPITN indices were recorded at a clinic providing priority dental care for people with hepatitis C infection. The data were compared with information from an existing survey of general dental patients. Social impact was assessed using a modified Oral Health Impact Profile questionnaire. The DMFT index differed significantly between hepatitis C and general patients. The number of decayed and missing teeth was greater in those infected with hepatitis C for all patients aged between 25 and 50 years. Although there was no significant difference in CPITN categories for subjects evaluated, a marked trend for poor periodontal health was noted for those individuals with hepatitis C. Salivary flow was reduced in 50 per cent of hepatitis C infected subjects. Social impact was significantly affected with 71 per cent of hepatitis C subjects reporting painful aching in the mouth and 56 per cent having difficulty in relaxing. In conclusion, the results from the project strongly indicate an urgent need for priority delivery of dental care for people with hepatitis C infection.

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    • "However, $38% of HCV positive patients do not have a history of parenteral exposure. Some studies have reported finding HCV in saliva and the possible transmission of hepatitis C by this route [Chen et al., 1995; Coates et al., 2000; De Cock et al., 2004] "
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    • "Curiously, a smallscale study from Egypt, which has the highest reported prevalence of HCV infection in the general population, did not report a significant association between LP and HCV (Ibrahim et al., 1999). The few studies investigating the frequency of LP among HVC-positive subjects showed that from 1.6 to 20% of patients with HCV-related chronic hepatic disease may have LP (Pawlotsky et al., 1994a; Dupin et al., 1997; Grote et al., 1998; Coates et al., 2000; Nagao et al., 2000b, 2002; Henderson et al., 2001; Mignogna et al., 2001). Because these prevalences are generally higher than expected, OLP would probably be more easily identified in HCV-infected patients in countries with low levels of HCV, such as the UK (Carrozzo, 2001). "
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