Sugar Intake, Taste Changes and Dental Health in Crohn’s Disease

Schütz, Tatjana; Drude, Clemens; Paulisch, E; Lange, Klaus; Lochs, Herbert

doi:10.1159/000073343

Cited by 39 publications

(46 citation statements)

References 13 publications

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“…More caries in CD patients have been shown by some previous studies [13], [15], [20]. Conversely, Grössner - Schreiber et al [21] did not report any differences in the DMF-S index between patients with inflammatory bowel disease (IBD), but described a significantly higher prevalence of dentine caries amongst patients with IBD compared to the control group.…”

Section: Discussionmentioning

confidence: 88%

Dental Caries, Prevalence and Risk Factors in Patients with Crohn’s Disease

et al. 2014

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ObjectiveThe present study tested the hypothesis that patients with Crohn’s disease (CD) have a higher prevalence and risk for caries compared to people without CD.Material and MethodsPatients with CD were divided into groups; 71 patients (50.7±13.9 years) who had gone through resective intestinal surgery and 79 patients (42.0±14.4 years) who had not. The patients were compared to 75 controls (48.6±13.4 years) regarding DMF-T and DMF-S, Lactobacilli (LB), Streptococcus mutans (SM), salivary flow and dental plaque. Statistical methods including ANOVA or Chi-square test for calculation of demographic differences between groups, analysis of covariance (ANCOVA) to compare the clinical variable and Post hoc analyses were done with Fischers Least Significant Difference test or Chi-square. Non-parametric Spearman’s correlation matrix coefficient was estimated between clinical variables and disease duration.ResultsCD patients who had been subjected to resective surgery had a higher DMF-S score (50.7 versus 36.5; p = 0.01) compared to the control group after adjusting for age, gender and smoking. These patients had higher counts of SM (1.5 versus 0.9; p = 0.04) and LB (10000.0 versus 1000.0; p = 0.01), and more dental plaque (53.7 versus 22.6; p = 0.001). CD patients reported a more frequent consumption of sweetened drinks between meals compared to controls (p = 0.001).ConclusionsThe present study shows that patients with CD who had undergone resective surgery had a higher DMFs score, and higher salivary counts of Lactobacilli and Streptococcus mutans compared to the control group.

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Section: Discussionmentioning

confidence: 88%

Dental Caries, Prevalence and Risk Factors in Patients with Crohn’s Disease

et al. 2014

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“…Z kilku badań wynika większa jej intensywność [11][12][13][14][15], a inne nie wykazują takiej zależności [16,17]. Nasilenie występowania próchnicy u chorych było wyjaśniane zwiększeniem konsumpcji węglowoda-nów podczas choroby, które są jednym z głównych czynników przyczynowych próchnicy [18][19][20]. Reif et al [21] na podstawie analizy jakościowej i ilościowej oraz historii diety nowo zdiagnozowanych pacjentów stwierdzili u nich dużą konsumpcję sacharozy przed rozpoznaniem choroby Crohna.…”

Section: Omówienieunclassified

Oral Cavity Condition and Selected Salivary Parameters in Children and Adolescents Suffering from Inflammatory Bowel Diseases

Kłaniecka¹,

Kaczmarek²

2016

Dent. Med. Probl.

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A -koncepcja i projekt badania, B -gromadzenie i/lub zestawianie danych, C -analiza i interpretacja danych, D -napisanie artykułu, E -krytyczne zrecenzowanie artykułu, F -zatwierdzenie ostatecznej wersji artykułu StreszczenieWprowadzenie. Wrzodziejące zapalenie jelita grubego i choroba Leśniowskiego-Crohna należą do grupy nieswoistych zapaleń jelita. Etiologia tych chorób nie jest w pełni wyjaśniona, jednak przyjmuje się, że jest ona wieloprzyczynowa. Niewiele jest prac oceniających stan jamy ustnej i parametry śliny w przebiegu tych chorób. Cel pracy. Ocena stanu zdrowia jamy ustnej i wybranych parametrów śliny u dzieci chorych na nieswoiste zapalenie jelit. Materiał i metody. Zbadano 102 dzieci w wieku 3,5-18 lat, w tym 52 chorych na nieswoiste zapalenie jelit i 50 zdrowych. Oceniono intensywność próchnicy (puw/z, PUW/Z), stan przyzębia (m-SBI) i występowanie zmian patologicznych na błonie śluzowej. W niestymulowanej ślinie mieszanej oznaczano pH, pojemność buforową, dwuwęglany, białko całkowite, α-amylazę, kwas sjalowy (całkowity, wolny i związany), fosforany nieorganiczne i magnez oraz szybkość wydzielania śliny. Wyniki. U chorych w porównaniu z osobami zdrowymi stwierdzono większą liczbę zębów objętych próchnicą, gorszy stan przyzębia, a u 22% chorych występowanie zmian patologicznych na błonie śluzowej. W ślinie chorych zaobserwowano niższe poziomy pH, pojemności buforowej, a większe białka oraz zbliżone fosforanów i magnezu oraz sekrecji śliny. Wnioski. U chorych częściej występowały nieswoiste zmiany błony śluzowej jamy ustnej i intensywniejsze zapalenie dziąseł, niższe poziomy pH, pojemności buforowej i α-amylazy, ale większe stężenie białka (Dent. Med. Probl. 2016, 53, 2, 210-215).Słowa kluczowe: stan jamy ustnej, nieswoiste zapalenie jelit, składniki śliny. AbstractBackground. Inflammatory bowel disease includes ulcerative colitis and Crohn's disease whose etiology is not fully elucidated, but supposed to be multifactorial. There are only few papers regarding oral condition and salivary components in the course of inflammatory bowel disease. Objectives. The aim of the study was to evaluate the condition of oral and selected salivary parameters in pediatric patients suffering from inflammatory bowel disease. Material and Methods. The authors examined 102 subjects aged 3.5-18 years, 52 patients and 50 healthy individuals. The authors examined caries (dmf/t, DMF/T), periodontal condition (m-SBI), and the occurrence of pathological oral mucosa lesions. Buffering capacity, bicarbonates, total protein, α-amylase, sialic acid (total, free and bonded), inorganic phosphates, and magnesium and salivary flow were assessed in the unstimulated mixed saliva pH. Results. In patients, compared to healthy individuals, the authors reported a worse periodontal condition, and in 22% of patients the occurrence of mucosa lesions. Caries severity was not higher among patients. In the saliva of patients, compared to healthy individuals, the authors found lower levels of pH, buffering capacity, a higher concentration of total...

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“…The consumption of foods that are low in fiber, high in sugar, and high in animal fat has been proposed to increase the risk for IBD [4], [5]. In particular, CD patients have been shown to consume large amounts of sucrose and refined carbohydrates, whereas they consume few fruits and vegetables [6]–[10]. CD patients commonly have weight loss and nutritional impairment at diagnosis [11].…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, in this study, the gustatory function of IBD patients was tested by a new taste test employing impregnated taste strips. Former investigations of the gustatory function in CD patients used the Henkin's pipette method [10], [18]–[20]. In this study, the UC patients were also investigated for the olfactory and gustatory functions, and the effects of medication and disease activity on smell and taste were evaluated.…”

Section: Introductionmentioning

confidence: 99%

Smell and Taste in Inflammatory Bowel Disease

et al. 2013

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ObjectiveTo investigate the olfactory/gustatory functions of patients with inflammatory bowel disease (IBD) by smell/taste tests, and to determine if disease activity or medication might influence the olfactory/gustatory functions of patients.Patients and MethodsIn total, 59 IBD patients (37 Crohn's disease (CD) and 22 ulcerative colitis (UC) patients) were studied using “Sniffin' sticks” and “taste strips” for olfactory and gustatory tests, respectively, and compared to healthy controls and published normative data.ResultsAmong IBD (CD and UC) patients, the values for odor threshold, but not for odor identification or discrimination, were significantly lower than that of the normative data. Further, these patients showed lower values than the normative taste values and the control group for all tastes, except sour; 57.6% of the IBD patients were hyposmic, while 30.5% were hypogeusic. Subjective self-assessments showed that the patients were not aware of their reduced olfactory/gustatory functions. There were no relevant differences in taste and smell abilities between the CD and UC patients. Disease activity and treatment did not influence the olfactory/gustatory functions.ConclusionIBD (CD and UC) patients exhibited significant reductions in the olfactory and gustatory functions. Therefore, patients should be tested by smell/taste tests, in order to be adequately informed of their olfactory/gustatory functions and provided an understanding of how to overcome their limitations, and thus improve their quality of life.

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Sugar Intake, Taste Changes and Dental Health in Crohn’s Disease

Cited by 39 publications

References 13 publications

Dental Caries, Prevalence and Risk Factors in Patients with Crohn’s Disease

Dental Caries, Prevalence and Risk Factors in Patients with Crohn’s Disease

Oral Cavity Condition and Selected Salivary Parameters in Children and Adolescents Suffering from Inflammatory Bowel Diseases

Smell and Taste in Inflammatory Bowel Disease

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