Purpose

Thermal inhalation injury is a common, life-threatening problem in burned patients. Whether or not this single event of damage to the oral integrity causes long term health problems is yet to be examined.

Material and methods

All consecutive burn patients between 2014 and 2017 of Marienhospital Stuttgart (MHS), Germany, with at least 10% of burned skin surface were included and compared. The Periodontal Screening Index as well as Vitamin D levels were examined. Vitamin D has been suspected to contribute to the genesis of periodontitis. Risk factors and subjective oral life quality were prompted.

Results

We included a total of 32 patients, 15 of which had an inhalation injury in their medical history. Risk factors were examined via Renatus' questionnaire. While risk factors were equally distributed in both groups we saw a remarkable difference in periodontal integrity, with the Periodontal Screening Index (PSI) per sextant differing drastically (with inhalation injury: 2.40, without inhalation injury: 1.10, p < 0.001). Patients with an inhalation injury had a mean of 5.2 out of 6 possible sextants with a pathologic PSI (with the median being 6/6), while patients without an inhalation injury had a mean of 1.83 out of 6 (median: 1/6), p < 0.001. The oral health impact profile showed a difference as well, albeit without statistical significance (with inhalation injury: median = 11, without: median = 3.5, p = 0.414).

A correlation between Serum Vitamin D levels and periodontal integrity could not be seen in this group.

Conclusion

Inhalation injury is a possible cause for periodontitis and hence impacts the quality of life of burned patients.

中文翻译：

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热吸入性损伤后牙周损伤——高温吸入性损伤对长期牙周健康的影响

目的

热吸入性损伤是烧伤患者常见的危及生命的问题。这种对口腔完整性的损害是否会导致长期的健康问题还有待研究。

材料与方法

2014 年至 2017 年间，德国斯图加特玛丽亚医院 (MHS) 的所有连续烧伤患者，至少有 10% 的皮肤表面被烧伤，并进行了比较。检查了牙周筛查指数以及维生素 D 水平。维生素 D 被怀疑与牙周炎的发生有关。提示危险因素和主观口腔生活质量。

结果

我们总共纳入了 32 名患者，其中 15 名患者的病史中有吸入性损伤。通过 Renatus 的调查问卷检查了风险因素。虽然危险因素在两组中平均分布，但我们发现牙周完整性存在显着差异，每个六分仪的牙周筛查指数 (PSI) 差异很大（吸入性损伤：2.40，无吸入性损伤：1.10，p < 0.001）。有吸入性损伤的患者在 6 个可能的六分仪中平均有 5.2 个具有病理性 PSI（中位数为 6/6），而没有吸入性损伤的患者平均有 1.83 个六分仪（中位数：1/6） , p < 0.001。口腔健康影响概况也显示出差异，尽管没有统计学意义（有吸入性损伤：中位数 = 11，无：中位数 = 3.5，p = 0.414）。

在该组中看不到血清维生素 D 水平与牙周完整性之间的相关性。

结论

吸入性损伤是牙周炎的可能原因，因此会影响烧伤患者的生活质量。