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Abstract

ORAL MANIFESTATIONS IN LIVER DISEASES - A CLINICAL STUDY

Kailash Chandra Dash*, K.M.K. Masthan and Purna Chandra Dash

ABSTRACT

Introduction: Liver is a complex organ and is susceptible to a variety of adverse affects due to intake of alcohol or drugs and infectious disease such as viral hepatitis or liver malignancies etc. The oral cavity shows evidence of liver dysfunctions with the presence of hemorrhagic changes, petechiae, gingival bleeding, hematoma, etc. Aims and Objectives: The purpose of this study was to evaluate i) The presence of oral manifestations in various liver diseases (both infectious and non-infectious and in acute and chronic conditions), ii) To investigate the commonly occurring oral manifestation in various liver disorder patients and iii) To co-relate the incidence of oral manifestations in association with age and gender. Materials and Methods: 150 patients were selected from the Department of Hepatology, S.C.B Medical College & Hospital, Cuttack, Odisha of which 115 were males and 35 were females, suffering from various liver disorders and observed the possible associations with oral diseases. Results: The prevalence of periodontitis(14%), attrition(24%) and halitosis(23.3%) in patients suffering from liver diseases was higher in our study. We found less prevalence of lichen planus(1.3%) and candidiasis(2%), which was probably due to compromised immune status of the body. Conclusion: Chronic liver disease affects different systems of our body and the extrahepatic manifestations can also occur in oral cavity. The study highlighted the oral findings which includes bacterial infection & fungal such as periodontitis and candidiasis respectively, potential malignant disorder such as lichen planus, which aids in providing knowledge in oral health care and their association to systemic conditions found in this present study of liver associated diseases.

Keywords: Liver cirrhosis, Hepatitis, Candidiasis, Periodontitis, Lichen planus.


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