COMPARATIVE ASSESSMENT OF PERIODONTAL STATUS IN PEDIATRIC AND ADULT PATIENTS WITH ORAL LICHEN PLANUS AND THE ROLE OF BIOCOMPATIBLE RESTORATIVE MATERIAL
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Keywords
Oral Lichen Planus, periodontal health, pediatric patients, adult patients, biocompatible restorative materials, plaque index, gingival inflammation, clinical attachment loss, resin composite, glass ionomer cement
Abstract
Objective: This study aimed to compare periodontal health in pediatric and adult patients diagnosed with Oral Lichen Planus (OLP) and assess the impact of biocompatible restorative materials on their periodontal status.
Methods: A total of 101 patients were examined at Sardar Begum Dental College and Hospital, Peshawar from January 2023 to January 2024. Patients were categorized into pediatric (<18 years) and adult (≥18 years) groups. Periodontal health was assessed using plaque index, gingival index, probing pocket depth, clinical attachment loss, bleeding on probing, and tooth mobility. The influence of restorative materials, including resin composites, glass ionomer cement, zirconia, and bioceramics, was also evaluated. Diagnosis of OLP was confirmed clinically and histopathologically, and data were analyzed using Chi-square and independent t-tests.
Results: Periodontal health indicators were generally similar between pediatric and adult patients, with no significant differences in plaque index, gingival index, clinical attachment loss, or probing pocket depth. However, bleeding on probing was more prevalent in adults, indicating a higher inflammatory response. Resin composites and glass ionomer cement were the most commonly used restorative materials, showing higher patient satisfaction and lower association with periodontal inflammation. Adults had a significantly higher presence of systemic conditions, which may have contributed to their increased gingival inflammation.
Conclusion: Although periodontal health was largely comparable between pediatric and adult OLP patients, adults exhibited greater gingival inflammation. The choice of restorative materials played a role in periodontal outcomes, with resin composites and glass ionomer cement being associated with better periodontal health. Regular periodontal assessments and careful selection of biocompatible materials are essential for long-term oral health management in OLP patients.
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Dr Palwasha Khan
Senior Registrar, Department of Periodontolgy, Sardar Begum Dental College, Peshawar, Pakistan
Dr Shabir Ahmed
Associate Professor and Head of Department, Department of Prosthodontics, Bibi Aseefa Dental College, Larkana, Pakistan
Dr Zaheer Hussain Chachar
Assistant Professor and Head of Department, Department of Periodontology, Altmash Institute of Dental Medicine, Karachi, Pakistan
Dr Jayyad Salim Awal
Registrar, Department of Periodontology, Watim Medical and Dental Hospital, Islamabad, Pakistan
Dr Syed Amjad Abbas
Assistant Professor, Department of Oral Pathology, Rehman College of Dentistry, Peshawar, Pakistan
Dr Shaukat Shahzad
Assistant Professor, Community and Preventive Dentistry, Margalla Institute of Health Sciences, Islamabad, Pakistan