@article{93219,
  author = {Cortela D and Nogueira M and Junior A},
  title = {Odontogenic infections and leprosy reactions: A case –control study},
  abstract = {Objective: To analyze the association between reactional episodes in leprosy and clinical and radiographic parameters relating to dental and gingival-periodontal structures of oral health.
Methods: Observational case-control study unpaired with multibacillary leprosy patients evaluated between August 2012 and January 2014 from three endemic Brazilian municipalities; patients with first leprosy reaction (cases) were compared to
patients without leprosy reaction (controls). The independent variables were grouped into: sociodemographic, disease clinical characteristics, behavior and lifestyle and dental and gingival-periodontal conditions. Two dentists were assigned to the
fieldwork and the Kappa statistic was calculated. Logistic regression with 95% confidence interval was carried out.
Results: The study included 57 individuals, including 23 reaction cases (40·4%) and 34 controls (59·6%). Chronic periodontal disease (CPD) (ORaj ¼ 4·3; p ¼ 0·033); the necessity for tooth extraction (ORaj ¼ 23·4; p ¼ 0·006), the presence of bone
loss (ORaj ¼ 6·5; p ¼ 0·030), the presence of periodontal pockets (ORaj ¼ 3·4; p ¼ 0·045) and a visit to the dentist (ORaj ¼ 0·3; p ¼ 0·014) are associated with reactional episodes in leprosy.
Conclusions: The dental and gingival-periodontal parameters shown to be associated with reactional episodes in leprosy were the presence of teeth that need to be extracted, CPD, and the presence of a periodontal pocket. Alveolar bone reabsorption was a radiographic parameter associated with reactional episodes in leprosy.},
  year = {2019},
  journal = {Leprosy review},
  volume = {90},
  pages = {378– 387},
  url = {https://leprosyreview.org/article/90/4/19-0087},
  language = {eng},
}