Po-Yen Lin, Le-Yin Hsu, Shao-Yuan Chuang, Shao-Ching Chen, Lin-Yang Chi
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引用次数: 0
Abstract
Introduction: This study examined the association between cardiovascular disease (CVD) history and their dental caries experience status.
Methods: Conducted from January 2021 to June 2023, this cross-sectional cohort study involved 7,138 participants who underwent oral examinations. Data on demographic background, oral health-related behaviors, and smoking status were collected using a structured questionnaire. Dental caries was diagnosed at the cavitation level according to the World Health Organization criteria and calculated into caries experience indices including decayed, missing, and filled teeth (DMFT), decayed teeth, missing teeth and filled teeth. Information on CVD history was obtained from the Taiwan National Health Insurance Research Database, including acute myocardial infarction, ischemic stroke, and coronary artery disease. Multivariate linear regression models were used to assess the association between CVD history and its dental caries experience status.
Results: Of the participants, 158 (2.2%) had a prior diagnosis of CVD. Participants with CVD history had a significantly higher mean DMFT index (21.21 ± 8.37) than did those without CVD history (13.4 ± 7.82; p < 0.0001). After adjusting for confounding factors, participants with CVD history had a mean DMFT index that was 2.11 higher (95% CI = 0.99, 3.24, p < 0.01) and 2.21 more missing teeth (95% CI = 1.42, 3.00, p < 0.0001) than did those without CVD history. Subgroup analyses indicated that participants aged ≥65 years were predominantly affected.
Conclusion: Older participants with CVD history were associated with an increased number of missing teeth. The present study design could not conclude a positive association between CVD history and its DMFT status, partly due to the lack of data on the reason for missing teeth.
简介：本研究探讨了心血管疾病（CVD）病史与龋病经历状况之间的关系。方法：这项横断面队列研究于2021年1月至2023年6月进行，涉及7138名接受口腔检查的参与者。使用结构化问卷收集人口统计背景、口腔健康行为和吸烟状况的数据。采用多元线性回归模型评估心血管疾病病史与龋病经历状态之间的关系。结果：在参与者中，158人（2.2%）先前诊断为心血管疾病。有心血管疾病病史的参与者龋缺补牙（DMFT）平均指数（21.21±8.37）明显高于无心血管疾病病史的参与者（13.4±7.82）；P < 0.0001)。在调整混杂因素后，有心血管疾病病史的参与者的DMFT平均指数比没有心血管疾病病史的参与者高2.11 (95% CI = 0.99, 3.24, P < 0.01)，缺牙多2.21 （95% CI = 1.42, 3.00, P < 0.0001）。亚组分析表明，年龄≥65岁的参与者主要受影响。结论：有心血管疾病病史的老年人牙齿缺失数量增加。目前的研究设计不能得出CVD病史与其DMFT状态之间的正相关，部分原因是缺乏关于缺牙原因的数据。
期刊介绍：
''Caries Research'' publishes epidemiological, clinical and laboratory studies in dental caries, erosion and related dental diseases. Some studies build on the considerable advances already made in caries prevention, e.g. through fluoride application. Some aim to improve understanding of the increasingly important problem of dental erosion and the associated tooth wear process. Others monitor the changing pattern of caries in different populations, explore improved methods of diagnosis or evaluate methods of prevention or treatment. The broad coverage of current research has given the journal an international reputation as an indispensable source for both basic scientists and clinicians engaged in understanding, investigating and preventing dental disease.
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