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Saving More Teeth—A Case for Personalized Care

Background: Certain risk factors such as tobacco use, diabetes, genetic variations on the IL1 gene, and other inflammatory conditions are hypothesized to predict tooth loss in patients treated in a large medical center. Tooth loss trends are hypothesized to be greater in patients with more risk fact...

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Autores principales: Vieira, Alexandre R., Hilands, Katelyn M., Braun, Thomas W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4384057/
https://www.ncbi.nlm.nih.gov/pubmed/25758360
http://dx.doi.org/10.3390/jpm5010030
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author Vieira, Alexandre R.
Hilands, Katelyn M.
Braun, Thomas W.
author_facet Vieira, Alexandre R.
Hilands, Katelyn M.
Braun, Thomas W.
author_sort Vieira, Alexandre R.
collection PubMed
description Background: Certain risk factors such as tobacco use, diabetes, genetic variations on the IL1 gene, and other inflammatory conditions are hypothesized to predict tooth loss in patients treated in a large medical center. Tooth loss trends are hypothesized to be greater in patients with more risk factors. Methods: DNA samples for 881 individuals were taken from the Dental Registry and DNA Repository at University of Pittsburgh School of Dental Medicine. Clinical data for all 4137 subjects in the registry were also available. SNP genotyping was performed on the samples for IL1α (rs1800587) and IL1β (rs1143634). IL1 positive status was determined as having one or more of the recessive alleles for either SNP. Tooth loss status was determined based on dental records and data gathered for age, sex, ethnicity, and self-reported medical history. Various statistical analyses were performed on the data including genetic association analysis by the PLINK software, chi-square, Mann-Whitney U, and ANOVA tests to determine significance. Results: Tooth loss averages increased with age by all risk factors (smoking, diabetes, hypertension, and interleukin genotypes; p = 4.07E-13) and by number of risk factors (p = 0.006). Increased tooth loss is associated with age and number of risk factors including diabetes, tobacco use, IL1+, and cardiovascular disease. Conclusion: These trends suggest that older patients and those with more risk factors should seek further preventive care to reduce future tooth loss.
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spelling pubmed-43840572015-05-04 Saving More Teeth—A Case for Personalized Care Vieira, Alexandre R. Hilands, Katelyn M. Braun, Thomas W. J Pers Med Communication Background: Certain risk factors such as tobacco use, diabetes, genetic variations on the IL1 gene, and other inflammatory conditions are hypothesized to predict tooth loss in patients treated in a large medical center. Tooth loss trends are hypothesized to be greater in patients with more risk factors. Methods: DNA samples for 881 individuals were taken from the Dental Registry and DNA Repository at University of Pittsburgh School of Dental Medicine. Clinical data for all 4137 subjects in the registry were also available. SNP genotyping was performed on the samples for IL1α (rs1800587) and IL1β (rs1143634). IL1 positive status was determined as having one or more of the recessive alleles for either SNP. Tooth loss status was determined based on dental records and data gathered for age, sex, ethnicity, and self-reported medical history. Various statistical analyses were performed on the data including genetic association analysis by the PLINK software, chi-square, Mann-Whitney U, and ANOVA tests to determine significance. Results: Tooth loss averages increased with age by all risk factors (smoking, diabetes, hypertension, and interleukin genotypes; p = 4.07E-13) and by number of risk factors (p = 0.006). Increased tooth loss is associated with age and number of risk factors including diabetes, tobacco use, IL1+, and cardiovascular disease. Conclusion: These trends suggest that older patients and those with more risk factors should seek further preventive care to reduce future tooth loss. MDPI 2015-02-16 /pmc/articles/PMC4384057/ /pubmed/25758360 http://dx.doi.org/10.3390/jpm5010030 Text en © 2015 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Vieira, Alexandre R.
Hilands, Katelyn M.
Braun, Thomas W.
Saving More Teeth—A Case for Personalized Care
title Saving More Teeth—A Case for Personalized Care
title_full Saving More Teeth—A Case for Personalized Care
title_fullStr Saving More Teeth—A Case for Personalized Care
title_full_unstemmed Saving More Teeth—A Case for Personalized Care
title_short Saving More Teeth—A Case for Personalized Care
title_sort saving more teeth—a case for personalized care
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4384057/
https://www.ncbi.nlm.nih.gov/pubmed/25758360
http://dx.doi.org/10.3390/jpm5010030
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