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Regular dental visits, periodontitis, tooth loss, and atherosclerosis: The Ohasama study

OBJECTIVE: We aimed to explore the association between regular dental visits and atherosclerosis and between periodontitis, number of remaining teeth, and atherosclerosis among community dwellers in Japan. BACKGROUND: Few studies have examined the association between regular dental visits, periodont...

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Autores principales: Yamada, Sho, Komiyama, Takamasa, Ohi, Takashi, Murakami, Takahisa, Miyoshi, Yoshitada, Endo, Kosei, Hiratsuka, Takako, Hara, Azusa, Satoh, Michihiro, Tatsumi, Yukako, Inoue, Ryusuke, Asayama, Kei, Kikuya, Masahiro, Hozawa, Atsushi, Metoki, Hirohito, Imai, Yutaka, Ohkubo, Takayoshi, Hattori, Yoshinori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9321748/
https://www.ncbi.nlm.nih.gov/pubmed/35388479
http://dx.doi.org/10.1111/jre.12990
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author Yamada, Sho
Komiyama, Takamasa
Ohi, Takashi
Murakami, Takahisa
Miyoshi, Yoshitada
Endo, Kosei
Hiratsuka, Takako
Hara, Azusa
Satoh, Michihiro
Tatsumi, Yukako
Inoue, Ryusuke
Asayama, Kei
Kikuya, Masahiro
Hozawa, Atsushi
Metoki, Hirohito
Imai, Yutaka
Ohkubo, Takayoshi
Hattori, Yoshinori
author_facet Yamada, Sho
Komiyama, Takamasa
Ohi, Takashi
Murakami, Takahisa
Miyoshi, Yoshitada
Endo, Kosei
Hiratsuka, Takako
Hara, Azusa
Satoh, Michihiro
Tatsumi, Yukako
Inoue, Ryusuke
Asayama, Kei
Kikuya, Masahiro
Hozawa, Atsushi
Metoki, Hirohito
Imai, Yutaka
Ohkubo, Takayoshi
Hattori, Yoshinori
author_sort Yamada, Sho
collection PubMed
description OBJECTIVE: We aimed to explore the association between regular dental visits and atherosclerosis and between periodontitis, number of remaining teeth, and atherosclerosis among community dwellers in Japan. BACKGROUND: Few studies have examined the association between regular dental visits, periodontitis, tooth loss, and atherosclerosis in community dwellers in Japan. METHODS: The participants of this cross‐sectional study included community dwellers aged ≥55 years and residing in Ohasama. Exposure variables were regular dental visits; periodontitis, defined as radiographic alveolar bone loss (BL); the Centers for Disease Control/American Academy of Periodontology (CDC/AAP) classification; and number of remaining teeth. The primary outcome was atherosclerosis, defined as maximum carotid intima‐media thickness ≥1.1 mm or confirmation of atheromatous plaque. RESULTS: Of 602 participants, 117 had atherosclerosis. In the multivariate model, compared to those with regular dental visits, the odds ratio (OR) (95% confidence intervals [CIs]) of atherosclerosis among those with the absence of regular dental visits was 2.16 (1.03–4.49). Regarding BL‐max, compared with those in the first quartile, ORs (95% CIs) of those in the second, third, and fourth quartiles were 1.15 (0.65–2.30), 0.65 (0.32–1.35), and 1.57 (0.81–3.01), respectively. Regarding CDC/AAP classification, compared to those with no or mild periodontitis, ORs (95% CIs) for those with moderate and severe periodontitis were 2.48 (0.61–10.1) and 4.26 (1.01–17.5), respectively. Regarding the number of remaining teeth, compared to those with ≥20 teeth, ORs (95%CIs) for those with 10–19 and 1–9 teeth were 1.77 (1.004–3.12) and 0.96 (0.52–1.80), respectively. CONCLUSION: The absence of regular dental visits and presence of periodontitis are associated with atherosclerosis among community dwellers in Japan.
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spelling pubmed-93217482022-07-30 Regular dental visits, periodontitis, tooth loss, and atherosclerosis: The Ohasama study Yamada, Sho Komiyama, Takamasa Ohi, Takashi Murakami, Takahisa Miyoshi, Yoshitada Endo, Kosei Hiratsuka, Takako Hara, Azusa Satoh, Michihiro Tatsumi, Yukako Inoue, Ryusuke Asayama, Kei Kikuya, Masahiro Hozawa, Atsushi Metoki, Hirohito Imai, Yutaka Ohkubo, Takayoshi Hattori, Yoshinori J Periodontal Res Original Articles OBJECTIVE: We aimed to explore the association between regular dental visits and atherosclerosis and between periodontitis, number of remaining teeth, and atherosclerosis among community dwellers in Japan. BACKGROUND: Few studies have examined the association between regular dental visits, periodontitis, tooth loss, and atherosclerosis in community dwellers in Japan. METHODS: The participants of this cross‐sectional study included community dwellers aged ≥55 years and residing in Ohasama. Exposure variables were regular dental visits; periodontitis, defined as radiographic alveolar bone loss (BL); the Centers for Disease Control/American Academy of Periodontology (CDC/AAP) classification; and number of remaining teeth. The primary outcome was atherosclerosis, defined as maximum carotid intima‐media thickness ≥1.1 mm or confirmation of atheromatous plaque. RESULTS: Of 602 participants, 117 had atherosclerosis. In the multivariate model, compared to those with regular dental visits, the odds ratio (OR) (95% confidence intervals [CIs]) of atherosclerosis among those with the absence of regular dental visits was 2.16 (1.03–4.49). Regarding BL‐max, compared with those in the first quartile, ORs (95% CIs) of those in the second, third, and fourth quartiles were 1.15 (0.65–2.30), 0.65 (0.32–1.35), and 1.57 (0.81–3.01), respectively. Regarding CDC/AAP classification, compared to those with no or mild periodontitis, ORs (95% CIs) for those with moderate and severe periodontitis were 2.48 (0.61–10.1) and 4.26 (1.01–17.5), respectively. Regarding the number of remaining teeth, compared to those with ≥20 teeth, ORs (95%CIs) for those with 10–19 and 1–9 teeth were 1.77 (1.004–3.12) and 0.96 (0.52–1.80), respectively. CONCLUSION: The absence of regular dental visits and presence of periodontitis are associated with atherosclerosis among community dwellers in Japan. John Wiley and Sons Inc. 2022-04-06 2022-06 /pmc/articles/PMC9321748/ /pubmed/35388479 http://dx.doi.org/10.1111/jre.12990 Text en © 2022 The Authors. Journal of Periodontal Research published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Yamada, Sho
Komiyama, Takamasa
Ohi, Takashi
Murakami, Takahisa
Miyoshi, Yoshitada
Endo, Kosei
Hiratsuka, Takako
Hara, Azusa
Satoh, Michihiro
Tatsumi, Yukako
Inoue, Ryusuke
Asayama, Kei
Kikuya, Masahiro
Hozawa, Atsushi
Metoki, Hirohito
Imai, Yutaka
Ohkubo, Takayoshi
Hattori, Yoshinori
Regular dental visits, periodontitis, tooth loss, and atherosclerosis: The Ohasama study
title Regular dental visits, periodontitis, tooth loss, and atherosclerosis: The Ohasama study
title_full Regular dental visits, periodontitis, tooth loss, and atherosclerosis: The Ohasama study
title_fullStr Regular dental visits, periodontitis, tooth loss, and atherosclerosis: The Ohasama study
title_full_unstemmed Regular dental visits, periodontitis, tooth loss, and atherosclerosis: The Ohasama study
title_short Regular dental visits, periodontitis, tooth loss, and atherosclerosis: The Ohasama study
title_sort regular dental visits, periodontitis, tooth loss, and atherosclerosis: the ohasama study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9321748/
https://www.ncbi.nlm.nih.gov/pubmed/35388479
http://dx.doi.org/10.1111/jre.12990
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