Journal of Korean Academy of Oral Health

The Korean Academy of Preventive Dentistry and Oral Health (대한예방치과·구강보건학회)
권호 표지

Associations of missing teeth with medical status

치아 결손과 전신건강과의 관련성

Choi, Youn-Hee;Suh, Il;Nam, Jung-Mo;Oh, Dae-Kyu;Son, Heung-Kyu;Kwon, Ho-Keun
최연희;서일;남정모;오대규;손홍규;권호근

  • Published : 20020600
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Abstract

To determine the possible associations of dental disease with medical status, cohort study was conducted from 1995 to 1999. The subjects were 18,114 men and 6,188 women aged 20+ in baseline year, and 920 men and 165 women in follow-up years, from 1997 to 1999. They were examined the number of invisible tooth(functionally missing teeth) and medical condition(blood pressure, body mass index, fasting plasma glucose, hemoglobin, total cholesterol, aspartate transaminase, hematuria, smoking, and cardiovascular disease history) in Occupational Health Center of Incheon Severance Hospital. In this study only men were included in statistical analysis. To assess the strength of associations between functionally missing teeth with medical status, odds ratios and 95% confidence intervals were computed using logistic regression models through the Window SAS 6.12 while age, smoking, fasting plasma glucose were adjusted as conditional confounding variables. The results were as follows; Older, higher blood pressure, and cardiovascular disease history were associated with increased risk of occurrence of one more missing teeth than baseline year in men. Odds ratios were 1.76(by 10 years), 1.32(by 10mmHg), and 3.2(in cardiovascular disease history), respectively. These results explained about only men. In summary, hypertension and cardiovascular disease history may be a potential risk factor to dental health while age, smoking, and fasting plasma glucose were adjusted as conditional confounding variables. But this association should be further investigated for their causal relationship.

Keywords

References

  1. Mackenzie RS, Millard HD. Interrelated effects of diabetes, arteriosclerosis and calculus on alveolar vone loss. J Am Dent Assoc 1963;66:191-198 https://doi.org/10.14219/jada.archive.1963.0057
  2. Grau AJ, Buggie F, Zeigler C, et al, Association between acute cerebrovascular ischemia and chronic and recurrent infecton. Storke 1997;28:1724-1729
  3. Joshipura KJ, Rimm EB, Douglass CW, Trichopoulos D, Ascherio A, Willett WC. Poor oral health and coronary heart disease. J Dent Res 1996;75(9):1631-1636 https://doi.org/10.1177/00220345960750090301
  4. Danesh J, Coronary heart disease, helicobacter pylori, dental disease, chlamydia pneumoniae, and cytomegalovirus: Meta-analyses of prospective studies. Am Heart J 1999; 138:S434-S437 https://doi.org/10.1016/S0002-8703(99)70270-X
  5. DeStefano F, Anda RF, Kahn HS, Williamson DF, Russell CM. Dental disease and risk of coronary heart disease and mortality. Br Med J 1993;306:688-691 https://doi.org/10.1136/bmj.306.6879.688
  6. Mattila KJ, Valtonen VV, Nieminen M, Huttumen JK. Dental infection and the risk of new coronary events: Prospective study of patients with documented coronary artery disease. Clin Infect Dis1995;20:588-592 https://doi.org/10.1093/clinids/20.3.588
  7. Beck JD, Garcia R, Heiss G, Vokonas PS, Offenbacher S. Periodontal disease and cardiovascular disease. J Periodontol 1996;67:1123-1137 https://doi.org/10.1902/jop.1996.67.10s.1123
  8. Hamasha AA, Hand JS, Levy SM. Medical conditions associated with missing teeth and edentulism in the institutionalized elderly. Spec Care Dentist 1998;18(3):123-127 https://doi.org/10.1111/j.1754-4505.1998.tb00917.x
  9. Loesche WJ. Periodontal disease as a risk factor for heart disease. Compend Contin Educ Dent 1994;15(8):976-991
  10. Wakai K, Kawamura T, Umemura O. et al. Associations of medical status and physical fitness with periodontal disease. J Clin Periodontol 1999;26:664-72 https://doi.org/10.1034/j.1600-051X.1999.261006.x
  11. 서일, 지선하, 김일순. 한국에서의 심혈관계 질환의 변천양상. 한국역학회지 1993;15(1):40-46
  12. 보건복지부. 2000국민구강건강실태조사. 2001
  13. Beck JD. Methods of assessing risk for periodontitis and developing multifactorial models. J periodontol 1994;65:468-478 https://doi.org/10.1902/jop.1994.65.5s.468
  14. Joint National Committee of National Institutes Health, National Heart, Lung, and Blood Institute, and National High Blood Pressure Education Program. sixth report. prevention, detection, evaluation, and treatment of high blood pressure. NIH publicaton. No. 98-4080.1997
  15. Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Mellitus. Diabetes Care 1997;20(7):1183-1197 https://doi.org/10.2337/diacare.20.7.1183
  16. 송미순, 김달숙, 최스미, 전명희. 진단적 검사와 간호. 서울:현문사;1995
  17. Fure S, Zickert I. Incidence tooth loss and dental caries in 60-, 70- and 80-year-old Swedish individuals. Community Dent Oral Epidemiol 1997;25(2):137-42 https://doi.org/10.1111/j.1600-0528.1997.tb00911.x
  18. Gilbert GH, MIller MK, Duncan RP, Ringelberg ML, Dolan TA, Foerster U. Tooth-specific and person-level prdictors of 24-month tooth loss among older adults. Community Dent Oral Epidemiol 1999;27(5):372-385 https://doi.org/10.1111/j.1600-0528.1999.tb02034.x
  19. Haddad I, Haddadin K, Jebrin S, Ma' ani M, Amman OY. Reasons for extraction of permanent teeth in Jordan. Int Dent J 1999; 49(6):343-346 https://doi.org/10.1111/j.1875-595X.1999.tb00535.x
  20. Douglass CW, Berlin J, Tennstedt S. The validity of self-reported oral health status in the elderly. J Public Health Dent 1991;51(4):220-222 https://doi.org/10.1111/j.1752-7325.1991.tb02218.x
  21. Reisine ST, Bailit HL. Clinical oral health status and adult perceptions of oral health. Soc Sci Med 1980;14A(6):597-605
  22. 최충호. 한보철강근로자의 구강보건실태에 관한 연구. 순천향의대논문집 1998;4(2):401-410
  23. Slade GD, Gansky SA, Spencer AJ. Two-year incidence of tooth loss among South Australians aged $60^+$ years. Community Dent Oral Epidemiol 1997;25(6):429-437 https://doi.org/10.1111/j.1600-0528.1997.tb01734.x
  24. Axelsson P, Lindhe PJ. Relationship between smoking and dental status in 35-, 50-, 65-, and 75-year-old individuals. J Clin Periodontol 1998;25(4):297-305 https://doi.org/10.1111/j.1600-051X.1998.tb02444.x
  25. Stabhoiz A, Babayof I, Mersel A, Mann J. The reasons for tooth loss in geriatric patients attending two surgical clinics in Jerusalem, Israel. Gerodontol. 1998;14(2):83-88 https://doi.org/10.1111/j.1741-2358.1997.tb00182.x
  26. Paunio K, Impivaara O, Tikso J, Maki J. Missing teeth and ischaemic heart disease in men aged 45-64 years. Eur Heart J 1993;14(suppl K):54-56
  27. Baelum V, Luan WM, Chen X, Fejerskov O. Predictors of tooth loss over 10 years in adult and elderly Chinese. Community Dent Oral Epidemiol 1997;25(3):204-210 https://doi.org/10.1111/j.1600-0528.1997.tb00927.x
  28. Bailit HL, Braun R, Maryniuk GA, Camp P. Is periodontal disease the primary cause of tooth extraction in adults? I Am Dent Assoc 1987;114:40-45
  29. Holm, G. Smoking as an additional risk factor for tooth loss. J Periodontol 1994;65:996-1001 https://doi.org/10.1902/jop.1994.65.11.996
  30. Murray JJ. The Prevention of oral disease Jenkins WMN. The prevention and control of chronic periodontal disease. 3rd ed, New York: Oxford University Press Inc. 1996
  31. Abdellatif HM, Burt BA. An epidemiological investigation into the relative importance of age and oral hygiene status as determinants of periodontitis. J Dent Res 1987;66(1):13-18 https://doi.org/10.1177/00220345870660010201
  32. Ong G. Periodontal disease and tooth loss. Int Dent J 1998;48(suppl 1):233-238 https://doi.org/10.1111/j.1875-595X.1998.tb00711.x
  33. Research Science and Therapy Committee of the American Academy of Periodontology. Periodontal disease as a potential risk factor for systemic diseases. J Periodontol 1998;69:841-850
  34. Johansson I, Tidehag P, Lundberg V, Hallmans G. Dental status, diet and cardiovascular risk factor in middle-aged people in northern Sweden. Community Dent Oral Epidemiol 1994;22(6):431-436 https://doi.org/10.1111/j.1600-0528.1994.tb00792.x
  35. Joshipura KJ, Douglass CW, Willett WC. Possible explanations for the tooth loss and cardiovascular disease relationship. Ann Periodontol 1998;3(1):175-183 https://doi.org/10.1902/annals.1998.3.1.175
  36. Tonetti MS. Cigarette smoking and periodontal disease: Etiology and management of disease. Ann Periodontol 1998;3(3):88-101 https://doi.org/10.1902/annals.1998.3.1.88