Investigation of Periodontal Condition, and Tooth Loss in Multiple Myeloma Patients: A Case-Control Study

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Abstract

Objectives: Studies have long suggested a link between Periodontal Disease and an increased risk of other inflammatory diseases, and diverse types of cancer. The aim of the current research was to investigate the possible differences regarding the periodontal condition and tooth loss between individuals suffering from Multiple Myeloma (MM) and healthy ones. Methods: This was a population-based retrospective case-control study in which 98 MM patients and 196 matching healthy controls were interviewed and dental and oral clinically examined. The clinical indices used to define the periodontal condition for MM patients and healthy individuals concerned Probing Pocket Depth (PPD), Clinical Attachment Loss (CAL), Plaque Index (PlI), Gingival Index (GI), and number of missing teeth. Univariate and logistic regression models were carried out to assess the data analyzed. Results: Individuals with increased BMI (p=0.003, 95% CI= 2.405) who suffered from MM and those with a family history of MM (p=0.000, 95% CI=8.495), were statistically significantly different compared with the healthy ones. Moreover, GI (p=0.042, 95% CI=2.451), was statistically significantly different between MM patients and the healthy individuals after controlling for smoking and socio-economic status. Conclusion: GI was statistically significantly different between individuals who were suffered from MM and healthy individuals.
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多发性骨髓瘤患者牙周状况与牙齿脱落的调查:病例对照研究
研究目的长期以来的研究表明,牙周病与其他炎症性疾病和各种癌症的风险增加之间存在联系。本研究旨在调查多发性骨髓瘤(MM)患者与健康患者在牙周状况和牙齿脱落方面可能存在的差异。研究方法这是一项基于人群的回顾性病例对照研究,对 98 名多发性骨髓瘤患者和 196 名相匹配的健康对照者进行了访谈,并进行了牙科和口腔临床检查。用于界定 MM 患者和健康人牙周状况的临床指标包括探诊袋深度(PPD)、临床附着丧失(CAL)、牙菌斑指数(PlI)、牙龈指数(GI)和缺失牙数量。对分析的数据进行了单变量和逻辑回归模型评估。结果显示与健康人相比,BMI(P=0.003,95% CI=2.405)增加的 MM 患者和有 MM 家族史的患者(P=0.000,95% CI=8.495)在统计学上有显著差异。此外,在控制了吸烟和社会经济状况后,MM 患者与健康人之间的消化道感染率(p=0.042,95% CI=2.451)在统计学上有明显差异。结论从统计学角度看,MM 患者与健康人的 GI 存在明显差异。
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