Is History of Cardiovascular Disease Associated with Increased Caries Experience among Taiwanese Adults?

IF 2.9 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Caries Research Pub Date : 2025-01-27 DOI:10.1159/000543769

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 DMFT, DT, MT and FT. 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 their 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 decayed, missing, and filled teeth (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 increased number of missing teeth. The present study design could not conclude a positive association between CVD history and their DMFT status, partly due to the lack of data on the reason of missing teeth.

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来源期刊

Caries Research 医学-牙科与口腔外科

CiteScore

6.30

自引率

7.10%

发文量

审稿时长

6-12 weeks

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.