Systemic risk factors contributing to sialolithiasis: a big-data retrospective analysis.

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Clinical Oral Investigations Pub Date : 2025-02-06 DOI:10.1007/s00784-025-06179-7
Ehud Jonas, Leon Gillman, Daya Masri, Eli Rosenfeld, Gavriel Chaushu, Gal Avishai
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Abstract

Aims: To investigate systemic risk factors contributing to the formation of sialolithiasis.

Methods: A retrospective big-data cohort study was conducted using data from Clalit HMO in Israel. Sialolithiasis patients were identified based on ICD-10 codes and matched with controls. Univariate and multivariable logistic regression analyses were performed to assess the relationship between systemic conditions and sialolithiasis. P-value < 0.05 was considered significant.

Results: 5100 sialolithiasis cases were collected. The statistical analysis revealed that hypertension (OR = 1.14, 1.08-1.24, p < 0.001), dyslipidemia (OR = 1.33, 1.27-1.41, p < 0.001), nephrolithiasis (OR = 1.55, 1.42-1.63, p < 0.001) and cholelithiasis (OR = 1.22, 1.16-1.27, p < 0.001) were significantly correlated with sialolithiasis.

Conclusions: Systemic diseases, particularly dyslipidemia, play a role in the development of sialolithiasis. Further research is needed to explore the underlying mechanisms linking these conditions and to develop targeted strategies for the prevention of sialolithiasis.

Clinical relevance: This study highlights the potential interplay between systemic conditions and sialolithiasis. Recognizing these associations can inform clinical practice in understanding the pathogenesis of the disease, risk assessment, early diagnosis, and preventive measures.

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系统性风险因素导致涎石症:大数据回顾性分析。
目的:探讨涎石症形成的系统性危险因素。方法:使用以色列Clalit HMO的数据进行回顾性大数据队列研究。根据ICD-10编码对涎石症患者进行识别,并与对照组进行匹配。采用单变量和多变量logistic回归分析来评估系统性疾病与涎石症之间的关系。p值结果:共收集涎石症5100例。统计分析显示高血压(OR = 1.14, 1.08-1.24, p)。结论:全身性疾病,尤其是血脂异常,在涎石症的发生发展中起重要作用。需要进一步的研究来探索连接这些条件的潜在机制,并制定有针对性的策略来预防涎石症。临床意义:本研究强调了系统性疾病与涎石症之间的潜在相互作用。认识到这些关联可以为临床实践提供信息,以了解疾病的发病机制、风险评估、早期诊断和预防措施。
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来源期刊
Clinical Oral Investigations
Clinical Oral Investigations 医学-牙科与口腔外科
CiteScore
6.30
自引率
5.90%
发文量
484
审稿时长
3 months
期刊介绍: The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
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