Objective
This study estimated the association between stress and periodontitis.
Materials and methods
A cross-sectional study was conducted with a sample of 621 individuals. Information about ...individuals was obtained through a questionnaire. Stress was evaluated using the Perceived Stress Scale. The diagnosis of periodontitis was based on a complete periodontal examination including clinical attachment level, probing depth, and bleeding on probing. Prevalence ratios (PR), crude and adjusted, and their respective 95% confidence intervals (95%CI) were estimated by Poisson regression analysis.
Results
In the final sample, 48.47% (301) of the individuals were classified as having stress, of which, 23.92% (72) had the diagnosis of periodontitis. Association measurements between stress and probing depth ≥ 4 mm (PR
adjusted
= 1.28, 95%CI 1.04 to 1.58), stress and clinical attachment level ≥ 5 mm (PR
adjusted
= 1.15, 95%CI 1.01 to 1.31), and stress and periodontitis (PR
adjusted
= 1.36, 95%CI 1.01 to 1.83) showed that the frequency of these outcomes among those exposed to stress was 15–36% higher than those without the condition of stress, after adjustment for age, sex, schooling level, current smoking habit, pulmonary disease, and body mass index.
Conclusions
The findings showed positive association between exposure to stress and the presence of periodontitis, reaffirming the need to prevent and control stress.
Clinical relevance
Although there are limitations in this study, the results showed that an association exists between stress and periodontitis, signaling the necessity of a multidisciplinary attention when considering the psychological status in the management of oral and general health conditions of the individual.
Background
An association between periodontitis and cardiovascular disease is now well documented; however, the effect of periodontitis severity levels on this outcome, specifically on acute ...myocardial infarction (AMI), remains unexplored. This study investigated the association between levels of periodontitis severity (exposure) and AMI (outcome).
Methods
This case‐control study, matched by sex and age, was conducted with 621 participants, with 207 individuals treated in the emergency department of Santa Izabel and Ana Nery Hospitals in Salvador, Bahia, Brazil, diagnosed with a first AMI event, and compared to 414 individuals without a diagnosis of AMI. Levels of periodontitis severity followed two criteria: (1) Center for Disease Prevention and Control and American Academy of Periodontology; (2) Gomes‐Filho et al. (2018) using criteria that also evaluated bleeding upon probing. Conditional logistic regression analysis was performed and odds ratios (ORs) and their 95% confidence intervals (CIs) were obtained.
Results
The adjusted association measurements showed a positive association between both severe (ORadjusted ranged from 2.21 to 3.92; 95% CI ranged from 1.03 to 10.05) and moderate periodontitis (ORadjusted ranged from 1.96 to 2.51; 95% CI ranged from 1.02 to 6.19), and AMI, for both periodontitis diagnostic criteria. It demonstrated that among those with moderate and severe periodontitis, the chance of having AMI was approximately two to four times greater than among those without periodontitis.
Conclusion
The findings demonstrate that there is an association between the severity of the periodontal condition and AMI, suggesting a possible relationship among the levels of periodontitis severity and the cardiovascular condition.
Objective
This study investigated the association between periodontitis severity (exposure) and metabolic syndrome (MetS - outcome), using two criteria for diagnosis of the outcome, since this ...relationship remains unexplored.
Materials and methods
A case-control study was conducted with 870 individuals: 408 with first MetS diagnosis (cases) and 462 without MetS (controls). Participants’ general information was obtained using a questionnaire and laboratory data was collected from medical records. Periodontitis severity criteria followed the Center for Disease Control and Prevention: none, mild, moderate, and severe. Odds ratios (OR) and 95% confidence intervals (95% CI) were determined by logistic regression analysis.
Results
Findings showed a positive association between moderate and severe periodontitis and MetS: OR
adjusted
= 1.64 (95% CI: 1.01 to 2.68) and OR
adjusted
= 1.94 (95% CI: 1.19 to 3.16), respectively, after adjustment for age, sex, schooling level, smoking habit, and cardiovascular disease. The adjusted measurements showed that among individuals with moderate or severe periodontitis, the probability of having MetS was around two times greater than among those without periodontitis, and that the chance was greater among participants with severe periodontitis than those with moderate periodontitis.
Conclusion
An association between the severity of periodontal status and MetS was found, suggesting a possible relationship between the two diseases.
Clinical relevance
MetS influences the etiology of cardiovascular diseases, one of the leading causes of mortality worldwide. The findings suggest that the greater the severity of periodontitis, the greater is the association magnitude with MetS. The health professional needs to recognize that the importance of periodontal disease may play in MetS.
Common mental disorder is associated with periodontitis Coelho, Julita Maria F.; Miranda, Samilly S.; Cruz, Simone S. ...
Journal of periodontal research,
April 2020, 2020-Apr, 2020-04-00, 20200401, Letnik:
55, Številka:
2
Journal Article
Recenzirano
Objectives
This research evaluated the association between exposure to common mental disorder (CMD) and the presence of periodontitis.
Background
Common mental disorder is characterized by the ...presence of irritation, fatigue, insomnia, forgetfulness, decreased ability to concentrate, anxiety, and depression. It has been associated with several diseases; however, there are few studies that have associated it with periodontitis.
Methods
This cross‐sectional study was carried out with 621 individuals. Data collection involved the application of a general questionnaire and the self‐reporting questionnaire for diagnosis of CMD. The diagnosis of periodontitis involved a full mouth periodontal examination using: clinical attachment level, probing depth, and bleeding on probing. Prevalence ratios and 95% confidence intervals between CMD (exposure) and periodontitis (outcome) were obtained.
Results
In the final sample, 38.16% (237) of the individuals were classified with CMD. Among these, 28.27% (67) had periodontitis. Association measurements showed that the occurrence of periodontitis among those exposed to CMD is approximately 50% higher than in those without this mental condition, with statistical significance, after adjustment for age, sex, family income, current smoking habit, alcohol beverage consumption, and cardiovascular disease (PRadjusted = 1.54, 95% CI: 1.13 to 2.10).
Conclusions
The findings showed a positive association between exposure to CMD and periodontitis, revealing the importance of broadening public actions targeting mental health, which seems to be related to oral health, mainly due to the high frequency of the diseases in the studied sample.
Background: The clinical importance of systemic bone loss as a contributory factor to alveolar bone loss and the subsequent loss of teeth merits further study, given that osteoporosis and periodontal ...disease lead to significantly increased morbidity and mortality and higher public expenditure of funds. This case‐control study evaluated the association between osteoporosis and periodontal disease.
Methods: The sample consisted of 139 postmenopausal women: 48 in the case group (with periodontal disease) and 91 in the control group (without periodontal disease). The diagnosis of periodontal disease was established following a complete clinical examination using measurements of probing depth, gingival recession and hyperplasia, clinical attachment loss, and bleeding index, and confirmed by panoramic radiography. The diagnosis of osteoporosis was made by reviewing densitometry reports obtained previously. Descriptive, stratified, and logistic regression analyses were applied to the data collected. Comparison of proportions was performed using the χ2 and Fisher tests. Association measurements (odds ratios ORs) with and without adjustment for confounding factors and control for effect modifiers were obtained at a significance level of 5%.
Results: The ORunadjusted for the principal association was 2.58 (95% confidence interval CI: 1.01 to 6.82). In subgroup analyses of the stratified model, the ORunadjusted for low education was 6.40 (95% CI: 1.77 to 23.18). When adjusted for smoking habit and age, the ORadjusted was 7.05 (95% CI: 1.90 to 26.19), which also was statistically significant.
Conclusion: Postmenopausal women with osteoporosis and low educational levels have a greater chance of having periodontal disease than do those without osteoporosis.
