Periodontal status and self-reported systemic health of periodontal patients regularly visiting dental clinics in the 8020 Promotion Foundation Study of Japanese Dental Patients
Periodontal status and self-reported systemic health of periodontal patients regularly visiting dental clinics in the 8020 Promotion Foundation Study of Japanese Dental Patients
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DOI：
10.2334/josnusd.18-0128
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发表时间：
2019-06-01
影响因子：
1.9
通讯作者：
Yamashita, Yoshihisa
中科院分区：
文献类型：
--
作者：
Furuta, Michiko;Fukai, Kakuhiro;Yamashita, Yoshihisa
这项全国性的横断面调查调查了定期访问日本私人牙科诊所的牙周病患者的牙周病和自我报告的全身健康之间的关系。分析了来自444家牙科诊所的999名患者的数据;患者年龄在40岁或以上，定期看牙医，并诊断出牙周病（定义为两个或更多牙齿的临床附着水平>= 6 mm）。通过自我报告问卷收集病史。使用牙周袋深度（PPD）>= 5 mm的牙齿数量来定义牙周状况，并使用最高四分位数作为因变量。Poisson回归模型显示，在调整潜在牙周危险因素后，糖尿病和高血压病史与PPD >= 5 mm的牙齿数量增加相关（糖尿病：患病率比[PRR] 1.36，95%置信区间[CI] 1.00-1.85;高血压：PRR 1.27，95% CI 1.02-1.58）。这些研究结果表明，糖尿病和高血压与更严重的牙周病有关。牙医应确认接受维持护理的患者的糖尿病和高血压状况，因为这些状况可能会影响患者的牙周管理。
This nationwide cross-sectional survey investigated the association between periodontal disease and self-reported systemic health in periodontal patients who regularly visited private dental clinics in Japan. Data from 999 patients of 444 dental clinics were analyzed; the patients were aged 40 years or older, regularly visited dentists, and had diagnosed periodontal disease (defined as two or more teeth with a clinical attachment level >= 6 mm). Medical history was collected with a self-reported questionnaire. Number of teeth with a probing pocket depth (PPD) >= 5 mm was used to define periodontal status, and the highest quartile was used as the dependent variable. A Poisson regression model showed that histories of diabetes and hypertension were associated with a larger number of teeth with a PPD >= 5 mm (diabetes: prevalence rate ratio [PRR] 1.36, 95% confidence interval [CI] 1.00-1.85; hypertension: PRR 1.27, 95% CI 1.02-1.58) after adjusting for potential periodontal risk factors. These findings suggest that diabetes and hypertension are associated with worse periodontal disease. Dentists should confirm the diabetes and hypertension status of patients who receive maintenance care, because these conditions could affect periodontal management of patients.