1
|
Tahani B, Baghban AA, Kazemian A. Determinants of oral health status: an ecological study in Iran. BMC Oral Health 2023; 23:910. [PMID: 37993816 PMCID: PMC10666374 DOI: 10.1186/s12903-023-03557-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 10/19/2023] [Indexed: 11/24/2023] Open
Abstract
OBJECTIVES The aim of this ecological study was to assess the association between behavioral, social position, circumstance factors, and caries experience in 35- to 44-year-old adults in Iran at a provincial level. MATERIALS AND METHODS The data from the 2011 Iranian Oral Health Survey were obtained from all 31 provinces across Iran on the population level. Oral health status was measured as the number of decayed, missing (MT), and filled (FT) teeth and the percentage of the population who were edentulous. Data were also gathered from each province on the percentage of smokers (Non-Communicable Diseases Risk Factors Surveillance Provincial Report 2009), per capita consumption of free sugars, concentration of fluoride in the drinking water (National and Sub-national Burden of Disease (NASBOD) Survey), number of dentists per 10,000 people, mean years of schooling of adults, expected years of schooling of children, life expectancy at birth and Gross National Income (Integrated Public Use Microdata Series, Global Data Lab). The data were analyzed using simple and multiple linear regression (α = 0.05). RESULTS Mean DMFT was positively associated with the percentage of smokers (B = 0.01 95%CI 0.01-0.14), and negatively with fluoride concentration (B =-2.6 95%CI -4.3- -0.96). The edentulousness percentage was positively associated with smoking (B = 0.2 (with 95%CI: 0.07-0.37) and negatively with mean years of education (B =-1.08 (with 95%CI: -2.04- -0.12). DT was associated with expected years of schooling (B =-0.6 (with 95%CI: -1.07- -0.17), negatively. Mt was negatively associated with life expectancy (B =-0.5 (with 95%CI: -1.1- -0.007), fluoride concentration (B =-3.4 (with 95%CI: -4.5- -1.5) and number of dentists per 10,000 people (B =-0.4 (with 95%CI: -0.8- -0.01). Mean Years of Schooling (B = 0.5 (with 95%CI: 0.2-0.8) and number of dentists per 10,000 people (B =-0.62 (with 95%CI: 0.51 - 0.48) were positively in associated with FT. CONCLUSIONS The present findings indicate that there were differences in the oral health measures and their social determinants among the provinces of Iran. Regarding the limitations of the study especially the limitation of the number of independent variables, it seems, this discrepancy could be better explained by social variables of the provinces such as income than by environmental factors.
Collapse
Affiliation(s)
- Bahareh Tahani
- Department of Oral Public Health, Dental Research Center, Dental Research Institute, Dental School, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Alireza Akbarzadeh Baghban
- Proteomics Research Center, Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ali Kazemian
- Department of Community Oral Health, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
| |
Collapse
|
2
|
Khajavi A, Radvar M, Moeintaghavi A. Socioeconomic determinants of periodontitis. Periodontol 2000 2022; 90:13-44. [PMID: 35950737 DOI: 10.1111/prd.12448] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Amin Khajavi
- Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Mehrdad Radvar
- Department of Periodontology, Mashhad Dental School, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Amir Moeintaghavi
- Department of Periodontology, Mashhad University of Medical Sciences, Mashhad, Iran
| |
Collapse
|
3
|
Madi M, Bakhurji E, Alghwainem A, Alamer A, Alarfaj S, AlRatroot S, Pavlic V. Prevalence of Bone Loss in Mandibular Future Abutment Teeth among Diabetic and Non-Diabetic Patients: A Retrospective Case-Control Study. Open Dent J 2022. [DOI: 10.2174/18742106-v16-e2202280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective:
This study aimed to compare the prevalence of bone loss in lower permanent premolars and canines, which can serve as abutments for future prostheses, among diabetic and non-diabetic patients.
Materials and Methods:
In this retrospective case-control study, records of patients who visited the dental clinics of Imam Abdulrahman Bin Faisal University were used. Inclusion criteria were the presence of a complete periodontal chart, full mouth radiographs, and past medical history (presence of DM, hypertension, and/or coronary heart disease). The criteria for exclusion were the reporting of malignancy, pregnancy, breastfeeding, or taking of the medications that affect bone turnover, periodontal surgery within the past year, absence of radiographs with good quality, and antibiotic use within 3 months prior to the dental visit. Demographical data, including gender and age, past medical history (diabetic state), and periodontal diagnosis, were collected. The severity of periodontal disease, radiographic bone loss (RBL), and its pattern were also assessed.
Results:
Out of 400 records, 363 patient files were included. Of those, almost 36% were males and 64% were females. The patients’ age was ranging from 16 to 82 years. About 34% of the patients were diagnosed with generalized periodontitis while 22% had localized periodontitis. With regards to the severity of the cases, the prevalence was equally distributed between mild (37%) and moderate periodontitis (38%), while 25% were diagnosed with severe periodontitis. A total of 22% of the patients were diabetic, which showed an increase in the severity of bone loss by an average of 31% across the selected teeth (mandibular canines and premolars). The pattern of bone loss was higher in the mandibular incisors, followed by the canines and the premolars. Multiple regression models showed that non-diabetics were significantly less likely to have bone loss in all the selected teeth and the male patients had 2 times the likelihood of having bone loss. Although the mandibular canines have the highest root length in the mandible, they were the most affected by bone loss in diabetic patients with periodontitis.
Conclusion:
Results of this study suggested that mandibular premolars were the teeth least affected by bone loss in both, diabetic and non-diabetic groups. Therefore, they can be considered the most suitable teeth to be used as abutments for the future prosthesis.
Collapse
|
4
|
Quadri MFA, Fageeh HI, Ibraheem W, Jessani A. A Case-Control Study of Type 2 Diabetes Mellitus and Periodontitis in Saudi Arabian Adults. J Multidiscip Healthc 2020; 13:1741-1748. [PMID: 33273822 PMCID: PMC7708264 DOI: 10.2147/jmdh.s288681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2020] [Accepted: 11/16/2020] [Indexed: 11/23/2022] Open
Abstract
Objective The relationship between type 2 diabetes mellitus (T2DM) and periodontitis is bidirectional and has been investigated. However, the evidence from the middle-eastern region is sparse. The current report assessed the association between uncontrolled T2DM and periodontal status from a sample of the Saudi Arabian adult population. Methods A case–control study was carried out. Cases were adults diagnosed with periodontitis (clinical attachment loss ≥1 mm) and controls were patients from the same dental setting with no gum conditions matched with age, sex, and location. Diabetes was recorded using HbA1c readings. The other health conditions including hypertension, epilepsy, bronchitis, thyroid disorders, and arthritis were obtained from medical records. Data on the use of tobacco and related products (smoking, khat/qat, sheesha, shammah) were gathered using a self-perceived questionnaire. Frequencies, percentages, p-values, crude and adjusted odds ratios (OR) with 95% confidence intervals were computed. Results Overall sample comprises 166 cases and 332 controls with a mean age of 37.5 years. Multivariable analysis indicated uncontrolled T2DM as an important predictor for periodontitis among Saudi Arabian adults, and they had nearly three times greater odds (OR: 2.779; 95% CI: 1.425–5.419; p=0.003) of being diagnosed with periodontitis in contrast to non-diabetics. Secondary findings revealed that cigarette ever-users were two times more likely to be suffering from periodontitis than never-users, and those brushing once per day or less had five times greater odds of developing periodontitis as compared to those brushing twice daily. Conclusion To conclude, the current evidence from Saudi Arabia is supportive of earlier studies and an awareness of this association is warranted among all healthcare providers and patients in the region for early detection of periodontitis.
Collapse
Affiliation(s)
- Mir Faeq Ali Quadri
- Department of Preventive Dental Sciences, Division of Dental Public Health, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Hammam I Fageeh
- Department of Preventive Dental Sciences, Division of Periodontology, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Wael Ibraheem
- Department of Preventive Dental Sciences, Division of Periodontology, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Abbas Jessani
- College of Dentistry, Schulich School of Medicine & Dentistry, Toronto, Canada
| |
Collapse
|
5
|
Coelho JMF, Miranda SS, Cruz SS, Santos DN, Trindade SC, Cerqueira EDMM, Passos‐Soares JDS, Costa MDCN, Figueiredo ACMG, Hintz AM, Almeida ARB, Pereira MN, Souza NM, Barreto ML, Gomes‐Filho IS. Common mental disorder is associated with periodontitis. J Periodontal Res 2020; 55:221-228. [DOI: 10.1111/jre.12705] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 08/13/2019] [Accepted: 09/18/2019] [Indexed: 01/06/2023]
Affiliation(s)
- Julita Maria F. Coelho
- Department of Biological Sciences Feira de Santana State University Bahia Brazil
- Department of Health Feira de Santana State University Bahia Brazil
| | | | - Simone S. Cruz
- Department of Health Feira de Santana State University Bahia Brazil
- Department of Epidemiology Federal University of Recôncavo of Bahia Bahia Brazil
| | - Darci N. Santos
- Department of Epidemiology Collective Health Institute Federal University of Bahia Salvador Brazil
| | | | | | - Johelle de S. Passos‐Soares
- Department of Health Feira de Santana State University Bahia Brazil
- Department of Preventive Dentistry Federal University of Bahia Salvador Brazil
| | | | | | | | - Alba R. B. Almeida
- Department of Education/Psychology State University of Bahia Bahia Brazil
| | | | - Nayra M. Souza
- Department of Health Feira de Santana State University Bahia Brazil
| | - Maurício L. Barreto
- Department of Epidemiology Collective Health Institute Federal University of Bahia Salvador Brazil
| | | |
Collapse
|
6
|
Gomes Filho VV, Gondinho BVC, Silva-Junior MF, Cavalcante DDFB, Bulgareli JV, Sousa MDLRD, Frias AC, Batista MJ, Pereira AC. Tooth loss in adults: factors associated with the position and number of lost teeth. Rev Saude Publica 2019; 53:105. [PMID: 31826174 PMCID: PMC6904121 DOI: 10.11606/s1518-8787.2019053001318] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2018] [Accepted: 05/10/2019] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVE To evaluate the factors associated with tooth loss in adults from the position and number of teeth lost in the dental arches. METHODS This is a cross-sectional, population-based study with adults participating in the epidemiological survey of oral health of São Paulo in 2015. The outcome of the study was tooth loss, assessed by the proposed classification, namely: I) lost up to 12 back teeth; II) lost up to 12 teeth (including front teeth); and III) lost more than 12 teeth. A four-block analysis was conducted, supported by a conceptual theoretical model adapted for tooth loss. For the multinomial logistic regression, "individuals who did not lose teeth due to caries or periodontal disease" was used as reference (p < 0.05). RESULTS Of 6,051 adults evaluated, 25.3% (n = 1,530) were classified in category I, 32.7% (n = 1,977) in II, 9.4% (n = 568) in III, and 1.9% (n = 117) were edentulous. Lower income and schooling, the perception of need for treatment and the last appointment motivated by routine, pain or extraction were associated with tooth loss, regardless of the classification. The negative evaluation of the dental service was associated with individuals who lost up to 12 teeth, both front and back. The presence of women and periodontal pocket were associated with tooth loss of up to 12 teeth, including front, and more than 12 teeth. Caries were associated with adults who lost up to 12 teeth, including front teeth. CONCLUSION The proposed classification allowed the identification of differences between the associated factors. Thus, the need to consider such classification in future studies is evident.
Collapse
Affiliation(s)
- Valmir Vanderlei Gomes Filho
- Universidade Estadual de Campinas. Programa de Pós-Graduação em Odontologia da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| | - Brunna Verna Castro Gondinho
- Universidade Estadual de Campinas. Programa de Pós-Graduação em Odontologia da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| | - Manoelito Ferreira Silva-Junior
- Universidade Estadual de Campinas. Programa de Pós-Graduação em Odontologia da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| | - Denise de Fátima Barros Cavalcante
- Universidade Estadual de Campinas. Programa de Pós-Graduação em Odontologia da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| | - Jaqueline Vilela Bulgareli
- Universidade Estadual de Campinas. Programa de Pós-Graduação em Odontologia da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| | - Maria da Luz Rosario de Sousa
- Universidade Estadual de Campinas. Departamento de Odontologia Social, área de Odontologia Preventiva e Saúde Pública da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| | - Antonio Carlos Frias
- Universidade de São Paulo. Faculdade de Odontologia. Departamento de Odontologia Social. São Paulo, SP, Brasil
| | - Marília Jesus Batista
- Faculdade de Medicina de Jundiaí. Departamento de Saúde Coletiva. Jundiaí, SP, Brasil
| | - Antonio Carlos Pereira
- Universidade Estadual de Campinas. Departamento de Odontologia Social, área de Odontologia Preventiva e Saúde Pública da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| |
Collapse
|
7
|
Chidambar CK, Shankar SM, Agarwal RK, Bhushan KS, Gururaj SB. Evaluation of Periodontal Status among Men Undergoing Infertility Treatment. J Hum Reprod Sci 2019; 12:130-135. [PMID: 31293327 PMCID: PMC6594118 DOI: 10.4103/jhrs.jhrs_168_18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aims: It has been estimated that >30% of male infertility cases are of idiopathic etiology. Recent studies revealed a positive connection between periodontal pockets and sperm submotility, which proposes that periodontitis may have a role in male infertility and inadequate semen quality. The aim of the present investigation was to inspect the relationship between male fertility parameters and the periodontal status of male patients attending in vitro treatment (IVF) clinic. Materials and Methods: The study participants comprised 85 men going to the facility for sperm investigation before semen insemination. The nature of sperm was surveyed by the WHO 2010 criteria. On the same day, male patients were examined for periodontal parameters. Results: The patients were determined to have either gingivitis (24.7%) or periodontitis (75.3%). Normospermia was credited to 23.5% and oligozoospermia to 43.5%. Sperm submotility was seen in 76.4% of patients. A higher number of sites with clinical attachment loss showed a positive correlation with sperm submotility and sperm count. Conclusions: The findings of the present study showed a conceivable relationship between male infertility, decreased semen quality, and periodontal diseases in men visiting IVF centers. Periodontitis may subsequently play a role in male infertility.
Collapse
Affiliation(s)
| | - Shrinidhi Maji Shankar
- Department of Periodontics, Sharavathi Dental College and Hospital, Shimoga, Karnataka, India
| | - Raj Kishen Agarwal
- Department of Periodontics, Sharavathi Dental College and Hospital, Shimoga, Karnataka, India
| | - Kala S Bhushan
- Department of Periodontics, Sharavathi Dental College and Hospital, Shimoga, Karnataka, India
| | | |
Collapse
|
8
|
Kellesarian SV, Kellesarian TV, Ros Malignaggi V, Al-Askar M, Ghanem A, Malmstrom H, Javed F. Association Between Periodontal Disease and Erectile Dysfunction: A Systematic Review. Am J Mens Health 2016; 12:338-346. [PMID: 27030114 DOI: 10.1177/1557988316639050] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
A limited number of studies have reported an association between erectile dysfunction (ED) and chronic periodontitis (CP). The aim of the present study is to assess the association between CP and ED through a systematic review of published literature. To address the focused question, "Is there a relationship between ED and CP?" indexed databases were searched till December 2015 using various key words "erectile dysfunction," "periodontal disease," "periodontitis," "dental infection," and "impotence." Letters to the editor, commentaries, historic reviews, and experimental studies were excluded. The pattern of the present systematic review was customized to primarily summarize the pertinent data. Nine studies were included. Seven studies had a cross-sectional design and two studies were randomized control trials. The number of study participants ranged between 53 and 513,258 individuals with age ranging between 20 years and 85 years (median age ranging between 34.9 ± 4.9 years and 50.9 ± 16.6 years). In all studies, a positive relationship between CP and ED was reported. In four studies, odds ratio were reported, ranging between 1.53 and 3.35. From the literature reviewed, there seems to be a positive association between ED and CP; however, further well-designed controlled clinical trials are needed in this regard. It is emphasized that physicians should refer patients with ED to oral health care providers for a comprehensive oral evaluation and treatment.
Collapse
Affiliation(s)
| | | | | | | | | | | | - Fawad Javed
- 1 University of Rochester, Rochester, NY, USA
| |
Collapse
|
9
|
Pásztor N, Kárpáti K, Szöllősi J, Keresztúri M, Kozinszky Z, Gorzó I, Radnai M. Association between periodontal status and idiopathic male infertility. J Oral Sci 2016; 58:247-53. [DOI: 10.2334/josnusd.15-0586] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Affiliation(s)
- Norbert Pásztor
- Department of Obstetrics and Gynecology, Medical Faculty, University of Szeged
| | - Krisztina Kárpáti
- Department of Prosthodontics, Faculty of Dentistry, University of Szeged
| | - János Szöllősi
- Department of Obstetrics and Gynecology, Medical Faculty, University of Szeged
| | | | | | - István Gorzó
- Department of Periodontology, Faculty of Dentistry, University of Szeged
| | - Márta Radnai
- Department of Prosthodontics, Department of Dentistry, Oral and Maxillofacial Surgery, University of Pécs Medical School
| |
Collapse
|