Chronic Diseases and Severe Periodontal Disease Progression
Author Information
Author(s): Nin Sayaka MD, Sun Yu MD, PhD, Maeno Takami MD, PhD, Nishiura Chihiro MD, PhD, Taira Kento DDS, PhD, Fujimoto Kenji PhD, Hamano Jun MD, PhD, Ozone Sachiko MD, PhD, Maeno Tetsuhiro MD, PhD
Primary Institution: University of Tsukuba
Hypothesis
This study aimed to investigate the association between the progression of severe periodontal disease and common chronic diseases using claims data.
Conclusion
Patients with diabetes mellitus had a high risk of severe periodontal disease progression, suggesting that proactive dental visits should be recommended to prevent severe periodontal disease.
Supporting Evidence
- Among 28,846 participants, 1035 (3.6%) progressed to severe periodontal disease.
- Only diabetes mellitus was significantly associated with severe periodontal disease progression.
- The hazard ratio for diabetes mellitus was 1.26, indicating a higher risk.
Takeaway
People with diabetes are more likely to have serious gum disease, so they should see the dentist regularly to keep their teeth healthy.
Methodology
This retrospective cohort study used linked medical, dental, and pharmacy claims data from a local municipality in Japan, following participants aged 40–70 years for 4 years.
Potential Biases
Potential biases include the inability to verify chronic disease status and the exclusion of patients who did not visit a dentist.
Limitations
The study had limitations including reliance on ICD-10 codes for chronic conditions, lack of data on dental visits, and being conducted in a single municipality.
Participant Demographics
Participants were aged 40-70 years, with a mix of chronic diseases including diabetes, hypertension, and dyslipidemia.
Statistical Information
P-Value
0.008
Confidence Interval
1.08–1.53
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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