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Periodontitis in individuals with few remaining teeth and a high gingival bleeding index increases the probability of dyslipidemia.
Gomes-Filho, Isaac Suzart; Freitas, Taciane Oliveira Bet; Cruz, Simone Seixas da; Trindade, Soraya Castro; Figueiredo, Ana Claudia Morais Godoy; Couto Souza, Paulo Henrique; Cerqueira, Eneida de Moraes Marcílio; Hintz, Alexandre Marcelo; Carneiro, Daline Oliveira; Lacerda, Juliana Andrade de; Seymour, Gregory John; Scannapieco, Frank Andrew; Loomer, Peter Michael; Passos-Soares, Johelle de Santana.
Afiliación
  • Gomes-Filho IS; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil.
  • Freitas TOB; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil.
  • Cruz SSD; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil.
  • Trindade SC; Health Sciences Center, Federal University of Recôncavo of Bahia, Bahia, Brazil.
  • Figueiredo ACMG; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil.
  • Couto Souza PH; Epidemiology Surveillance, Federal District Health State Department, Distrito Federal, Brasília, Brazil.
  • Cerqueira EMM; Department of Dentistry, Pontifical Catholic University of Paraná, Paraná, Brazil.
  • Hintz AM; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil.
  • Carneiro DO; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil.
  • Lacerda JA; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil.
  • Seymour GJ; Department of Preventive Dentistry, Faculty of Dentistry, Federal University of Bahia, Salvador, Brazil.
  • Scannapieco FA; Department of Preventive Dentistry, Faculty of Dentistry, Federal University of Bahia, Salvador, Brazil.
  • Loomer PM; School of Dentistry, The University of Queensland, Queensland, Australia.
  • Passos-Soares JS; Department of Oral Biology, University at Buffalo, Buffalo, New York, USA.
J Periodontol ; 94(10): 1243-1253, 2023 10.
Article en En | MEDLINE | ID: mdl-37310101
BACKGROUND: Dyslipidemia, a silent multifactorial condition, is characterized by changes in blood lipid levels, affecting all socioeconomic strata, increasing the risk for atherosclerotic diseases. This study investigated whether there is an association between dyslipidemia and the combined exposure of periodontitis plus the number of remaining teeth, gingival bleeding, or caries. METHODS: A two-center cross-sectional study was conducted involving 1270 individuals, with a minimum age of 18 years. Socioeconomic and demographic data, health conditions, lifestyle parameters, and anthropometric, biochemical, and oral clinical examinations were performed. The exposures considered were the presence of periodontitis, dental caries, number of remaining teeth, and gingival bleeding. The outcome was dyslipidemia as defined by the Brazilian Guidelines on Dyslipidemia and Prevention of Atherosclerosis. The combined associations between periodontitis plus other oral health conditions and dyslipidemia were estimated using confounder-adjusted prevalence ratios (PRsingle , PRmultiple , for single and multiple covariable adjustments) with 95% confidence intervals (95% CIs), in a Poisson regression model with robust variance. RESULTS: The occurrence of dyslipidemia was 70.1% and periodontitis was 84.1%. A positive association between periodontitis and dyslipidemia existed: PRsingle  = 1.13; 95% CI: 1.01-1.26. Combined exposure of periodontitis plus <11 remaining teeth (PRmultiple  = 1.23; 95% CI: 1.05-1.43), as well as combined exposure of periodontitis plus ≥10% gingival bleeding and <11 remaining teeth (PRmultiple  = 1.22; 95% CI: 1.03-1.44), represented greater probabilities of 23% and 22% of individuals having a diagnosis of dyslipidemia. CONCLUSION: Periodontitis combined with fewer than 11 teeth doubled the likelihood of being diagnosed with dyslipidemia.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Periodontitis / Caries Dental / Enfermedades de la Boca Tipo de estudio: Guideline / Observational_studies / Risk_factors_studies Límite: Adolescent / Humans Idioma: En Revista: J Periodontol Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Periodontitis / Caries Dental / Enfermedades de la Boca Tipo de estudio: Guideline / Observational_studies / Risk_factors_studies Límite: Adolescent / Humans Idioma: En Revista: J Periodontol Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos