Abstract
Objective: To analyze caries experience depending on periodontitis affection concomitant or not with cardiovascular risks or mental health issues with the hypothesis that worse accumulated caries experience is not necessarily the result of the presence of concomitant overall health issues. Material and Methods: All subjects of this cross-sectional study were participants of the Dental Registry and DNA Repository project. Variables age, ethnicity, sex, caries experience, periodontitis and mental disease statuses and blood pressure assessment, dental clinical data (DMFT, DMFS and periodontitis) were evaluated and collected from the clinical records. We used chi-square, Fisher's exact, or Student's t-tests to determine differences in frequencies of sex, age, ethnicity, and dental clinical data depending on caries experience, periodontitis, mental health status, and cardiovascular risks. The established alpha was 5%. Results: Of the total 1,437 subjects included in this study, 407 were individuals with high blood pressure and 1,030 were individuals without high blood pressure. Also, 558 were individuals with mental disease and 879 were individuals without mental disease. High blood pressure patients were mostly men (47.17%) and women were the majority when analyzing patients with mental illness (60.04%). Most of the patients in the different groups were white, with a mean age ranging from 15.4 to 88 years. Conclusion: We concluded that caries experience concomitant or not with periodontitis affection does not associate with high blood pressure and mental disease.
Highlights
Periodontitis and dental caries are complex diseases with multiple and diverse exposures that impact upon risk of disease initiation or progression of existing disease
High blood pressure patients were mostly men (47.17%) and women were the majority when analyzing patients with mental illness (60.04%)
We concluded that caries experience concomitant or not with periodontitis affection does not associate with high blood pressure and mental disease
Summary
Periodontitis and dental caries are complex diseases with multiple and diverse exposures that impact upon risk of disease initiation (risk factors) or progression of existing disease (prognostic factors) Exposures include those that are inherited (e.g., genetic variants), those that are acquired, such as social, educational and economic factors, and the local environment (e.g., biofilm load or composition), other diseases (e.g., suboptimally controlled diabetes), and lifestyle (e.g., smoking, consumption of sugars, carbohydrate intake) factors [1]. These may arise in different combinations in different individuals and at an individual patient level may have differentially weighted effects [1]. Great interest in oral health outcomes exists due to the argument that they can affect overall health [3]
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