Is There a Relationship Between Periodontal Disease and Causes of Death?A Cross Sectional Study

Brazilian Dental Journal

Zuhair S. Natto¹  Majdi Aladmawy¹  Mohammed Alasqah¹  Athena Papas¹ 

关键词: periodontal disease;    mortality;    diabetes;    cardiovascular disease;    elderly.;   

DOI  :  10.1590/0103-6440201300117

来源: SciELO

【 摘 要 】

The aim of this study was to evaluate whether there is any correlation betweenperiodontal disease and mortality contributing factors, such as cardiovasculardisease and diabetes mellitus in the elderly population. A dental evaluation wasperformed by a single examiner at Tufts University dental clinics for 284 patients.Periodontal assessments were performed by probing with a manual UNC-15 periodontalprobe to measure pocket depth and clinical attachment level (CAL) at 6 sites. Causesof death abstracted from death certificate. Statistical analysis involved ANOVA,chi-square and multivariate logistic regression analysis. The demographics of thepopulation sample indicated that, most were females (except for diabetes mellitus),white, married, completed 13 years of education and were 83 years old on average. CAL(continuous or dichotomous) and marital status attained statistical significance(p<0.05) in contingency table analysis (Chi-square for independence). Individualswith increased CAL were 2.16 times more likely (OR=2.16, 95% CI=1.47-3.17) to die dueto CVD and this effect persisted even after control for age, marital status, gender,race, years of education (OR=2.03, 95% CI=1.35-3.03). CAL (continuous or dichotomous)was much higher among those who died due to diabetes mellitus or out of state ofMassachusetts. However, these results were not statistically significant. The samepattern was observed with pocket depth (continuous or dichotomous), but these resultswere not statistically significant either. CAL seems to be more sensitive to chronicdiseases than pocket depth. Among those conditions, cardiovascular disease has thestrongest effect.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License