Association Between Periodontitis and Metabolic Syndrome in a Family Health Unit in Salvador-Ba

Abstract

Introduction: The metabolic syndrome is characterized by multiple disorders, and the in periodontitis, inflammation occurs in the tissues supporting the tooth, where in this process it is believed that the migration of oral bacteria and byproducts to the circulatory system occurs, with a systemic spread of inflammatory mediators. This study aims to verify the effect of periodontitis on the occurrence of the metabolic syndrome. Method: Cross-sectional study with 90 users of the Family Health Unit from Vale do Cambonas in Salvador-BA. Questionnaires were applied, physical / anthropometric and dental evaluation were performed, record of the results of laboratory tests was registered and evaluation of medical records. Data analysis: A bivariate and stratified analysis was performed, obtaining means and standard deviation for continuous variables, absolute and relative frequency for all variables, and multiple conditional logistic regression was performed to obtain the final model adjusted for potential confounders. Results: In the final sample 46,67% of participants had metabolic syndrome according NECP-ATP III criterion and 30, 00% had periodontitis. From those, 20.00% had severe periodontitis, 10% moderate periodontitis and none with mild periodontitis, according to the criterion proposed by Gomes-Filho et al. (2018). There was statistical significance in the association between periodontitis and MetS (ORcrude = 2.58, 95% CI [1.02 - 6.55]) / (ORadjusted = 2.63, 95% CI [1.01 - 6.80]) and severe periodontitis and MetS (ORcrude = 3.86, 95% CI [1.24 - 11.98]) / (ORadjusted = 4.14, 95% CI [1.29-13.29]). Conclusion: The main findings of this study indicate a positive association between periodontitis and metabolic syndrome, with a higher effect when the exposure was severe periodontitis.

Frequency of Periodontal Disease and its Relationship with Age and with Comorbidities of the Metabolic Syndrome in Inhabitants Between 20 and 79 years of Age in the Sierra Gorda, Querétaro, Mexico

“…This response may be influenced by a series of risk factors that modulate the susceptibility or resistance to the development of the disease, its rate of progression and even the response to treatment [9]. PD in its different stages is the second cause of oral morbidity worldwide, a fact that is equally present in Mexico, which is why it is considered a Public Health problem [10]. Given the emerging evidence on PD, efforts have been made to discover connections between periodontal disease and its potential effect on other diseases.…”