Improved oral hygiene care attenuates the cardiovascular risk of oral health disease: a population-based study from Korea

Park, Shin‐Young; Kim, Sun Hwa; Kang, Si Hyuck; Yoon, Chang Hwan; Lee, Hyo‐Jung; Yun, Pil‐Young; Youn, Tae Jin

doi:10.1093/eurheartj/ehy836

Cited by 186 publications

(200 citation statements)

References 32 publications

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“…The oral hygiene behaviours screening programme consist of a self‐reported questionnaire asking for information about dental symptoms, any dental visits in the preceding year and oral hygiene behaviour. Subjects were examined by dentists for the presence of tooth conditions, including the number of missing teeth (Park et al., 2019).…”

Section: Methodsmentioning

confidence: 99%

“…Deaths, cause of death and emigrations are linked to the national statistical office/national administrator's comprehensive and computerized databases using resident registration identification numbers. Thus, deaths, cause of death and emigrations can be accurately identified (Chang, Woo, Park, Lee, & Song, 2019; Park et al., 2019).…”

Section: Methodsmentioning

confidence: 99%

“…Oral hygiene behaviour was categorized by the number of daily toothbrushings: 0–1 time, 2 times and ≥3 per day. The number of missing teeth was ascertained by dentists during the oral health examination (Park et al., 2019) and classified as 0, 1–7, 8–14, and ≥15, regardless of the cause. If more than two dental health check‐ups were taken between 2003 and 2004, the most recent results were used as the index data for the analysis.…”

Section: Methodsmentioning

confidence: 99%

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Oral health and gastrointestinal cancer: A nationwide cohort study

Lee

Kim

et al. 2020

J Clinic Periodontology

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Aims Poor oral hygiene is closely associated with bacteraemia and systemic inflammation, which are known mediators of cancer development. We investigated the relationship between oral hygiene indicators and the risk of gastrointestinal cancer in a nationwide population‐based cohort. Materials and Methods This study was conducted on data from 150,774 subjects from the Korean National Health Screening Cohort. The occurrence of gastrointestinal cancer was analysed according to the presence of periodontal disease and oral hygiene indicators: frequency of toothbrushing, dental visits for any reason, professional dental cleanings and number of missing teeth. Gastrointestinal cancer was defined using International Statistical Classification of Diseases‐10 codes C15–C26. Results During a median 11.6 years of follow‐up, the estimated 10‐year event rate for gastrointestinal cancer was 6.76%. In a multivariable analysis, after adjusting for age, sex, income level, regular exercise, alcohol consumption, smoking status, body mass index, history of comorbidities, systolic blood pressure and laboratory findings, frequent toothbrushing (≥3/day) was significantly associated with a reduced risk for gastrointestinal cancer (hazard ratio: 0.91, 95% confidence interval (0.86–0.96), p < .001, p for trend < .001). Conclusions Good oral hygiene behaviour, especially frequent toothbrushing, could be associated with a lower risk of gastrointestinal cancer.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Oral health and gastrointestinal cancer: A nationwide cohort study

Lee

Kim

et al. 2020

J Clinic Periodontology

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show abstract

“…However, consistent observational evidence suggests several oral health interventions, including selfperformed oral hygiene habits (toothbrushing) (two studies: [25,91]), dental prophylaxis (one study: [60]), increased self-reported dental visits (one study: [115]) and periodontal treatment (three studies: [47,60,91] produced a reduction in the incidence of ACVD events.…”

Section: Primary Preventionmentioning

confidence: 99%

“…A prospective population-based study using data from the National Health Insurance System-National Health Screening Cohort (NHISHEALS), including 247,696 participants free from any CVD history recruited between 2002 and 2003, reported an increased number of dental caries lesions, the presence of periodontitis and a greater loss of teeth were all associated with an increased risk of future major cardiovascular events (MACEs), including cardiovascular death, acute myocardial infarction, heart failure and stroke [91]. One additional toothbrushing episode per day was associated with a reduced incidence of ACVD events (HR = 0.91, 95% CI [0.89, 0.93]), and regular professional cleaning reduced the risk even further (HR = 0.86, 95% CI [0.82; 0.90]).…”

Section: Primary Preventionmentioning

confidence: 99%