Incidence of the Acute Symptom of Chronic Periodontal Disease in Patients Undergoing Supportive Periodontal Therapy: A 5-Year Study Evaluating Climate Variables

Abstract

Although patients under supportive periodontal therapy (SPT) have a stable periodontal condition, the acute symptom of chronic periodontal disease occasionally occurs without a clear reason. Therefore, in the present study, to obtain a better understanding of this relationship in patients undergoing SPT, we hypothesized that the acute symptom of chronic periodontal disease might be affected by climate factors. We conducted a questionnaire study and carried out oral examinations on patients undergoing SPT who had been diagnosed as having the acute symptom of chronic periodontal disease. We collected climate data from the local climate office in Okayama city, Japan. We predicted parameters that affect the acute symptom of chronic periodontal disease with unidentified cause and divided patients into high and low groups in terms of climate predictors. Then we defined the cut-off values of parameters showing significant differences in the incidence of the acute symptom of chronic periodontal disease. The incidence of the acute symptom of chronic periodontal disease with unidentified cause was significantly different when the cases were classified according to the maximum hourly decrease in barometric pressure (1.5 and 1.9 hPa) (p = 0.04 and p = 0.03, respectively). This suggests that climate variables could be predictors of the acute symptom of chronic periodontal disease. Therefore, gaining a better understanding of these factors could help periodontal patients undergoing SPT prepare to avoid the acute symptom of chronic periodontal disease.

Association Between Chronic Periodontal Disease and Erectile Dysfunction: A Case–Control Study

“…Chronic periodontal disease (CPD) generally refers to the common inflammatory disorders of gingivitis and periodontitis that result from the response of a susceptible host to specific mixed infections induced by periodontopathic microorganisms ( Pihlstrom et al, 2005 ; Saho et al, 2019 ; Van Dyke & Sima, 2020 ). Clinically, CPD can not only lead to swollen gums, receding gums and associated tooth hypersensitivity, tooth mobility, impaired mastication, and finally, tooth loss ( Darby, 2015 ; Jin et al, 2016 ), but also influence the initiation or progression of systemic diseases, such as cardiovascular diseases (CVDs), respiratory diseases, diabetes, osteoporosis, impaired recognition function, and obesity ( Borgnakke, 2015 ; Kinane et al, 2017 ; Otomo-Corgel et al, 2012 ).…”