Association of Dental Caries, Retained Roots, and Missing Teeth with Physical Status, Diabetes Mellitus and Hypertension in Women of the Reproductive Age

Abstract

Objectives: To investigate in women of reproductive age a possible association between particular dental diseases—dental caries, retained roots, and missing teeth—with some systemic conditions—physical status score- ASA (American Society for Anesthesiologists), diabetes mellitus, and hypertension. Methods: Dental and medical history were retrieved from the electronic files of dental patients. Statistical analysis was performed using cross tabulation with the Chi-square test to explore the significance of an association between variables pertaining to dental diseases and the investigated systemic conditions. Logistic regression was further used to explore the significance of the above dental diseases as predictors for systemic conditions. Results: A total of 1768 female patients in the age range 18–55 were included, with a mean age of 31.2 ± 10.13 years. A total of 228 (12.9%) patients had a chronic systemic disease within the ASA II category, 66 (3.7%) were diabetic, and 76 (4.3%) were hypertensive. Missing teeth were significantly associated with the ASA II category, diabetes mellitus, and hypertension (p < 0.001, p = 0.009, p = 0.005 respectively), while retained roots were significantly associated with the ASA II category only (p = 0.023). Logistic regression showed a low predictive capacity of models describing the three systemic conditions. Conclusions: Diabetes mellitus and hypertension were the most common systemic diseases among the study sample. While carious teeth had no significant association with the investigated systemic conditions, retained roots were significantly associated with the ASA II category only, and missing teeth were significantly associated with all investigated systemic conditions. However, oral diseases expressed a low predictive power of these systemic conditions.

Blood Pressure and Tooth Loss: A Large Cross-Sectional Study with Age Mediation Analysis

“…On the other hand, the association between caries and hypertension lacks biological foundation [ 38 ] and may be explained by the consequences in the individual’s diet and nutrition caused by tooth loss. People partially or totally toothless will ingest foods that have a more favourable consistency for their consumption [ 16 ].…”

A decision tree to identify the combinations of non-communicable diseases that constitute the highest risk for dental caries experience: A hospital records-based study

“…Therefore, proper control of the multiple factors affecting dental caries is important to effectively reduce its prevalence. In contrast to the extensive literature on periodontitis, only some studies have attempted to determine the correlations between dental status and various systemic diseases [ 17 , 18 ], but a clear causal relationship has not yet been established since a wide range of genetic predispositions to behavioral traits are involved as common risk factors for these diseases [ 7 ]. To our knowledge, no previous study has assessed the effects of multiple NCDs, not each disease, on dental conditions in more than 10,000 patients.…”

Periodontitis, Blood Pressure, and the Risk and Control of Arterial Hypertension: Epidemiological, Clinical, and Pathophysiological Aspects—Review of the Literature and Clinical Trials

“…It was shown that missing teeth were significantly associated with the risk of arterial hypertension ( p = 0.005). Interestingly, no correlation was found between the number of teeth with caries and the risk of arterial hypertension [ 29 ]. On the other hand, in the study by Darnaud et al, which included 102,330 people in a sample of people aged ≥65 years, no significant association was found between the oral variables (teeth loss, dental plaque, tartar, gingivitis) and the risk of arterial hypertension.…”