Nándor Práger1, Norbert Pásztor2, Ákos Várnagy3, Zoltan Kozinszky4, Zoltán Baráth1, István Gorzó5, Márta Radnai6. 1. Department of Prosthodontics, Faculty of Dentistry, University of Szeged, Szeged, Hungary. 2. Department of Obstetrics and Gynecology, Medical Faculty, University of Szeged, Szeged, Hungary. 3. Department of Obstetrics and Gynaecology, Medical School, University of Pécs, Pécs, Hungary. 4. Department of Obstetrics and Gynaecology, Blekinge Hospital, Karlskrona, Sweden. 5. Department of Periodontology, Faculty of Dentistry, University of Szeged, Szeged, Hungary. 6. Department of Prosthodontics, Department of Dentistry, Oral and Maxillofacial Surgery, University of Pécs Medical School, Pécs, Hungary.
Abstract
OBJECTIVES: This study was undertaken to evaluate the possible correlation between the periodontal and dental status and sperm pathology in idiopathic male infertility. METHODS: The periodontal and caries status and semen quality of 199 men presented with unexplained male infertility were examined. Periodontal and dental factors were analysed by sperm pathology categories. RESULTS: A total of 106 men had normal sperm parameters, whereas 93 men had some type of spermpathology; 27.95% had oligozoospermia, 23.65% asthenozoospermia, 16.12% cryptozoospermia, 32.25% combined oligo-asthenozoospermia. Poor periodontal status was found in about half of the study group (45.7%). The DMFT index was not a significantly higher in any of the spermpathology groups. The odds ratio of calculus, bleeding on probing (BOP) and BOP at ≥50% of the teeth were significantly higher in the combined group (AOR = 1.04, AOR = 1.13, AOR = 4.92, respectively) in multivariate analyses compared to those in the normozoospermia group. Gingival bleeding in the history and urban residency were the only predictors for pathospermia shown by the logistic regression model (AORs were 1.82 and 2.26, respectively). CONCLUSIONS: Some features of poor periodontal status, as gingival bleeding in the history, presence of calculus and BOP, were associated with oligo+asthenozoospermia in men with idiopathic infertility.
OBJECTIVES: This study was undertaken to evaluate the possible correlation between the periodontal and dental status and sperm pathology in idiopathic male infertility. METHODS: The periodontal and caries status and semen quality of 199 men presented with unexplained male infertility were examined. Periodontal and dental factors were analysed by sperm pathology categories. RESULTS: A total of 106 men had normal sperm parameters, whereas 93 men had some type of spermpathology; 27.95% had oligozoospermia, 23.65% asthenozoospermia, 16.12% cryptozoospermia, 32.25% combined oligo-asthenozoospermia. Poor periodontal status was found in about half of the study group (45.7%). The DMFT index was not a significantly higher in any of the spermpathology groups. The odds ratio of calculus, bleeding on probing (BOP) and BOP at ≥50% of the teeth were significantly higher in the combined group (AOR = 1.04, AOR = 1.13, AOR = 4.92, respectively) in multivariate analyses compared to those in the normozoospermia group. Gingival bleeding in the history and urban residency were the only predictors for pathospermia shown by the logistic regression model (AORs were 1.82 and 2.26, respectively). CONCLUSIONS: Some features of poor periodontal status, as gingival bleeding in the history, presence of calculus and BOP, were associated with oligo+asthenozoospermia in men with idiopathic infertility.