Shin-Young Park1,2, Sun-Hwa Kim3, Si-Hyuck Kang3,4, Chang-Hwan Yoon3,4, Hyo-Jung Lee1, Pil-Young Yun5, Tae-Jin Youn3,4, In-Ho Chae3,4. 1. Department of Periodontology, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-Do, Korea. 2. Clinical Dental Education, Department of Dentistry, Dental Research Institutes, School of Dentistry, Seoul National University, Seoul, Korea. 3. Cardiovascular Center, Department of Internal Medicine, Seoul National University Bundang Hospital, 82, Gumi-Ro 173 Beon-Gil, Bundang-Gu, Seongnam-Si, Gyeonggi-Do, Korea. 4. Department of Internal Medicine, Seoul National University, 101 Daehak-ro, Chong No Gu, Seoul, Korea. 5. Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-Do, Korea.
Abstract
AIMS: Oral health problems such as periodontal disease, dental caries, and tooth loss have been suggested to have associations with cardiovascular disease. This study aimed to evaluate whether oral hygiene behaviour can alleviate cardiovascular risk associated with oral health status using a nationwide population-based cohort. METHODS AND RESULTS: The data of 247 696 healthy adults aged 40 years or older who underwent an oral health screening programme and had no history of major cardiovascular events were extracted from the National Health Insurance System-National Health Screening Cohort. After a median follow-up of 9.5 years, 14 893 major cardiovascular events occurred including cardiac death, myocardial infarction, stroke, and heart failure. The risk of cardiovascular events was higher when a subject had periodontal disease, a higher number of dental caries, or more tooth loss. Performing one more tooth brushing a day was associated with a 9% significantly lower risk of cardiovascular events after multivariable adjustment. Regular dental visits (once a year or more) for professional cleaning were also shown to reduce cardiovascular risk by 14%. Improved oral hygiene behaviours were shown to attenuate the cardiovascular risk originating from periodontal disease, dental caries, and tooth loss. CONCLUSION: Oral hygiene care such as frequent tooth brushing and regular dental visits for professional cleaning reduced the risk of future cardiovascular events in healthy adults. This study also suggests that improved oral hygiene behaviour may modify the association between oral health and cardiovascular diseases. Published on behalf of the European Society of Cardiology. All rights reserved.
AIMS: Oral health problems such as periodontal disease, dental caries, and tooth loss have been suggested to have associations with cardiovascular disease. This study aimed to evaluate whether oral hygiene behaviour can alleviate cardiovascular risk associated with oral health status using a nationwide population-based cohort. METHODS AND RESULTS: The data of 247 696 healthy adults aged 40 years or older who underwent an oral health screening programme and had no history of major cardiovascular events were extracted from the National Health Insurance System-National Health Screening Cohort. After a median follow-up of 9.5 years, 14 893 major cardiovascular events occurred including cardiac death, myocardial infarction, stroke, and heart failure. The risk of cardiovascular events was higher when a subject had periodontal disease, a higher number of dental caries, or more tooth loss. Performing one more tooth brushing a day was associated with a 9% significantly lower risk of cardiovascular events after multivariable adjustment. Regular dental visits (once a year or more) for professional cleaning were also shown to reduce cardiovascular risk by 14%. Improved oral hygiene behaviours were shown to attenuate the cardiovascular risk originating from periodontal disease, dental caries, and tooth loss. CONCLUSION: Oral hygiene care such as frequent tooth brushing and regular dental visits for professional cleaning reduced the risk of future cardiovascular events in healthy adults. This study also suggests that improved oral hygiene behaviour may modify the association between oral health and cardiovascular diseases. Published on behalf of the European Society of Cardiology. All rights reserved.
Authors: Eugenia Gianos; Elizabeth A Jackson; Astha Tejpal; Karen Aspry; James O'Keefe; Monica Aggarwal; Ankur Jain; Dipti Itchhaporia; Kim Williams; Travis Batts; Kathleen E Allen; Clark Yarber; Robert J Ostfeld; Michael Miller; Koushik Reddy; Andrew M Freeman; Kenneth E Fleisher Journal: Am J Prev Cardiol Date: 2021-04-05
Authors: Jie Liu; Xiaoyu Zong; Emily Vogtmann; Chao Cao; Aimee S James; Andrew T Chan; Eric B Rimm; Richard B Hayes; Graham A Colditz; Dominique S Michaud; Kaumudi J Joshipura; Christian C Abnet; Yin Cao Journal: Int J Epidemiol Date: 2022-08-10 Impact factor: 9.685