Chala Sanaa, Rouiffi Saloua, Soualhi Mouna, Bourkadi Jamal Eddine, Abouqal Redouane, Abdallaoui Faïza
Research Team on Oral Ecosystem, Department of Endodontic and Restorative Dentistry, Faculty of Dentistry, Mohammed V University in Rabat, Rabat, Morocco.
Mohammed V Military Teaching Hospital, Rabat, Morocco.
BMC Res Notes. 2017 Jun 26;10(1):221. doi: 10.1186/s13104-017-2548-2.
Depending on risk factors, cumulative risk of developing more dental caries by age has been reported. However, the association between dental caries and asthma is less studied among adults. The aims of this study were to evaluate the severity of untreated carious lesions in a population of asthmatic adults and to evaluate the mediation of socio-economic and oral health behaviour variables.
The study involved participants with diagnosed asthma (N = 100) and control (N = 100) subjects attending a tertiary hospital. Groups were matched by age and gender. Asthma was the exposure of interest. The outcome measure was the rate of carious lesions. Recorded variables included demographics, socio-economic status, tooth brushing habits and oral health status using WHO criteria. Poisson regression analysis examined the association between asthma and untreated dental caries.
The adjusted model, after the inclusion of individuals' behaviours regarding oral health, social determinants and asthma, revealed a significant association between the number of untreated carious lesions and asthma (PR = 1.23; 95% CI 1.23-1.58; p < 0.001).
Patients with asthma showed a greater number of untreated carious lesions. Looking forward, better understanding of the association between asthma and oral health may require exploiting the interactions of behavioural, social determinant and biological factors.
根据风险因素，已有报告指出按年龄患更多龋齿的累积风险。然而，成年人中龋齿与哮喘之间的关联研究较少。本研究的目的是评估哮喘成年人群中未治疗龋损的严重程度，并评估社会经济和口腔健康行为变量的中介作用。
该研究纳入了在一家三级医院就诊的确诊哮喘患者（N = 100）和对照（N = 100）受试者。两组按年龄和性别匹配。哮喘是感兴趣的暴露因素。结局指标是龋损率。记录的变量包括人口统计学、社会经济状况、刷牙习惯以及使用世界卫生组织标准评估的口腔健康状况。采用泊松回归分析来检验哮喘与未治疗龋齿之间的关联。
在纳入个体的口腔健康行为、社会决定因素和哮喘情况后，调整后的模型显示未治疗龋损数量与哮喘之间存在显著关联（PR = 1.23；95% CI 1.23 - 1.58；p < 0.001）。
哮喘患者的未治疗龋损数量更多。展望未来，更好地理解哮喘与口腔健康之间的关联可能需要探究行为、社会决定因素和生物学因素之间的相互作用。
