Department of Urology, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul 06591, Korea.
Department of Occupational & Environmental Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul 06591, Korea.
Int J Environ Res Public Health. 2022 Jun 5;19(11):6917. doi: 10.3390/ijerph19116917.
We aimed to investigate the relationship between bone mineral density and dental caries in adults of over 19 years of age who were categorized according to their sex and menopausal status. The Korea National Health and Nutrition Examination Survey (KNHANES) dataset was used for the study. Bone mineral density (BMD) and oral health examination data were collected between 2008 and 2011. A total of 17,141 adults of ≥19 years old were eligible for inclusion in the present study. Multiple regression analysis was performed after adjustment for age, household income, educational level, smoking status, and alcohol drinking status for men, and pre- and post-menopausal women. In men, the β-value for the mean decayed, missing, and filled teeth (DMFT) index was 0.98 (95% confidence interval (CI) = 0.71−1.25), and was significantly higher in osteoporotic participants than in participants with normal BMD (p < 0.05). In post-menopausal women, the β-value for the mean DMFT index was 0.86, and was higher in the osteoporotic participants than in the participants with normal BMD (p < 0.05). Men and post-menopausal women with osteoporosis had higher DMFT indexes than those with normal BMD. In addition, there was a correlation between DMFT index and BMD in men and post-menopausal women. Therefore, the prevention of osteoporosis should be implemented alongside proper oral care.
我们旨在研究根据性别和绝经状态分类的 19 岁以上成年人的骨密度与龋齿之间的关系。本研究使用了韩国国家健康与营养调查(KNHANES)数据集。在 2008 年至 2011 年期间收集了骨密度(BMD)和口腔健康检查数据。共有 17141 名年龄≥19 岁的成年人符合纳入本研究的条件。对男性的年龄、家庭收入、教育水平、吸烟状况和饮酒状况进行调整后,进行了多元回归分析,对绝经前和绝经后的女性也进行了同样的分析。在男性中,平均龋齿、缺失和填补的牙齿(DMFT)指数的β值为 0.98(95%置信区间(CI)=0.71-1.25),骨质疏松症参与者的 DMFT 指数显著高于 BMD 正常的参与者(p<0.05)。在绝经后女性中,平均 DMFT 指数的β值为 0.86,骨质疏松症参与者的 DMFT 指数高于 BMD 正常的参与者(p<0.05)。患有骨质疏松症的男性和绝经后女性的 DMFT 指数高于 BMD 正常的参与者。此外,男性和绝经后女性的 DMFT 指数与 BMD 之间存在相关性。因此,应该在进行适当的口腔保健的同时,预防骨质疏松症。