Occupational Safety and Health Research Center, NICICO, World Safety Organization, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Clinical Research Development Unit, Ali-Ibn Abi-Talib Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
BMC Oral Health. 2024 Jan 4;24(1):21. doi: 10.1186/s12903-023-03815-0.
Although primary headaches are common disorders, there is little research on the possible relationship between primary headaches and oral health (decayed, missing, and filled teeth: DMFT). The present study aims to investigate the relationship between the DMFT index and primary headaches.
This descriptive study was performed on 8682 cases from the Rafsanjani cohort population based on the Rafsanjani cohort study (RCS) and Oral Health Branch of the Rafsanjan Cohort Study (OHBRCS). Episodic primary headache (EPH) and chronic primary headache (CPH) of RCS patients who participated in OHBRCS were studied according to their DMFT score in comparison to nonprimary headache patients. Demographic characteristics and risk factors were compared in different groups. We used crude and multiple logistic regression analyses in this study.
The missing teeth were significantly higher in the CPH group than in the no CPH group (P < 0.001), and filled teeth were significantly higher in the EPH group than in the no EPH group (P < 0.001). In the crude model, there was a direct significant association between the prevalence of EPH and filled teeth total and > 5 filled teeth, and after adjusting for confounders, this relationship remained significant. The odds ratios of CPH were not associated with DMFT or its components in the adjusted models.
Our study found a correlation between filled teeth and EPH cases, but no correlation between CPH and DMFT or its components.
尽管原发性头痛是常见疾病，但对于原发性头痛与口腔健康（龋齿、缺失、补牙：DMFT）之间可能存在的关系，研究甚少。本研究旨在探讨 DMFT 指数与原发性头痛之间的关系。
这是一项基于 Rafsanjani 队列研究（RCS）和口腔健康分支的 Rafsanjan 队列研究（OHBRCS）的描述性研究，对 8682 例病例进行了研究。根据 DMFT 评分，比较了 RCS 患者中偶发性原发性头痛（EPH）和慢性原发性头痛（CPH）与非原发性头痛患者的关系。比较了不同组之间的人口统计学特征和危险因素。本研究采用了未经调整和多因素逻辑回归分析。
CPH 组的失牙数明显高于无 CPH 组（P < 0.001），EPH 组的补牙数明显高于无 EPH 组（P < 0.001）。在未经调整的模型中，EPH 的患病率与总补牙数和>5 个补牙数之间存在直接显著关联，在调整混杂因素后，这种关联仍然显著。CPH 的比值比与调整模型中的 DMFT 或其成分无关。
我们的研究发现填充牙齿与 EPH 病例之间存在相关性，但 CPH 与 DMFT 或其成分之间没有相关性。
