Robert Blandine, Bonjour Maxime, Grosgogeat Brigitte, Gritsch Kerstin
Faculté d'Odontologie, Université Claude Bernard Lyon 1, 69008 Lyon, France.
Department of Periodontology, Service d'Odontologie, Hospices Civils de Lyon, 69007 Lyon, France.
J Clin Med. 2024 Nov 5;13(22):6631. doi: 10.3390/jcm13226631.
To assess the prevalence of systemic pathologies associated with periodontal diseases to determine multimorbidity patterns and risk factors for periodontal care. A single-center cross-sectional study analyzed patient records from 1 January 2019 to 31 December 2021 at the Department of Periodontology, part of the Dental Service of a hospital-based dental school in Lyon, France. The anonymized data included patient-reported medical history (questionnaire) and billing for periodontal procedures. Data were compared between patients in the Department of Periodontology and from Other Departments of the Dental Service. The association between clinically relevant pathologies, as defined as multimorbidity, and admission in the Department of Periodontology were assessed with logistic regression. Prevalences between the Department of Periodontology and the Other Departments of the Dental Service were compared with chi-squared tests. Relationship among pathologies was described through correlation analysis. Statistical analyses were conducted using R software with a significance level set at < 0.05. This study included records of 20,945 patients in the Dental Service with 1205 periodontal procedures performed in the Department of Periodontology. Patients admitted for periodontal care were older and mostly female (-value < 0.001). The most frequent systemic pathologies were hypertension and diabetes in the Department of Periodontology. Hypertension associated with diabetes was the most frequent multimorbidity pattern, while the most frequent triad of multimorbidity was hypertension/diabetes/cardiac rhythm disorders. Patients with diabetes had a 1.49 times higher likelihood of admission to the Department of Periodontology (OR = 1.49 [1.20; 1.86]), with age also being a significant risk factor but with a smaller effect size (OR = 1.02 [1.01; 1.03]). Within the limitations of this study, hypertension, diabetes, cardiac rhythm disorders, and chronic renal insufficiency were identified as prevalent multimorbidity in the Department of Periodontology. Multimorbidity including diabetes seems to constitute a risk factor requiring periodontal care.
评估与牙周疾病相关的全身性病理状况的患病率，以确定多重疾病模式及牙周护理的风险因素。一项单中心横断面研究分析了法国里昂一所医院牙科学校牙科服务部门牙周病科2019年1月1日至2021年12月31日的患者记录。匿名数据包括患者报告的病史（问卷）和牙周治疗费用。对牙周病科患者与牙科服务其他科室患者的数据进行了比较。采用逻辑回归评估定义为多重疾病的临床相关病理状况与牙周病科入院之间的关联。用卡方检验比较了牙周病科与牙科服务其他科室之间的患病率。通过相关分析描述了病理状况之间的关系。使用R软件进行统计分析，显著性水平设定为<0.05。本研究纳入了牙科服务部门20945名患者的记录，其中牙周病科进行了1205例牙周治疗。因牙周护理入院的患者年龄较大，且大多为女性（P值<0.001）。牙周病科最常见的全身性病理状况是高血压和糖尿病。高血压合并糖尿病是最常见的多重疾病模式，而最常见的多重疾病三联征是高血压/糖尿病/心律失常。糖尿病患者入住牙周病科的可能性高1.49倍（OR = 1.49 [1.20; 1.86]），年龄也是一个显著的风险因素，但效应量较小（OR = 1.02 [1.01; 1.03]）。在本研究的局限性内，高血压、糖尿病、心律失常和慢性肾功能不全被确定为牙周病科常见的多重疾病。包括糖尿病在内的多重疾病似乎构成了需要牙周护理的一个风险因素。
