Dental Sciences Research Center, Department of Oral and Maxillofacial Medicine, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.
Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
BMC Oral Health. 2024 Nov 30;24(1):1456. doi: 10.1186/s12903-024-05236-z.
This study investigated the association between hypertension and oral health status, as measured by the Decayed, Missing, and Filled Teeth (DMFT) index, using data from the PERSIAN Guilan Cohort Study (PGCS).
A cross-sectional analysis was conducted on 10,520 participants aged 35-70 from Guilan Province, Northern Iran. Blood pressure measurements, oral examinations, and comprehensive data collection on demographic, lifestyle, and clinical factors were performed. The DMFT index was used to assess oral health status. Statistical analyses included Pearson correlation, t-tests, and multiple linear regression.
The mean DMFT score was significantly higher in hypertensive participants than in non-hypertensive individuals (15.80 vs. 13.62, p < 0.001). Factors associated with increased DMFT scores in both hypertensive and non-hypertensive groups included older age, lower education levels, lower BMI, not flossing, smoking, alcohol use, and infrequent tooth brushing. In the hypertensive group, urban residency was additionally associated with higher DMFT scores. For non-hypertensive participants, hookah use, not using mouthwash, and lower socioeconomic status were also linked to increased DMFT scores. A significant negative correlation was found between blood triglyceride levels and DMFT scores in individuals with hypertension (p = 0.037).
This study establishes a significant association between hypertension and poor oral health, as evidenced by elevated DMFT scores. The findings highlight the importance of integrated healthcare approaches that consider cardiovascular and oral health.
本研究使用来自伊朗北部吉兰省的 PERSIAN Guilan Cohort Study（PGCS）的数据，调查了高血压与口腔健康状况（通过 Decayed，Missing，and Filled Teeth（DMFT）指数衡量）之间的关联。
对来自伊朗北部吉兰省的 10520 名 35-70 岁的参与者进行了横断面分析。进行了血压测量、口腔检查以及对人口统计学、生活方式和临床因素的综合数据收集。使用 DMFT 指数评估口腔健康状况。统计分析包括 Pearson 相关、t 检验和多元线性回归。
高血压参与者的平均 DMFT 评分明显高于非高血压个体（15.80 对 13.62，p<0.001）。与高血压和非高血压组 DMFT 评分增加相关的因素包括年龄较大、教育程度较低、BMI 较低、不使用牙线、吸烟、饮酒和刷牙频率较低。在高血压组中，城市居住与更高的 DMFT 评分相关。对于非高血压参与者，水烟使用、不使用漱口水和较低的社会经济地位也与 DMFT 评分增加相关。在高血压个体中，发现血液甘油三酯水平与 DMFT 评分之间存在显著负相关（p=0.037）。
本研究确立了高血压与口腔健康不良之间的显著关联，这表现为 DMFT 评分升高。研究结果强调了采用综合医疗保健方法的重要性，其中需要考虑心血管和口腔健康。
