Persistence and stability of sublingual varices over time and their connection to underlying factors: an 8 year follow up study.

Autor: Bergh H; School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden. hakan.e.bergh@gmail.com.; Department of Research and Development Unit, Hospital Varberg, Region Halland, Halmstad, Sweden. hakan.e.bergh@gmail.com.; Hajvägen 37, 432 74, Varberg, Sweden. hakan.e.bergh@gmail.com., Kastberg C; Tre Tandläkare, Varberg, Sweden., Albrektson M; Public Dental Services, Västra Vall, Varberg, Sweden., Hedström L; Public Dental Services, Västra Vall, Varberg, Sweden.
Jazyk: angličtina
Zdroj: BMC oral health [BMC Oral Health] 2022 Aug 11; Vol. 22 (1), pp. 346. Date of Electronic Publication: 2022 Aug 11.
DOI: 10.1186/s12903-022-02379-9
Abstrakt: Objective: To investigate whether sublingual varices are constant or inconstant over time and whether this is connected to background variables, cardiovascular risk factors or disease.
Design: This longitudinal observational study was performed between 2010 and 2020 at the Public Dental Services Västra Vall, Varberg, Sweden. The study was based on 431 patients included in a previous study in which the relationship between sublingual varices and hypertension was examined. In connection to the annual dental examination, 281 patients were included in the follow-up study. They completed a questionnaire about background and health factors and diseases. Length and weight were measured. Two intraoral photos were taken with a digital camera. Two dentists independent of each other graded all photographs as none/few visible sublingual varices (nSV) or medium/severe sublingual varices (SV).
Results: The prevalence of SV was 25.6% at baseline and 30.6% at follow-up. At the follow up, a total of 76.5% had maintained their sublingual vascular status. Of those with nSV at baseline (n209), 80.9% still had nSV, and 19.1% had developed SV during the 8-year follow-up period. Of those 72 participants who had SV at baseline, 46 (63.9%) were unchanged at follow-up, and 26 (36.1%) were classified as nSV. Those who had developed SV at follow-up had a higher mean age (p = 0.003) and a higher prevalence of cardiovascular disease (CVD), 13.2% versus 3.0% (p = 0.021). This association with CVD did not persist after an adjustment for sex and age (OR 3.2, 95% CI 0.81-12.46). They exhibited more hypertension (35.0% vs. 22.5%) and diabetes type 2 (7.5% vs. 3.0%), but with no significant difference.
Conclusions: This study revealed that 76.5% of the participants had an unchanged status regarding sublingual varices during an 8-year period and that the development from nSV to SV was associated with advanced age.
(© 2022. The Author(s).)
Databáze: MEDLINE
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