Association between the number of existing teeth and maintenance dialysis therapy: A cross-sectional study of adult male dentists.

Autor: Kondo M; R&D, SUNSTAR Inc., Takatsuki, Osaka, Japan., Ishigami M; Midori Health Center, Nagoya, Aichi, Japan., Omoda M; Aoba Ward Welfare and Health Center, Yokohama City, Kanagawa, Japan., Takeshita M; R&D, SUNSTAR Inc., Takatsuki, Osaka, Japan., Arimoto N; Department of Oral Health Sciences, Otemae College, Nishinomiya, Hyogo, Japan., Nishimura R; Department of Oral Epidemiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan., Maehara T; Department of Public Oral Health, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan., Naito T; Department of General Dentistry, Fukuoka Dental College, Fukuoka, Japan., Kojima M; Aichi Dental Association, Nagoya, Aichi, Japan., Umemura O; Aichi Dental Association, Nagoya, Aichi, Japan., Yokota M; Yokota Makoto Dental Clinic, Fukuoka, Japan., Hanada N; Institute of Photochemistry and Photocatalyst, University of Shanghai for Science and Technology, Shanghai, China., Wakai K; Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan., Naito M; Department of Oral Epidemiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Aug 16; Vol. 19 (8), pp. e0309012. Date of Electronic Publication: 2024 Aug 16 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0309012
Abstrakt: Dental caries and periodontal disease are typical oral diseases frequently observed in patients with renal diseases. Tooth loss is an outcome of dental caries and periodontal disease, and the number of existing teeth is an indicator of oral health status. However, the association between the number of existing teeth and end-stage kidney disease (ESKD) has not been investigated in detail. This study aimed to investigate the association between oral health status, expressed by the number of existing teeth, and ESKD. We analyzed data from the second survey of the Longitudinal Evaluation of Multi-phasic, Odontological, and Nutritional Associations in Dentists, a cohort study conducted among members of the Japan Dental Association. From August 2016 to July 2017, self-administered questionnaires were mailed to 16,128 male dentists and 8,722 responded. Among them, 7,479 men with complete data on age, number of existing teeth, and ESKD were included in the analysis. Multivariate logistic regression analysis was conducted, with ESKD as the dependent variable and the number of existing teeth (≥23 teeth and <23 teeth) as the independent variable. Subgroup analysis by age (<65 years and ≥65 years) was also conducted. The <23 teeth group had a significantly higher rate of ESKD than did the ≥23 teeth group. After adjusting for age, body mass index, smoking habits, hypertension, and diabetes mellitus, there was no significant association between having <23 teeth and ESKD in all participants. However, the subgroup analysis revealed a significant association after adjustment for covariates in participants aged <65 years but not in those aged ≥65 years. In conclusion, having <23 teeth was associated with the risk of requiring maintenance dialysis therapy among Japanese men aged <65 years. Therefore, tooth loss may be associated with renal function decline.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Kondo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje