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Ill-fitting prosthesis is associated with an increased risk of elevated blood pressures.
Liu, Yang; Lei, Fang; Yao, Dongai; Zhang, Xingyuan; Huang, Xuewei; Cai, Jingjing; Deng, Ke-Qiong; Cheng, Bo.
Afiliação
  • Liu Y; Department of Stomatology, Zhongnan Hospital of Wuhan University, Wuhan, China.
  • Lei F; School of Basic Medical Science, Wuhan University, Wuhan, China.
  • Yao D; Health Examination Center, Zhongnan Hospital of Wuhan University, Wuhan, China.
  • Zhang X; School of Basic Medical Science, Wuhan University, Wuhan, China.
  • Huang X; Department of Cardiology, The Third Xiangya Hospital, Central South University, Changsha, China.
  • Cai J; Department of Cardiology, The Third Xiangya Hospital, Central South University, Changsha, China.
  • Deng KQ; Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan, China.
  • Cheng B; Department of Stomatology, Zhongnan Hospital of Wuhan University, Wuhan, China.
J Oral Rehabil ; 51(7): 1123-1134, 2024 Jul.
Article em En | MEDLINE | ID: mdl-38491740
ABSTRACT

OBJECTIVE:

Previous studies focused on the benefits of adequate prosthodontic treatment, while few studies have investigated the prosthodontic-related risks to health. As a modifiable oral health indicator, the association of ill-fitting prosthesis (IFP) with hypertension has not been fully explored.

METHODS:

This cross-sectional study involved 158,659 adults in Beijing (2009-2017) receiving intra-oral examinations and blood pressure measurements. Logistic regression models were applied to assess the association of IFP with the prevalence of hypertension, systolic blood pressure (SBP) ≧ 140 mmHg and diastolic blood pressure (DBP) ≧ 90 mmHg, as well as subgroup analyses by different fixed IFP subgroups (according to involved teeth number) and removable IFP subgroup. We further investigated effect modifications among stratified populations.

RESULTS:

158,659 individuals were included for analysis, 346 (26.86%) in IFP group and 27,380 (17.40%) in non-IFP group (p < 0.001) were hypertensive. After adjustment of sex, age, obesity, dyslipidaemia, diabetes, hsCRP, family history of CVD, self-reported smoking, self-reported drinking and WC, ORs of hypertension, SBP ≧ 140 mmHg and DBP ≧ 90 mmHg were 1.330 (95% CI 1.162-1.522), 1.277 (95% CI 1.098-1.486) and 1.376 (95% CI 1.186-1.596), respectively (p < 0.05). Furthermore, after full adjustment, the number of involved teeth showed a significant incremental trend with hypertension risk in the population with and without IFP (p for trend <0.001). The IFP-blood pressure associations were more pronounced in females, 18-60 years, non-obese and diabetic participants.

CONCLUSION:

As a modifiable oral indicator, IFP was significantly associated with a higher risk of hypertension.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hipertensão Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hipertensão Idioma: En Ano de publicação: 2024 Tipo de documento: Article