Periodontal conditions of essential hypertension attendees to a general hospital in Hong Kong

Periodontal conditions of essential hypertension attendees to a general hospital in Hong Kong

Background Periodontal infection may induce systemic vascular/endothelial dysfunction signifying a potential link between hypertension and periodontitis. Methods A convenience sample of 204 adults attending a university teaching hospital without (C: control) or with essential hypertension [EH; n = 1...

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Published in:Australian dental journal Vol. 65; no. 4; pp. 259 - 268
Main Authors: Chiu, JJN, Zheng, Y, Lai, SML, Chan, WS, Yeung, SKW, Bow, HYC, Samartzis, D, Corbet, EF, Leung, WK
Format: Journal Article
Language:English
Published: Australia 01-12-2020
Subjects:
Adult
Age factors
Cross-Sectional Studies
Dentistry
Essential Hypertension
Hong Kong - epidemiology
Hospitals, General
Humans
Periodontal Attachment Loss
periodontal disease
Periodontal Index
risk assessment
smoking
Hong Kong
essential hypertension
risk assessment
Age factors
periodontal disease
smoking
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Summary:Background Periodontal infection may induce systemic vascular/endothelial dysfunction signifying a potential link between hypertension and periodontitis. Methods A convenience sample of 204 adults attending a university teaching hospital without (C: control) or with essential hypertension [EH; n = 102, duration (mean ± SD) 11.4 ± 6.9 years] was surveyed in this cross sectional study. Patients with concomitant systemic conditions were excluded. Dental history, oral hygiene habits and blood pressure were recorded. Plaque score (Pl%), bleeding on probing (BOP%), probing pocket depth (PPD) and probing attachment level (PAL) were noted and periodontitis severity was determined according to AAP/CDC case definition guidelines. Results Both groups exhibited poor oral hygiene. EH group had higher mean full‐mouth PAL/PPD (3.16/2.73 vs. 2.51/2.40, P < 0.001). 51.0%/30.4% of the EH/C participants had severe periodontitis (P < 0.001). Regression analysis indicated systolic blood pressure, age, smoking and BOP% were associated with more severe periodontitis (r2 = 0.207, P < 0.05) while BOP%, PAL and fewer missing teeth were associated with worse mean PPD (r2 = 0.612, P < 0.05). Conclusions Within the limitations of this study, the majority of hospital attendees surveyed exhibited poor plaque control, while periodontitis severity was found to be associated with EH, and smoking.
Bibliography:Equal contribution.cx
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ISSN:0045-0421
1834-7819
DOI:10.1111/adj.12784