Association of Dental Diseases and Oral Hygiene Care With the Risk of Heart Failure in Patients With Type 2 Diabetes: A Nationwide Cohort Studyopen access
- Authors
- Huh, Youn; Yoo, Jung Eun; Park, Sang-Hyun; Han, Kyungdo; Kim, Seon Mee; Park, Hye Soon; Cho, Kyung Hwan; Ahn, Jin-Soo; Jun, Sang Ho; Nam, Ga Eun
- Issue Date
- Aug-2023
- Publisher
- Wiley-Blackwell
- Keywords
- dental caries; heart failure; missing teeth; oral hygiene care; periodontal disease; type 2 diabetes
- Citation
- Journal of the American Heart Association, v.12, no.16
- Indexed
- SCIE
SCOPUS
- Journal Title
- Journal of the American Heart Association
- Volume
- 12
- Number
- 16
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/63962
- DOI
- 10.1161/JAHA.122.029207
- ISSN
- 2047-9980
2047-9980
- Abstract
- BackgroundTo evaluate the association of dental diseases and oral hygiene care with incidence of heart failure (HF) among patients with type 2 diabetes. Methods and ResultsThis study included 173 927 patients with type 2 diabetes aged & GE;40 years, who underwent Korean National Health Insurance Service health examinations in 2008 and were followed up until the end of 2017. Hazard ratios (HRs) and 95% CIs for HF were estimated using multivariable Cox proportional hazards regression analysis. During a median follow-up of 9.3 years, 1.94% of participants developed HF. An increased number of missing teeth was associated with a higher risk of HF (P<0.001). HRs of HF increased among individuals with & GE;15 missing teeth (HR, 1.37 [95% CI, 1.14-1.64]) compared with those without missing teeth. Decreased risk of HF was observed in individuals with & GE;1 time/year of professional dental cleaning (HR, 0.93 [95% CI, 0.87-0.99]) and in those with & GE;2 times/d of toothbrushing (HR, 0.90 [95% CI, 0.82-0.98]) compared with those without these practices. While combined presence of missing teeth and periodontal disease (P=0.004) or dental caries (P=0.007) increased HF risk, combined oral hygiene care was associated with further HF risk reduction (P=0.024). Better oral hygiene care was associated with decreased HF risk, even as the number of missing teeth increased (P<0.001). ConclusionsAmong patients with type 2 diabetes, dental diseases and oral hygiene care are important determinants of HF development. Dental disease management and good oral care may prevent HF in patients with type 2 diabetes.
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- Appears in
Collections - 2. Clinical Science > Department of Oral and Maxillofacial Surgery > 1. Journal Articles
- 2. Clinical Science > Department of Family Medicine > 1. Journal Articles
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