Association between asthma and dental caries in US (United States) adult population
Abstract
OBJECTIVE: To investigate the associations of asthma with dental-caries-experience (DFT: decayed and filled teeth) and untreated-dental-caries (DT: decayed teeth) in the US adult population. METHODS: Data from the National Health and Nutritional Examination Survey, 2009-2014 were analyzed. Study-participants were classified into current, former and never asthmatics based on their asthma-status. Former-asthmatics were excluded. Both the outcomes, dental-caries-experience and untreated-dental-caries were dichotomized as being either present or absent, and were also categorized into tertiles based on their distributions in our study-sample. Logistic regression analyses were performed to determine the associations of asthma with dichotomized outcomes. The generalized logit model was applied for multilevel categorical outcomes. Multivariable models were developed to control for common demographic, clinical, and lifestyle factors. RESULTS: Total study-participants were 13,135, representing 175.26 million US adults. In the adjusted models, current-asthmatics, when compared to the reference group of never-asthmatics, were more likely to have dental-caries-experience (odds ratio [OR], 1.37; 95% confidence interval [CI], 1.13-1.66) and untreated-dental-caries (OR, 1.38; 95% CI, 1.10-1.73) in ≥1 tooth. Asthma was associated with all three categories of dental-caries-experience in our study-sample. We observed a positive gradient in the OR with an increasing extent of untreated-dental-caries. Relative to never-asthmatics, asthma doubled the odds of having untreated dental caries in the subgroup of current-smokers. CONCLUSION: Current-asthmatic adults had higher odds of dental-caries-experience and untreated-dental-caries as compared to never-asthmatic adults in the US. Based on the observations from this study, interprofessional collaboration should be recommended to institute caries control and health promotion in current-asthmatic adult population.
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Duration of anti-asthmatic medication has a significant influence on the risk of developing dental caries in asthmatic patients.
“Previous research has shown that the duration of medication has a significant influence on the risk of developing dental caries in asthmatic patients”
From Drugs Prescribed for Asthma and Their Adverse Effects on Dental Health (2023) · cites this paper as [84]
Patients using salbutamol inhalers are at higher risk of developing carious lesions compared with non-asthmatic patients.
“indicating that patients using salbutamol inhalers are at higher risk of developing carious lesions compared with non-asthmatic patients [84,85].”
From Drugs Prescribed for Asthma and Their Adverse Effects on Dental Health (2023) · cites this paper as [84]
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- Authors
- Shah, P. D., Badner, V. M., Rastogi, D., & Moss, K. L.
- Affiliations
- Albert Einstein College of Medicine (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Shah, Parth D.
- Venue
- Journal of Asthma
- Publisher
- Informa UK Limited
- Published
- 2020-07-06
- Volume
- 58
- Issue
- 10
- Pages
- 1329-1336
- ISSN
- 0277-0903 (ISSN-L)
- 1532-4303
- OpenAlex
- W3036015619
- Cited by
- 14
- References
- 20
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 5 · 2022: 1 · 2021: 2 · 2020: 2
- FWCI
- 2.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Asthma (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (K23HL118733)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- asthma, dental caries, untreated dental caries, caries experience, adults, smoking, oral health, chronic comorbidities
- MeSH terms
- Cigarette Smoking, Adolescent, Adult, Aged, Aged, 80 and over, Asthma, Cross-Sectional Studies, Dental Caries, Diabetes Mellitus, Female, Humans, Male, Middle Aged, Nutrition Surveys, Severity of Illness Index, Socioeconomic Factors, United States, Body Mass Index, Age Distribution, Sex Distribution, Young Adult
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