Oral health indicators poorly predict coronary heart disease deaths
Abstract
Several earlier studies have suggested that development of coronary heart disease (CHD) is causally related to oral infections. The aim of this study was to investigate the association between oral health indicators and CHD deaths. Out of a nationally representative sample, 6527 men and women aged 30-69 years participated in the health examination with a dental check. Detailed oral health data included caries, periodontal and dental plaque status, presence of remaining teeth, and various types of dentures. Over a mean 12-year follow-up, persons dying of CHD were older and more often smoked, had hypertension, hypercholesterolemia, diabetes, and only a basic education compared with other persons. In univariate analyses, several oral health indicators were associated with CHD deaths. Adjustment for the established CHD risk factors reduced all these associations to statistical non-significance. The associations between oral health indicators and CHD are mostly explained by confounding factors, particularly those relating to health behavior.
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One study only confirmed higher prevalence of hypertension in men.
“and one study only confirmed higher prevalence in men.50”
From Periodontitis is associated with hypertension: a systematic review and meta-analysis (2020) · cites this paper as [50]
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References 29 · Cited by 120
- Authors
- Tuominen, R., Reunanen, A., Paunio, M., Paunio, I., & Aromaa, A.
- Affiliations
- University of Helsinki (FI)
- ORCID
- Tuominen, R.
- Venue
- Journal of Dental Research
- Publisher
- SAGE Publications
- Published
- 2003-09
- Volume
- 82
- Issue
- 9
- Pages
- 713-718
- ISSN
- 0022-0345 (ISSN-L)
- 1544-0591
- OpenAlex
- W2045997663
- Cited by
- 120
- References
- 29
- Citations by year
- 2026: 4 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 6 · 2019: 3 · 2018: 4 · 2017: 3 · 2015: 8 · 2014: 4 · 2013: 8 · 2012: 5
- FWCI
- 10.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Dental Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- oral health indicators, coronary heart disease mortality, oral infection, dental caries, periodontal disease, dental plaque, remaining teeth, dentures, cardiovascular risk factors, smoking, hypertension, hypercholesterolemia, diabetes mellitus, educational attainment
- MeSH terms
- Adult, Age Factors, Aged, Analysis of Variance, Coronary Disease, Dental Caries, Dental Plaque, Dentures, Diabetes Mellitus, Educational Status, Female, Finland, Follow-Up Studies, Health Status Indicators, Humans, Hypercholesterolemia, Hypertension, Jaw, Edentulous, Partially, Male, Middle Aged, Oral Health, Periodontal Diseases, Smoking, Health Behavior, Confounding Factors, Epidemiologic
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