Oral Health and Blood Pressure: The IPC Cohort

BACKGROUND Chronic periodontal diseases involve bacteria-induced inflammation of the tissues supporting the teeth. An inflammatory origin for hypertension has been proposed, and periodontal diseases are associated with an increased risk of vascular disease. The present study was performed to assess...

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Published in:American journal of hypertension 2015-10, Vol.28 (10), p.1257-1261
Main Authors: Darnaud, Christelle, Thomas, Frédérique, Pannier, Bruno, Danchin, Nicolas, Bouchard, Philippe
Format: Article
Language:English
Subjects:
Adult
Aged
Blood Pressure
Female
France - epidemiology
Humans
Hypertension - epidemiology
Male
Middle Aged
Oral Health
Risk Assessment
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cited_by cdi_FETCH-LOGICAL-c447t-c38fa9b7103a718323abd16fb7b816780083f57c7af4672ddd8c065edd7aac0d3
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container_issue 10
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container_title American journal of hypertension
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creator Darnaud, Christelle
Thomas, Frédérique
Pannier, Bruno
Danchin, Nicolas
Bouchard, Philippe
description BACKGROUND Chronic periodontal diseases involve bacteria-induced inflammation of the tissues supporting the teeth. An inflammatory origin for hypertension has been proposed, and periodontal diseases are associated with an increased risk of vascular disease. The present study was performed to assess whether oral health conditions were associated with the risk of hypertension in adult population. METHODS The sample comprised 102,330 subjects, who underwent medical and oral examinations between 2002 and 2011. A full-mouth clinical examination was performed using simplified plaque index, calculus index, and simplified modified gingival index to assess dental plaque, dental calculus and gingival inflammation. The number of teeth was recorded. Biological parameters, including blood pressure were assessed. A subset analysis according to age (
doi_str_mv 10.1093/ajh/hpv025
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An inflammatory origin for hypertension has been proposed, and periodontal diseases are associated with an increased risk of vascular disease. The present study was performed to assess whether oral health conditions were associated with the risk of hypertension in adult population. METHODS The sample comprised 102,330 subjects, who underwent medical and oral examinations between 2002 and 2011. A full-mouth clinical examination was performed using simplified plaque index, calculus index, and simplified modified gingival index to assess dental plaque, dental calculus and gingival inflammation. The number of teeth was recorded. Biological parameters, including blood pressure were assessed. A subset analysis according to age (&lt;65 or ≥65 years) was conducted. The association between blood pressure and oral conditions was explored using a logistic regression approach. RESULTS In the sample of subject ≥65 years, no significant association was found between oral variables and the risk of hypertension. In subset &lt;65 years, oral variables and risk of hypertension were associated. Insufficient masticatory function and missing teeth (&gt;10) showed odds ratio (OR) = 1.20 [95% CI = 1.08–1.32] and OR = 1.17 [95% CI = 1.04–1.31], respectively. Hypertension was also associated with high level of dental plaque [OR = 1.90, 95% CI = 1.55–2.33], dental calculus [OR = 1.18, 95% CI = 1.07–1.29] and gingival inflammation [OR = 1.56, 95% CI = 1.35–1.80] Moreover, in this subset &lt;65 years, the risk of hypertension increases with the number of dental exposure. CONCLUSIONS The present study indicates that insufficient masticatory function, poor oral hygiene, and oral inflammation are associated with hypertension in subject &lt;65.</description><identifier>ISSN: 0895-7061</identifier><identifier>EISSN: 1941-7225</identifier><identifier>DOI: 10.1093/ajh/hpv025</identifier><identifier>PMID: 25780017</identifier><identifier>CODEN: AJHYE6</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Adult ; Aged ; Blood Pressure ; Female ; France - epidemiology ; Humans ; Hypertension - epidemiology ; Male ; Middle Aged ; Oral Health ; Risk Assessment</subject><ispartof>American journal of hypertension, 2015-10, Vol.28 (10), p.1257-1261</ispartof><rights>American Journal of Hypertension, Ltd 2015. All rights reserved. For Permissions, please email: journals.permissions@oup.com 2015</rights><rights>American Journal of Hypertension, Ltd 2015. All rights reserved. For Permissions, please email: journals.permissions@oup.com.</rights><rights>American Journal of Hypertension, Ltd 2015. All rights reserved. For Permissions, please email: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-c38fa9b7103a718323abd16fb7b816780083f57c7af4672ddd8c065edd7aac0d3</citedby><cites>FETCH-LOGICAL-c447t-c38fa9b7103a718323abd16fb7b816780083f57c7af4672ddd8c065edd7aac0d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25780017$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Darnaud, Christelle</creatorcontrib><creatorcontrib>Thomas, Frédérique</creatorcontrib><creatorcontrib>Pannier, Bruno</creatorcontrib><creatorcontrib>Danchin, Nicolas</creatorcontrib><creatorcontrib>Bouchard, Philippe</creatorcontrib><title>Oral Health and Blood Pressure: The IPC Cohort</title><title>American journal of hypertension</title><addtitle>Am J Hypertens</addtitle><description>BACKGROUND Chronic periodontal diseases involve bacteria-induced inflammation of the tissues supporting the teeth. An inflammatory origin for hypertension has been proposed, and periodontal diseases are associated with an increased risk of vascular disease. The present study was performed to assess whether oral health conditions were associated with the risk of hypertension in adult population. METHODS The sample comprised 102,330 subjects, who underwent medical and oral examinations between 2002 and 2011. A full-mouth clinical examination was performed using simplified plaque index, calculus index, and simplified modified gingival index to assess dental plaque, dental calculus and gingival inflammation. The number of teeth was recorded. Biological parameters, including blood pressure were assessed. A subset analysis according to age (&lt;65 or ≥65 years) was conducted. The association between blood pressure and oral conditions was explored using a logistic regression approach. RESULTS In the sample of subject ≥65 years, no significant association was found between oral variables and the risk of hypertension. In subset &lt;65 years, oral variables and risk of hypertension were associated. Insufficient masticatory function and missing teeth (&gt;10) showed odds ratio (OR) = 1.20 [95% CI = 1.08–1.32] and OR = 1.17 [95% CI = 1.04–1.31], respectively. Hypertension was also associated with high level of dental plaque [OR = 1.90, 95% CI = 1.55–2.33], dental calculus [OR = 1.18, 95% CI = 1.07–1.29] and gingival inflammation [OR = 1.56, 95% CI = 1.35–1.80] Moreover, in this subset &lt;65 years, the risk of hypertension increases with the number of dental exposure. CONCLUSIONS The present study indicates that insufficient masticatory function, poor oral hygiene, and oral inflammation are associated with hypertension in subject &lt;65.</description><subject>Adult</subject><subject>Aged</subject><subject>Blood Pressure</subject><subject>Female</subject><subject>France - epidemiology</subject><subject>Humans</subject><subject>Hypertension - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Oral Health</subject><subject>Risk Assessment</subject><issn>0895-7061</issn><issn>1941-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp90E9LwzAYx_EgipvTiy9ACiKI0O3Jn_ZpvWlRNxhsh3kuaZPSjW6pSSv47m3p9ODBUy4ffk_4EnJNYUoh5jO5K2dl_QksOCFjGgvqI2PBKRlDFAc-QkhH5MK5HQCIMKTnZMQCjAAojsl0ZWXlzbWsmtKTB-U9V8Yob221c63Vj96m1N5inXiJKY1tLslZISunr47vhLy_vmySub9cvS2Sp6WfC4GNn_OokHGGFLhEGnHGZaZoWGSYRTTsb0e8CDBHWYgQmVIqyiEMtFIoZQ6KT8j9sFtb89Fq16T7rct1VcmDNq1LKVKGGAguOnr7h-5Maw_d73oVC2BC8E49DCq3xjmri7S22720XymFtK-YdhXToWKHb46TbbbX6pf-ZOvA3QBMW_839A0a43dp</recordid><startdate>20151001</startdate><enddate>20151001</enddate><creator>Darnaud, Christelle</creator><creator>Thomas, Frédérique</creator><creator>Pannier, Bruno</creator><creator>Danchin, Nicolas</creator><creator>Bouchard, Philippe</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20151001</creationdate><title>Oral Health and Blood Pressure: The IPC Cohort</title><author>Darnaud, Christelle ; 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RESULTS In the sample of subject ≥65 years, no significant association was found between oral variables and the risk of hypertension. In subset &lt;65 years, oral variables and risk of hypertension were associated. Insufficient masticatory function and missing teeth (&gt;10) showed odds ratio (OR) = 1.20 [95% CI = 1.08–1.32] and OR = 1.17 [95% CI = 1.04–1.31], respectively. Hypertension was also associated with high level of dental plaque [OR = 1.90, 95% CI = 1.55–2.33], dental calculus [OR = 1.18, 95% CI = 1.07–1.29] and gingival inflammation [OR = 1.56, 95% CI = 1.35–1.80] Moreover, in this subset &lt;65 years, the risk of hypertension increases with the number of dental exposure. 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source Oxford Journals Online
subjects Adult
Aged
Blood Pressure
Female
France - epidemiology
Humans
Hypertension - epidemiology
Male
Middle Aged
Oral Health
Risk Assessment
title Oral Health and Blood Pressure: The IPC Cohort
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