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Periodontitis and dental scaling associated with pyogenic liver abscess: A population-based case-control study
Y-T Yeh1,2,3, B-Y Wang4,5, C-W Lin3,6
1Graduate School of Dentistry, Chung Shan Medical University, Taichung, Taiwan.
Journal of Periodontal Research
|May 20, 2018
Summary
Periodontitis increases pyogenic liver abscess (PLA) risk in adults under 50, especially without dental scaling. Regular dental scaling (DS) reduces PLA risk, particularly for those aged 20 and above.
Area of Science:
- Medical Research
- Public Health
- Epidemiology
Background:
- Periodontitis is a common oral infection.
- Pyogenic liver abscesses (PLAs) are serious infections.
- The link between periodontitis, dental scaling (DS), and PLAs requires further investigation.
Purpose of the Study:
- To investigate the association between periodontitis, DS, and the incidence of PLAs.
- To identify risk factors for PLAs in relation to oral health status.
Main Methods:
- A nationwide population-based case-control study.
- Utilized data from Taiwan's National Health Insurance Research Database.
- Included 691 PLA patients and 2764 matched controls.
Main Results:
- Periodontitis is a significant risk factor for PLA in patients aged 20-40 years (aOR = 2.31).
- Dental scaling (DS) within one year before PLA diagnosis was associated with a reduced risk of PLA.
- Patients with one DS had an aOR of 0.76, and those with more than one DS had an aOR of 0.61.
Conclusions:
- Adults with periodontitis under 50 are at higher risk for PLA, especially if they do not undergo DS.
- At least two DS procedures per year may reduce PLA risk in non-periodontitis patients from age 20 onwards.
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