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Tooth Loss Predicts Myocardial Infarction, Heart Failure, Stroke, and Death
H J Lee1, E K Choi1, J B Park2
11 Division of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Journal of Dental Research
|February 21, 2019
Summary
Tooth loss is linked to higher risks of heart attack, heart failure, stroke, and death. Even a few missing teeth increase cardiovascular disease risk, highlighting oral health
Area of Science:
- Cardiovascular epidemiology
- Oral health research
- Public health
Background:
- Oral health, specifically tooth loss, is increasingly recognized for its systemic health implications.
- Existing research suggests a link between poor oral hygiene and cardiovascular disease (CVD).
Purpose of the Study:
- To investigate the association between the number of missing teeth and the risk of major cardiovascular events and all-cause mortality.
- To determine if tooth loss is an independent risk factor for cardiovascular disease.
Main Methods:
- A large-scale Korean nationwide cohort study using data from 2007-2008.
- Follow-up of over 4.4 million subjects until 2016 for incident myocardial infarction (MI), heart failure (HF), stroke, and death.
- Multivariable analysis adjusted for cardiovascular risk, behavioral, and income factors.
Main Results:
- Cardiovascular events and mortality increased proportionally with the number of missing teeth.
- Tooth loss was identified as an independent risk factor for MI, HF, stroke, and all-cause mortality.
- Each missing tooth was associated with a 1-2% increase in risk for these outcomes, with a substantial increase for ≥5 missing teeth.
Conclusions:
- Tooth loss demonstrates a dose-dependent association with incident MI, HF, ischemic stroke, and all-cause death.
- The number of missing teeth can serve as a valuable clinical predictor for identifying individuals at higher cardiovascular risk.
- Maintaining oral health is crucial for mitigating cardiovascular disease risk.
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