Related Experiment Video
Updated: Oct 15, 2025
07:15
Robust Ligature-Induced Model of Murine Periodontitis for the Evaluation of Oral Neutrophils
Published on: January 21, 2020
11.7K
Tonsillectomy as a risk factor of periodontitis: A population-based cohort study
Kevin Sheng-Kai Ma1,2,3, Meng-Che Wu4,5, Eshwar Thota3
1Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Journal of Periodontology
|October 28, 2021
Summary
Tonsillectomy increases the risk of developing periodontitis, especially in children under 12. This risk, particularly for aggressive and acute forms, emerges four or more years post-surgery.
Area of Science:
- Oral Health
- Surgical Outcomes
- Pediatric Health
Background:
- Investigating the link between tonsillectomy and subsequent periodontitis risk.
- Assessing potential long-term oral health complications following tonsillectomy.
Purpose of the Study:
- To determine if tonsillectomy is associated with an increased risk of postoperative periodontitis.
- To identify specific patient groups and timeframes at higher risk.
Main Methods:
- Population-based cohort study using the Taiwan Longitudinal Health Insurance Dataset (1999-2013).
- Propensity score matching to control for confounding factors.
- Cox proportional hazard models and subgroup analyses were employed.
Main Results:
- Tonsillectomy was associated with a 31% increased risk of periodontitis (adjusted HR=1.31).
- The risk was significantly higher in patients under 12 years old (HR=1.58).
- Periodontitis risk increased substantially 4 years post-tonsillectomy (HR=1.82), with aggressive and acute forms being most common.
Conclusions:
- Tonsillectomy, particularly in pediatric patients under 12, elevates the risk of developing periodontitis.
- Aggressive and acute periodontitis represent significant long-term postoperative adverse events, manifesting four or more years after the procedure.
Related Concept Videos
01:23Chronic Pharyngitis
6.3K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
6.3K
01:26Tonsillitis II: Management
199
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
199
01:30Tonsillitis I: Introduction
709
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
709
01:26Factors Affecting the Risk of Infection
12.8K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.8K
01:15Teeth
915
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
915
01:26Assessment of the Mouth
517
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
517