Prior chronic periodontitis is associated with chronic rhinosinusitis: A population-based case-control study
- Tzong-Hann Yang 1,2,3,4,5, Yen-Fu Cheng 4,5,6,7,8, Herng-Ching Lin 9,10,11, Chin-Shyan Chen 5,12
- Tzong-Hann Yang 1,2,3,4,5, Yen-Fu Cheng 4,5,6,7,8, Herng-Ching Lin 9,10,11
- 1Department of Otorhinolaryngology, Taipei City Hospital, Taipei, Taiwan.
- 2Department of Speech, Language and Audiology, National Taipei University of Nursing and Health, Taipei, Taiwan.
- 3Department of Exercise and Health Sciences, University of Taipei, Taipei, Taiwan.
- 4Department of Otorhinolaryngology, National Yang Ming Chiao Tung University, School of Medicine, Taipei, Taiwan.
- 5Research Center of Data Science on Healthcare Industry, College of Management, Taipei Medical University, Taipei, Taiwan.
- 6Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan.
- 7Department of Otolaryngology-Head and Neck Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.
- 8Institute of Brain Science, National Yang Ming Chiao Tung University, Taipei, Taiwan.
- 9School of Health Care Administration, College of Management, Taipei Medical University, Taipei, Taiwan.
- 10Sleep Research Center, Taipei Medical University Hospital, Taipei, Taiwan.
- 11School of Oral Hygiene, Taipei Medical University, Taipei, Taiwan.
- 12Department of Economics, National Taipei University, New Taipei City, Taiwan.
- 0Department of Otorhinolaryngology, Taipei City Hospital, Taipei, Taiwan.
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View abstract on PubMed
Summary
This summary is machine-generated.Individuals with chronic rhinosinusitis (CRS) have a significantly higher prevalence of prior chronic periodontitis (CP). This suggests periodontal health may impact sinusitis development, highlighting the need for integrated care.
Area Of Science
- Otorhinolaryngology
- Periodontology
- Epidemiology
Background
- Chronic rhinosinusitis (CRS) and chronic periodontitis (CP) are common inflammatory conditions with substantial health implications.
- Existing research suggests a potential link, possibly via odontogenic pathways, but robust population-based evidence is limited.
- This study investigated the association between CRS and a history of CP.
Purpose Of The Study
- To determine if individuals diagnosed with CRS are more likely to have a history of chronic periodontitis (CP).
- To quantify the association between CRS and prior CP in a large population cohort.
Main Methods
- A population-based case-control study utilized Taiwan's Longitudinal Health Insurance Database.
- 52,733 CRS patients were compared with 158,199 matched controls without CRS.
- Pre-existing CP was identified using ICD codes; logistic regression models adjusted for covariates.
Main Results
- The prevalence of prior CP was significantly higher in the CRS group (30.49%) compared to controls (22.14%; p < 0.001).
- The adjusted odds ratio for prior CP in CRS patients was 1.550 (95% CI: 1.516–1.584), indicating a moderate association.
- This association remained consistent in gender-specific analyses, with males showing an adjusted OR of 1.622.
Conclusions
- A significant association exists between chronic rhinosinusitis (CRS) and a history of chronic periodontitis (CP).
- Periodontal health may play a role in the pathogenesis or exacerbation of sinusitis.
- Clinical management of CRS should consider periodontal health assessment and integrated care approaches.
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