内牙炎症疾病和未来的心血管事件和死亡率:来自PAROKRANK研究的报告
Dan Sebring1, Kåre Buhlin2, Henrik Lund3
1Department of Endodontology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Journal of endodontics
|May 19, 2024
概括
失去牙表明未来心血管事件的风险更高,包括心脏病发作和中风. 然而,根充满牙在本研究中作为风险指标的价值有限.
科学领域:
- 心血管健康 心血管健康
- 牙健康 牙健康
- 流行病学 流行病学
背景情况:
- 有限的前性研究将内牙炎症疾病与心血管事件联系起来.
- 这项研究研究了心肌梗塞患者和对照者的内牙变量和未来心血管事件.
研究的目的:
- 探索内牙疾病指标与未来心血管事件之间的关联.
- 评估牙健康对心血管结果的预测价值.
主要方法:
- 招募了805名心肌梗塞患者和805名对照患者 (2010-2014).
- 从基线的全景放射图中评估了内牙疾病.
- 通过国家登记处追踪死亡率和发病率 (心血管事件) ~8年.
主要成果:
- 较高的腐烂,缺失和填充牙 (DMFT) 分数和腐烂的牙增加了心血管事件风险和全因死亡率.
- 牙周上角性牙周炎的存在与心血管事件风险降低有关.
- 剩余的牙数量和非根充满的牙数量与未来事件风险降低相关.
结论:
- 失去牙是未来心血管事件风险增加的重要指标.
- 在控制其他因素时,根充满牙对心血管事件的预测价值有限.
- 进一步的研究应该评估牙科干预对心血管结果的影响.
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