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Dental treatment procedures for periodontal disease and the subsequent risk of ischaemic stroke: A retrospective population‐based cohort study
Author(s) -
Lin HsiaoWei,
Chen ChunMin,
Yeh YiChun,
Chen YenYu,
Guo RuYu,
Lin YenPing,
Li YaChing
Publication year - 2019
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.13113
Subject(s) - medicine , periodontitis , stroke (engine) , gingivitis , tooth loss , population , cohort study , proportional hazards model , hazard ratio , risk factor , scaling and root planing , cohort , dentistry , confidence interval , chronic periodontitis , mechanical engineering , environmental health , oral health , engineering
Aim To investigate the association between specific dental therapy for periodontal disease and the risk of ischaemic stroke. Materials and Methods We conducted a population‐based cohort study that used data from the Taiwan National Health Insurance Research Database 2005 for the period of 2000–2013. Our observations focused on patients with the diagnoses of gingivitis or periodontitis with and without specific treatment and subsequent incidence of ischaemic stroke. Dental care services include dental scaling, intensive treatment (subgingival curettage and root planing) and tooth extraction. Multivariate Cox regression analysis was used to estimate the hazard ratios and corresponding 95% confidence intervals (95% CI). Results Compared with those in the gingivitis cohort, patients with periodontitis have a higher risk of ischaemic stroke and a lower survival rate of stroke over the 10‐year follow‐up period. After integrative dental care, both dental scaling and intensive treatment, the risk was reduced, especially in patients with periodontitis, while patients with periodontal disease may have an increased risk of stroke after tooth extraction therapy. Conclusions Our study showed that periodontitis is a risk factor for ischaemic stroke. Both dental scaling and intensive treatment for periodontal disease are associated with a lower risk of further ischaemic stroke events.