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Long‐term metabolic syndrome is associated with periodontal pockets and alveolar bone loss
Author(s) -
Tegelberg Paula,
Tervonen Tellervo,
Knuuttila Matti,
Jokelainen Jari,
KeinänenKiukaanniemi Sirkka,
Auvinen Juha,
Ylöstalo Pekka
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.13154
Subject(s) - medicine , poisson regression , relative risk , dental alveolus , metabolic syndrome , gingival and periodontal pocket , dentistry , cohort study , cohort , tooth loss , periodontitis , population , confidence interval , obesity , oral health , environmental health
Aim To investigate whether the metabolic syndrome (MetS) is associated with deepened periodontal pockets and alveolar bone loss. Materials and Methods This study was based on a subpopulation of the Northern Finland Birth Cohort 1966 survey ( n = 1964). The criteria of the AHA/NHLBI were used to determine MetS. The analyses were based on the metabolic data at ages 31 and 46, and probing pocket depth and alveolar bone level data at age 46. Relative risks (RR, 95% CI) were estimated using Poisson regression models. Results Relative risks for PD ≥ 4 mm and BL ≥ 5 mm were higher in individuals with an exposure to MetS ≥ 15 years (RR 1.8, 95% CI 1.6–2.1 and RR 1.5, 95% CI 1.3–1.9, respectively) than in those whose exposure was <15 years (RR 1.2, 95% CI 1.1–1.3 and RR 1.1, 95% CI 1.0–1.3, respectively). Consistently stronger associations were found in never smokers. Women showed stronger associations of MetS with PD ≥ 4 mm than men. The association with BL ≥ 5 mm was observed only in men. Conclusion A long‐term exposure by MetS was associated independently and in an exposure‐dependent manner with periodontal pockets and alveolar bone level.