Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients
Purpose: To compare blood pressure (BP), hypertension (HT) history, oral diseases, and potentially associated factors among dental patients in Thailand and explore the associations among them. Methods: This study included 709 patients. Demographic data, BP levels, oral diseases, xerostomia, anxiety,...
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th-mahidol.738212022-08-04T10:55:44Z Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients Gyan P. Bajgai Nis Okuma Siribang On P. Khovidhunkit Supanee Thanakun Mahidol University, Faculty of Dentistry Rangsit University Jigme Dorji Wangchuck National Referral Hospital Dentistry Purpose: To compare blood pressure (BP), hypertension (HT) history, oral diseases, and potentially associated factors among dental patients in Thailand and explore the associations among them. Methods: This study included 709 patients. Demographic data, BP levels, oral diseases, xerostomia, anxiety, depression, and associated factors were evaluated. Results: One-third of the patients were male; patients with a history of HT were older than those without (P < 0.001). In total, 53 (7.5%) had such a history, and HT was controlled in 29 (54.7%) of them. Patients with possible HT (BP ≥140/90 mmHg; 94 in total, 13.3%) were five times more likely to have a definitive diagnosis of HT than those without possible HT (odd ratio [OR] = 4.95; 95% confidence interval [CI]: 2.76-8.87; P < 0.001). They also had an increased tendency to be taking antidyslipidemic (OR = 5.54; 95% CI: 2.90-10.60; P = 0.001) or antidiabetic (OR = 4.80; 95% CI: 1.91-12.08; P = 0.001) drugs. Male sex (ß = 0.156, P < 0.001), higher age (ß = 0.299, P < 0.001), higher body mass index (ß = 0.410, P < 0.001), and periapical tissue diseases (ß = 0.073, P = 0.019) were significantly associated with elevated systolic BP. Severe periodontitis (ß = 0.081, P = 0.023) and a comparable association pattern with systolic BP were related to diastolic BP. Multivariate analysis revealed no significant association between BP and tooth loss, xerostomia, smoking, education level, anxiety, or depression. Conclusion: Dentists play an essential role in screening for undiagnosed and uncontrolled HT. Significant associations were noted between oral inflammatory diseases and high BP. 2022-08-04T03:55:44Z 2022-08-04T03:55:44Z 2022-01-01 Article Journal of Oral Science. Vol.64, No.3 (2022), 236-241 10.2334/josnusd.22-0057 18804926 13434934 2-s2.0-85133680160 https://repository.li.mahidol.ac.th/handle/123456789/73821 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85133680160&origin=inward |
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Dentistry Gyan P. Bajgai Nis Okuma Siribang On P. Khovidhunkit Supanee Thanakun Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients |
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Purpose: To compare blood pressure (BP), hypertension (HT) history, oral diseases, and potentially associated factors among dental patients in Thailand and explore the associations among them. Methods: This study included 709 patients. Demographic data, BP levels, oral diseases, xerostomia, anxiety, depression, and associated factors were evaluated. Results: One-third of the patients were male; patients with a history of HT were older than those without (P < 0.001). In total, 53 (7.5%) had such a history, and HT was controlled in 29 (54.7%) of them. Patients with possible HT (BP ≥140/90 mmHg; 94 in total, 13.3%) were five times more likely to have a definitive diagnosis of HT than those without possible HT (odd ratio [OR] = 4.95; 95% confidence interval [CI]: 2.76-8.87; P < 0.001). They also had an increased tendency to be taking antidyslipidemic (OR = 5.54; 95% CI: 2.90-10.60; P = 0.001) or antidiabetic (OR = 4.80; 95% CI: 1.91-12.08; P = 0.001) drugs. Male sex (ß = 0.156, P < 0.001), higher age (ß = 0.299, P < 0.001), higher body mass index (ß = 0.410, P < 0.001), and periapical tissue diseases (ß = 0.073, P = 0.019) were significantly associated with elevated systolic BP. Severe periodontitis (ß = 0.081, P = 0.023) and a comparable association pattern with systolic BP were related to diastolic BP. Multivariate analysis revealed no significant association between BP and tooth loss, xerostomia, smoking, education level, anxiety, or depression. Conclusion: Dentists play an essential role in screening for undiagnosed and uncontrolled HT. Significant associations were noted between oral inflammatory diseases and high BP. |
author2 |
Mahidol University, Faculty of Dentistry |
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Mahidol University, Faculty of Dentistry Gyan P. Bajgai Nis Okuma Siribang On P. Khovidhunkit Supanee Thanakun |
format |
Article |
author |
Gyan P. Bajgai Nis Okuma Siribang On P. Khovidhunkit Supanee Thanakun |
author_sort |
Gyan P. Bajgai |
title |
Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients |
title_short |
Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients |
title_full |
Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients |
title_fullStr |
Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients |
title_full_unstemmed |
Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients |
title_sort |
comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among thai dental patients |
publishDate |
2022 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/73821 |
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1763494848408584192 |