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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Main Author: Bajgai G.P.
Other Authors: Mahidol University
Format: Article
Published: 2023
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/84472
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spelling th-mahidol.844722023-06-19T00:06:33Z Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients Bajgai G.P. Mahidol University 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. 2023-06-18T17:06:33Z 2023-06-18T17:06:33Z 2022-01-01 Article Journal of Oral Science Vol.64 No.3 (2022) , 236-241 10.2334/josnusd.22-0057 18804926 13434934 35691889 2-s2.0-85133680160 https://repository.li.mahidol.ac.th/handle/123456789/84472 SCOPUS
institution Mahidol University
building Mahidol University Library
continent Asia
country Thailand
Thailand
content_provider Mahidol University Library
collection Mahidol University Institutional Repository
topic Dentistry
spellingShingle Dentistry
Bajgai G.P.
Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients
description 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
author_facet Mahidol University
Bajgai G.P.
format Article
author Bajgai G.P.
author_sort Bajgai G.P.
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 2023
url https://repository.li.mahidol.ac.th/handle/123456789/84472
_version_ 1781413829572296704