Introduction
Material and methods
Study individuals
Radiographic measurement
Medical examination
Statistics
Results
Demographic data
≥ 1 remaining tooth, dental examination, readable panoramic radiograph n = 858 | |
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Variables | |
Median age (years) | 72.0 (SD: ± 9.3) |
Gender (women) | 53.5% |
Mean remaining teeth | 18.6 (SD: ± 7.5). |
Periodontitis | 212/858 (24.7%) |
No current nor former smoker | 428/838 (51.1%) |
BMI ≥ 30 | 192/853 (22.4%) |
Hypertension | 260/847 (30.3%) |
History of stroke | 35/853 (4.1%) |
History of AMI | 66/850 (7.7%) |
Diabetes type 2 | 66/856 (7.7%) |
Periodontitis and incidence of ischemic heart diseases or stroke during the follow-up period
Independent variables at baseline | All individuals (n = 858) HR, CI, p value | Women (n = 459) HR, CI, p value | Men (n = 399) HR, CI, p value | YO (n = 471) HR, CI, p value | OO (n = 387) HR, CI, p value |
---|---|---|---|---|---|
Age category | HR: 1.9, CI: 1.4–2.5, p = 0.000** | HR: 2.5, CI: 1.6–3.8, p = 0.000** | HR: 1.4, CI: 0.9–2.2, p = 0.098 | ||
BMI ≥ 30 | HR: 1.2, CI: 0.9–1.7, p = 0.246 | HR: 1.2, CI: 0.8–2.0, p = 0.417 | HR: 1.3, CI: 0.8–2.2, p = 0.304 | HR: 1.3, CI: 0.8–2.0, p = 0.284 | HR: 1.2, CI: 0.7–2.1, p = 0.479 |
Diabetes type 2 | HR: 1.5, CI: 1.0–2.4, p = 0.079 | HR: 1.5, CI: 0.8–3.0, p = 0.243 | HR: 1.4, CI: 0.7–2.6, p = 0.310 | HR: 1.6, CI: 0.8–2.9, p = 0.153 | HR: 1.4, CI: 0.7–3.0, p = 0.311 |
Gender | HR: 1.2, CI: 0.9–1.6, p = 0.349 | HR: 1.4, CI: 1.0–2.2, p = 0.079 | HR: 0.9, CI: 0.6–1.5, p = 0.768 | ||
Hypertension | HR: 1.5, CI: 1.1–2.0, p = 0.009** | HR: 1.8, CI: 1.2–2.8, p = 0.006** | HR: 1.2, CI: 0.7–1.8, p = 0.498 | HR: 1.5, CI: 1.0–2.3, p = 0.049* | HR: 1.5, CI: 1.0–2.3, p = 0.079 |
History of AMI | HR: 2.3, CI: 1.5–3.5, p = 0.000** | HR: 2.5, CI: 1.1–5.8, p = 0.033* | HR: 2.4, CI: 1.4–4.1, p = 0.001** | HR: 2.5, CI: 1.2–5.0, p = 0.010* | HR: 2.2, CI: 1.2–4.0, p = 0.006** |
Periodontitis | HR: 1.5, CI: 1.1–2.1, p = 0.017* | HR: 2.1, CI: 1.3–3.4, p = 0.002** | HR: 1.1, CI: 0.7–1.7, p = 0.749 | HR: 1.3, CI: 0.8–2.2, p = 0.229 | HR: 1.7, CI: 1.0–2.6, p = 0.033* |
Smoking | HR: 1.1, CI: 0.8–1.5, p = 0.634 | HR: 1.0, CI: 0.7–1.6, p = 0.900 | HR: 1.2, CI: 0.8–1.8, p = 0.475 | HR: 1.3, CI: 0.9–2.0, p = 0.181 | HR: 0.9, CI: 0.5–1.4, p = 0.579 |
Independent variables at baseline | All individuals (n = 858) HR, CI, p value | Women (n = 459) HR, CI, p value | Men (n = 399) HR, CI, p value | YO (n = 471) HR, CI, p value | OO (n = 387) HR, CI, p value |
---|---|---|---|---|---|
Age cut | HR: 3.4, CI: 2.3–5.1, p = 0.000** | HR: 3.6, CI: 2.0–6.4, p = 0.000** | HR: 3.2, CI: 1.8–5.7, p = 0.000** | ||
BMI ≥ 30 | HR: 0.7, CI: 0.4–1.1, p = 0.157 | HR: 0.7, CI: 0.3–1.4, p = 0.282 | HR: 0.8, CI: 0.4–1.6, p = 0.479 | HR: 1.0, CI: 0.5–2.0, p = 0.953 | HR: 0.5, CI: 0.3–1.1, p = 0.098 |
Diabetes type 2 | HR: 0.8, CI: 0.4–1.7, p = 0.613 | HR: 0.6, CI: 0.2–2.2, p = 0.474 | HR: 1.0, CI: 0.4–2.7, p = 0.924 | HR: 0.4, CI: 0.1–1.8, p = 0.245 | HR: 1.2, CI: 0.5–2.8, p = 0.704 |
Gender | HR: 1.3, CI: 0.9–1.9, p = 0.188 | HR: 1.2, CI: 0.6–2.2, p = 0.587 | HR: 1.3, CI: 0.8–2.2, p = 0.294 | ||
Hypertension | HR: 1.8, CI: 1.2–2.6, p = 0.006** | HR: 2.1, CI: 1.2–3.6, p = 0.013* | HR: 1.6, CI: 0.9–2.8, p = 0.118 | HR: 1.7, CI: 0.9–3.1, p = 0.128 | HR: 1.8, CI: 1.1–3.1, p = 0.019* |
History of stroke | HR: 3.7, CI: 2.0–6.9, p = 0.000** | HR: 2.7, CI: 1.0–7.5, p = 0.052 | HR: 4.6, CI: 2.1–10.2, p = 0.000** | HR: 6.2, CI: 2.7–14.4, p = 0.000** | HR: 2.3, CI: 0.9–6.1, p = 0.088 |
Periodontitis | HR: 1.2, CI: 0.8–1.8, p = 0.442 | HR: 1.3, CI: 0.7–2.4, p = 0.485 | HR: 1.2, CI: 0.6–2.1, p = 0.627 | HR: 1.1, CI: 0.5–2.3, p = 0.865 | HR: 1.2, CI: 0.7–2.0, p = 0.535 |
Smoking | HR: 1.0, CI: 0.7–1.5, p = 0.915 | HR: 0.8, CI: 0.4–1.4, p = 0.381 | HR: 1.2, CI: 0.7–2.1, p = 0.544 | HR: 1.2, CI: 0.7–2.3, p = 0.496 | HR: 0.9, CI: 0.6–1.6, p = 0.834 |
Associations to mortality during the follow-up period
Independent variables at baseline | All individuals (n = 858) HR, CI, p value | Women (n = 459) HR, CI, p value | Men (n = 399) HR, CI, p value | YO (n = 471) HR, CI, p value | OO (n = 387) HR, CI, p value |
---|---|---|---|---|---|
Age cut | HR: 5.7, CI: 4.6–7.0, p = 0.000** | HR: 5.9, CI: 4.3–7.9, p = 0.000** | HR: 5.6, CI: 4.2–7.5, p = 0.000** | ||
BMI ≥ 30 | HR: 1.0, CI: 0.8–1.3, p = 0.863 | HR: 1.0, CI: 0.8–1.5, p = 0.675 | HR: 1.0, CI: 0.7–1.3, p = 0.808 | HR: 1.4, CI: 0.9–2.0, p = 0.117 | HR: 0.9, CI: 0.7–1.2, p = 0.422 |
Diabetes type 2 | HR: 1.1, CI: 0.8–1.5, p = 0.591 | HR: 1.2, CI: 0.7–2.0, p = 0.554 | HR: 1.1, CI: 0.7–1.7, p = 0.835 | HR: 1.0, CI: 0.6–1.9, p = 0.887 | HR: 1.1, CI: 0.7–1.6, p = 0.671 |
Gender | HR: 1.3, CI:1.1–1.6, p = 0.009** | HR: 1.3, CI: 0.9–1.9, p = 0.112 | HR: 1.3, CI: 1.0–1.7, p = 0.025* | ||
Hypertension | HR: 1.2, CI: 1.0–1.5, p = 0.033* | HR: 1.4, CI: 1.1–1.9, p = 0.012* | HR: 1.1, CI: 0.9–1.5, p = 0.371 | HR: 1.2, CI: 0.8–1.7, p = 0.444 | HR: 1.3, CI: 1.0–1.6, p = 0.057 |
History of AMI | HR: 1.1, CI: 0.8–1.5, p = 0.540 | HR: 1.4, CI: 0.7–2.7, p = 0.287 | HR: 1.0, CI: 0.7–1.4, p = 0.996 | HR: 1.3, CI: 0.7–2.6, p = 0.397 | HR: 1.0, CI: 0.7–1.5, p = 0.813 |
History of stroke | HR: 1.9, CI: 1.3–2.9, p = 0.002** | HR: 1.5, CI: 0.8–2.8, p = 0.225 | HR: 2.3, CI: 1.3–3.9, p = 0.004** | HR: 1.8, CI: 0.9–3.5, p = 0.088 | HR: 1.9, CI: 1.1–3.2, p = 0.013* |
Periodontitis | HR: 1.4, CI: 1.2–1.8, p = 0.002** | HR: 1.4, CI: 1.0–1.9, p = 0.055 | HR: 1.5, CI: 1.1–1.9, p = 0.006** | HR: 2.2, CI: 1.5–3.2, p = 0.000** | HR: 1.2, CI: 1.0–1.6, p = 0.102 |
Smoking | HR: 1.0, CI: 0.8–1.2, p = 0.977 | HR: 0.9, CI: 0.6–1.2, p = 0.333 | HR: 1.1, CI: 0.9–1.5, p = 0.321 | HR: 1.1, CI: 0.8–1.5, p = 0.624 | HR: 1.0, CI: 0.8–1.2, p = 0.810 |
Independent variables at baseline | All individuals (n = 813) HR, CI, p value | Women (n = 430) HR, CI, p value | Men (n = 383) HR, CI, p value | YO (n = 452) HR, CI, p value | OO (n = 361) HR, CI, p value |
---|---|---|---|---|---|
Age cut | HR: 1.7, CI: 1.2–2.3, p = 0.002** | HR: 2.2, CI: 1.4–3.4, p = 0.001** | HR: 1.3, CI: 0.8–2.0, p = 0.291 | ||
BMI ≥ 30 | HR: 1.2, CI: 0.8–1.6, p = 0.356 | HR: 1.1, CI: 0.7–1.8, p = 0.686 | HR: 1.3, CI: 0.8–2.1, p = 0.320 | HR: 1.2, CI: 0.8–1.9, p = 0.370 | HR: 1.1, CI: 0.7–1.9, p = 0.666 |
Diabetes type 2 | HR: 1.3, CI: 0.8–2.1, p = 0.257 | HR: 1.4, CI: 0.7–2.8, p = 0.379 | HR: 1.3, CI: 0.7–2.5, p = 0.427 | HR: 1.3, CI: 0.7–2.5, p = 0.380 | HR: 1.2, CI: 0.6–2.5, p = 0.571 |
Gender | HR: 1.2, CI: 0.9–1.7, p = 0.201 | HR: 1.5, CI: 1.0–2.3, p = 0.036* | HR: 1.0, CI: 0.6–1.6, p = 0.995 | ||
Hypertension | HR: 1.5, CI: 1.1–2.0, p = 0.012* | HR: 1.8, CI: 1.2–2.8, p = 0.008** | HR: 1.2, CI: 0.7–1.8, p = 0.514 | HR: 1.5, CI: 1.0–2.3, p = 0.072 | HR: 1.5, CI: 0.9–2.3, p = 0.090 |
History of AMI | HR: 2.2, CI: 1.4–3.5, p = 0.000** | HR: 2.4, CI: 1.0–5.5, p = 0.040* | HR: 2.3, CI: 1.4–3.9, p = 0.002** | HR: 2.2, CI: 1.1–4.4, p = 0.03* | HR: 2.2, CI: 1.3–3.9, p = 0.007** |
Smoking | HR: 1.1, CI: 0.8–1.5, p = 0.567 | HR: 1.1, CI: 0.7–1.7, p = 0.700 | HR: 1.2, CI: 0.8–1.8, p = 0.494 | HR: 1.3, CI: 0.9–2.0, p = 0.202 | HR: 0.9, CI: 0.6–1.5, p = 0.690 |
Tooth loss | HR: 1.0, CI: 1.0–1.1, p = 0.006** | HR: 1.0, CI: 1.0–1.1, p = 0.019** | HR: 1.0, CI: 1.0–1.1, p = 0.161 | HR: 1.0, CI: 1.0–1.1, p = 0.006** | HR: 1.0, CI: 1.0–1.0, p = 0.285 |
Independent variables at baseline | All individuals (n = 817) HR, CI, p value | Women (n = 431) HR, CI, p value | Men (n = 385) HR, CI, p value | YO (n = 447) HR, CI, p value | OO (n = 366) HR, CI, p value |
---|---|---|---|---|---|
Age cut | HR: 3.3, CI: 2.1–5.1, p = 0.000** | HR: 3.2, CI: 1.7–6.0, p = 0.000** | HR: 3.4, CI: 1.9–6.2, p = 0.000** | ||
BMI ≥ 30 | HR: 0.7, CI: 0.4–1.1, p = 0.140 | HR: 0.7, CI: 0.3–1.3, p = 0.256 | HR: 0.8, CI: 0.4–1.5, p = 0.454 | HR: 1.0, CI: 0.5–2.0, p = 0.961 | HR: 0.5, CI: 0.3–1.1, p = 0.088 |
Diabetes type 2 | HR: 0.8, CI: 0.4–1.7, p = 0.542 | HR: 0.6, CI: 0.2–2.1, p = 0.422 | HR: 1.0, CI: 0.4–2.6, p = 0.958 | HR: 0.4, CI: 0.1–1.8, p = 0.232 | HR: 1.1, CI: 0.5–2.7, p = 0.754 |
Gender | HR: 1.3, CI: 0.9–2.0, p = 0.151 | HR: 1.2, CI: 0.7–2.2, p = 0.554 | HR: 1.3, CI: 0.8–2.3, p = 0.272 | ||
Hypertension | HR: 1.7, CI: 1.2–2.6, p = 0.007** | HR: 2.0, CI: 1.1–3.5, p = 0.020* | HR: 1.6, CI: 0.9–2.7, p = 0.129 | HR: 1.6, CI: 0.8–3.1, p = 0.147 | HR: 1.8, CI: 1.1–3.1, p = 0.021* |
History of stroke | HR: 3.6, CI: 1.9–6.6, p = 0.000** | HR: 2.5, CI: 0.9–6.9, p = 0.070 | HR: 4.6, CI: 2.1–10.1, p = 0.000** | HR: 6.1, CI: 2.6–14.1, p = 0.000** | HR: 2.2, CI: 0.9–5.8, p = 0.103 |
Smoking | HR: 1.0, CI: 0.7–1.5, p = 0.909 | HR: 0.8, CI: 0.4–1.4, p = 0.353 | HR: 1.2, CI: 0.7–2.2, p = 0.483 | HR: 1.2, CI: 0.7–2.2, p = 0.535 | HR: 1.0, CI: 0.6–1.6, p = 0.881 |
Tooth loss | HR: 1.0, CI: 1.0–1.0, p = 0.593 | HR: 1.0, CI: 1.0–1.1, p = 0.249 | HR: 1.0, CI: 1.0–1.0, p = 0.717 | HR: 1.0, CI: 1.0–1.1, p = 0.552 | HR: 1.0, CI: 1.0–1.0, p = 0.921 |
Independent variables at baseline | All individuals (n = 810) HR, CI, p value | Women (n = 427) HR, CI, p value | Men (n = 383) HR, CI, p value | YO (n = 448) HR, CI, p value | OO (n = 362) HR, CI, p value |
---|---|---|---|---|---|
Age cut | HR: 5.0, CI: 4.0–6.2, p = 0.000** | HR: 4.8, CI: 3.5–6.6, p = 0.000** | HR: 5.2, CI: 3.8–7.1, p = 0.000** | ||
BMI ≥ 30 | HR: 1.0, CI: 0.8–1.2, p = 0.913 | HR: 1.0, CI: 0.7–1.4, p = 0.839 | HR: 0.9, CI: 0.7–1.3, p = 0.658 | HR: 1.3, CI: 0.9–1.9, p = 0.219 | HR: 0.9, CI: 0.6–1.2, p = 0.347 |
Diabetes type 2 | HR: 1.0, CI: 0.7–1.3, p = 0.806 | HR: 1.0, CI: 0.6–1.8, p = 0.815 | HR: 0.9, CI: 0.6–1.4, p = 0.641 | HR: 0.8, CI: 0.4–1.5, p = 0.528 | HR: 1.0, CI: 0.7–1.5, p = 0.943 |
Gender | HR: 1.4, CI: 1.1–1.7, p = 0.002** | HR: 1.5, CI: 1.0–2.1, p = 0.022 | HR: 1.4, CI: 1.1–1.7, p = 0.014 | ||
Hypertension | HR: 1.2, CI: 1.0–1.5, p = 0.040* | HR: 1.4, CI: 1.0–1.9, p = 0.025* | HR: 1.1, CI: 0.8–1.5, p = 0.393 | HR: 1.1, CI: 0.8–1.6, p = 0.597 | HR: 1.3, CI: 1.0–1.6, p = 0.060 |
History of AMI | HR: 1.1, CI: 0.8–1.6, p = 0.403 | HR: 1.5, CI: 0.8–2.9, p = 0.212 | HR: 1.0, CI: 0.7–1.5, p = 0.813 | HR: 1.2, CI: 0.6–2.3, p = 0.580 | HR: 1.1, CI: 0.7–1.5, p = 0.710 |
History of stroke | HR: 1.7, CI: 1.1–2.5, p = 0.012* | HR: 1.3, CI: 0.7–2.4, p = 0.426 | HR: 2.0, CI: 1.2–3.5, p = 0.013* | HR: 1.7, CI: 0.8–3.3, p = 0.149 | HR: 1.8, CI: 1.1–2.9, p = 0.032 |
Smoking | HR: 1.0, CI: 0.8–1.2, p = 0.956 | HR: 0.9, CI: 0.6–1.2, p = 0.337 | HR: 1.2, CI: 0.9–1.5, p = 0.311 | HR: 1.1, CI: 0.8–1.6, p = 0.555 | HR: 1.0, CI: 0.8–1.2, p = 0.828 |
Tooth loss | HR: 1.0, CI: 1.0–1.0, p = 0.000** | HR: 1.0, CI: 1.0–1.1, p = 0.000** | HR: 1.0, CI: 1.0–1.0, p = 0.050 | HR: 1.1, CI: 1.0–1.1, p = 0.000** | HR: 1.0, CI: 1.0–1.0, p = 0.090 |