Association of an Ill-Fitting Prosthesis With an Increased Risk of Hypertension
TAKE-HOME MESSAGE
- This study showed that an ill-fitting prosthesis (IFP), including ill-fitting removable dentures and fixed restorations, was associated with an increased risk of hypertension and elevations in systolic and diastolic blood pressure. The number of involved teeth showed a significant incremental trend with the risk of hypertension in the population with an IFP. A more pronounced association between IFP and blood pressure levels was observed among female patients, those aged between 18 and 60 years, those without obesity, and those with diabetes.
- Recognizing that an IFP is a risk factor for hypertension, interdisciplinary collaboration and mutual referral between dentists and cardiovascular specialists are recommended for the improvement of oral health and masticatory function as well as early detection and treatment of people with risk factors for cardiovascular diseases.
abstract
This abstract is available on the publisher's site.
Access this abstract nowOBJECTIVE
Previous studies focused on the benefits of adequate prosthodontic treatment, while few studies have investigated the prosthodontic-related risks to health. As a modifiable oral health indicator, the association of ill-fitting prosthesis (IFP) with hypertension has not been fully explored.
METHODS
This cross-sectional study involved 158,659 adults in Beijing (2009-2017) receiving intra-oral examinations and blood pressure measurements. Logistic regression models were applied to assess the association of IFP with the prevalence of hypertension, systolic blood pressure (SBP) ≧ 140 mmHg and diastolic blood pressure (DBP) ≧ 90 mmHg, as well as subgroup analyses by different fixed IFP subgroups (according to involved teeth number) and removable IFP subgroup. We further investigated effect modifications among stratified populations.
RESULTS
158,659 individuals were included for analysis, 346 (26.86%) in IFP group and 27,380 (17.40%) in non-IFP group (p < 0.001) were hypertensive. After adjustment of sex, age, obesity, dyslipidaemia, diabetes, hsCRP, family history of CVD, self-reported smoking, self-reported drinking and WC, ORs of hypertension, SBP ≧ 140 mmHg and DBP ≧ 90 mmHg were 1.330 (95% CI: 1.162-1.522), 1.277 (95% CI: 1.098-1.486) and 1.376 (95% CI: 1.186-1.596), respectively (p < 0.05). Furthermore, after full adjustment, the number of involved teeth showed a significant incremental trend with hypertension risk in the population with and without IFP (p for trend <0.001). The IFP-blood pressure associations were more pronounced in females, 18-60 years, non-obese and diabetic participants.
CONCLUSION
As a modifiable oral indicator, IFP was significantly associated with a higher risk of hypertension.
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Additional Info
Ill-fitting prosthesis is associated with an increased risk of elevated blood pressures
J Oral Rehabil 2024 Mar 15;[EPub Ahead of Print], Y Liu, F Lei, D Yao, X Zhang, X Huang, J Cai, KQ Deng, B ChengFrom MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.