Dental treatment procedures for periodontal disease and the subsequent risk of ischaemic stroke: A retrospective population‐based cohort study
Aim To investigate the association between specific dental therapy for periodontal disease and the risk of ischaemic stroke. Materials and Methods We conducted a population‐based cohort study that used data from the Taiwan National Health Insurance Research Database 2005 for the period of 2000–2013....
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| Veröffentlicht in: | Journal of clinical periodontology 2019-06, Vol.46 (6), p.642-649 |
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| container_title | Journal of clinical periodontology |
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| creator | Lin, Hsiao‐Wei Chen, Chun‐Min Yeh, Yi‐Chun Chen, Yen‐Yu Guo, Ru‐Yu Lin, Yen‐Ping Li, Ya‐Ching |
| description | Aim
To investigate the association between specific dental therapy for periodontal disease and the risk of ischaemic stroke.
Materials and Methods
We conducted a population‐based cohort study that used data from the Taiwan National Health Insurance Research Database 2005 for the period of 2000–2013. Our observations focused on patients with the diagnoses of gingivitis or periodontitis with and without specific treatment and subsequent incidence of ischaemic stroke. Dental care services include dental scaling, intensive treatment (subgingival curettage and root planing) and tooth extraction. Multivariate Cox regression analysis was used to estimate the hazard ratios and corresponding 95% confidence intervals (95% CI).
Results
Compared with those in the gingivitis cohort, patients with periodontitis have a higher risk of ischaemic stroke and a lower survival rate of stroke over the 10‐year follow‐up period. After integrative dental care, both dental scaling and intensive treatment, the risk was reduced, especially in patients with periodontitis, while patients with periodontal disease may have an increased risk of stroke after tooth extraction therapy.
Conclusions
Our study showed that periodontitis is a risk factor for ischaemic stroke. Both dental scaling and intensive treatment for periodontal disease are associated with a lower risk of further ischaemic stroke events. |
| doi_str_mv | 10.1111/jcpe.13113 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2210261711</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2227372896</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4233-9a8f8c8a556ac338531d6d0cea7f1f139e4c338bb77f7842f1fff1a123357d223</originalsourceid><addsrcrecordid>eNp9kc9u1DAQxi1ERbcLFx4AWeJSVUrxn02ccKu2BYoqwQEkbpFjj7XeJnGwHdDe-gh9Rp6E2W7hwAFfPBr95tN88xHykrNzju_N1kxwziXn8glZ8IqxgpX821OyYJLJompUc0xOUtoyxpWU8hk5lqypm6rmC3J_CWPWPc0RdB6wplMMBuwcIVEXIp0g-mDDA2R9Ap2A6tHSvAGa5i7B93k_FX26pcFRn8xGw-ANTTmGW3hLL2gELNMEJvsfQKcwzb3OPoy_7u47lLPUhE2IGSdmu3tOjpzuE7x4_Jfk67urL-sPxc2n99fri5vCrISURaNrV5tal2WljZR1KbmtLDOgleOOywZW-3bXKeVUvRLYdI5rjrOlskLIJTk96KJftJByO-Du0Pd6hDCnVgjORMUVXnVJXv-DbsMcR9wOKaGkEnhMpM4OlEGzKYJrp-gHHXctZ-0-p3afU_uQE8KvHiXnbgD7F_0TDAL8APz0Pez-I9V-XH--Ooj-BnhloS0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2227372896</pqid></control><display><type>article</type><title>Dental treatment procedures for periodontal disease and the subsequent risk of ischaemic stroke: A retrospective population‐based cohort study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Lin, Hsiao‐Wei ; Chen, Chun‐Min ; Yeh, Yi‐Chun ; Chen, Yen‐Yu ; Guo, Ru‐Yu ; Lin, Yen‐Ping ; Li, Ya‐Ching</creator><creatorcontrib>Lin, Hsiao‐Wei ; Chen, Chun‐Min ; Yeh, Yi‐Chun ; Chen, Yen‐Yu ; Guo, Ru‐Yu ; Lin, Yen‐Ping ; Li, Ya‐Ching</creatorcontrib><description>Aim
To investigate the association between specific dental therapy for periodontal disease and the risk of ischaemic stroke.
Materials and Methods
We conducted a population‐based cohort study that used data from the Taiwan National Health Insurance Research Database 2005 for the period of 2000–2013. Our observations focused on patients with the diagnoses of gingivitis or periodontitis with and without specific treatment and subsequent incidence of ischaemic stroke. Dental care services include dental scaling, intensive treatment (subgingival curettage and root planing) and tooth extraction. Multivariate Cox regression analysis was used to estimate the hazard ratios and corresponding 95% confidence intervals (95% CI).
Results
Compared with those in the gingivitis cohort, patients with periodontitis have a higher risk of ischaemic stroke and a lower survival rate of stroke over the 10‐year follow‐up period. After integrative dental care, both dental scaling and intensive treatment, the risk was reduced, especially in patients with periodontitis, while patients with periodontal disease may have an increased risk of stroke after tooth extraction therapy.
Conclusions
Our study showed that periodontitis is a risk factor for ischaemic stroke. Both dental scaling and intensive treatment for periodontal disease are associated with a lower risk of further ischaemic stroke events.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/jcpe.13113</identifier><identifier>PMID: 30989681</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Brain Ischemia ; Cohort analysis ; Cohort Studies ; Curettage ; Dental Care ; Dental Scaling ; Dentistry ; Gingivitis ; Gum disease ; Humans ; ischaemic stroke ; Periodontal Diseases ; Periodontitis ; Population studies ; Population-based studies ; Retrospective Studies ; Scaling ; Stroke ; Taiwan ; Teeth ; Tooth extractions</subject><ispartof>Journal of clinical periodontology, 2019-06, Vol.46 (6), p.642-649</ispartof><rights>2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4233-9a8f8c8a556ac338531d6d0cea7f1f139e4c338bb77f7842f1fff1a123357d223</citedby><cites>FETCH-LOGICAL-c4233-9a8f8c8a556ac338531d6d0cea7f1f139e4c338bb77f7842f1fff1a123357d223</cites><orcidid>0000-0001-5380-3147</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjcpe.13113$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjcpe.13113$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27911,27912,45561,45562</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30989681$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Hsiao‐Wei</creatorcontrib><creatorcontrib>Chen, Chun‐Min</creatorcontrib><creatorcontrib>Yeh, Yi‐Chun</creatorcontrib><creatorcontrib>Chen, Yen‐Yu</creatorcontrib><creatorcontrib>Guo, Ru‐Yu</creatorcontrib><creatorcontrib>Lin, Yen‐Ping</creatorcontrib><creatorcontrib>Li, Ya‐Ching</creatorcontrib><title>Dental treatment procedures for periodontal disease and the subsequent risk of ischaemic stroke: A retrospective population‐based cohort study</title><title>Journal of clinical periodontology</title><addtitle>J Clin Periodontol</addtitle><description>Aim
To investigate the association between specific dental therapy for periodontal disease and the risk of ischaemic stroke.
Materials and Methods
We conducted a population‐based cohort study that used data from the Taiwan National Health Insurance Research Database 2005 for the period of 2000–2013. Our observations focused on patients with the diagnoses of gingivitis or periodontitis with and without specific treatment and subsequent incidence of ischaemic stroke. Dental care services include dental scaling, intensive treatment (subgingival curettage and root planing) and tooth extraction. Multivariate Cox regression analysis was used to estimate the hazard ratios and corresponding 95% confidence intervals (95% CI).
Results
Compared with those in the gingivitis cohort, patients with periodontitis have a higher risk of ischaemic stroke and a lower survival rate of stroke over the 10‐year follow‐up period. After integrative dental care, both dental scaling and intensive treatment, the risk was reduced, especially in patients with periodontitis, while patients with periodontal disease may have an increased risk of stroke after tooth extraction therapy.
Conclusions
Our study showed that periodontitis is a risk factor for ischaemic stroke. Both dental scaling and intensive treatment for periodontal disease are associated with a lower risk of further ischaemic stroke events.</description><subject>Brain Ischemia</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Curettage</subject><subject>Dental Care</subject><subject>Dental Scaling</subject><subject>Dentistry</subject><subject>Gingivitis</subject><subject>Gum disease</subject><subject>Humans</subject><subject>ischaemic stroke</subject><subject>Periodontal Diseases</subject><subject>Periodontitis</subject><subject>Population studies</subject><subject>Population-based studies</subject><subject>Retrospective Studies</subject><subject>Scaling</subject><subject>Stroke</subject><subject>Taiwan</subject><subject>Teeth</subject><subject>Tooth extractions</subject><issn>0303-6979</issn><issn>1600-051X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9u1DAQxi1ERbcLFx4AWeJSVUrxn02ccKu2BYoqwQEkbpFjj7XeJnGwHdDe-gh9Rp6E2W7hwAFfPBr95tN88xHykrNzju_N1kxwziXn8glZ8IqxgpX821OyYJLJompUc0xOUtoyxpWU8hk5lqypm6rmC3J_CWPWPc0RdB6wplMMBuwcIVEXIp0g-mDDA2R9Ap2A6tHSvAGa5i7B93k_FX26pcFRn8xGw-ANTTmGW3hLL2gELNMEJvsfQKcwzb3OPoy_7u47lLPUhE2IGSdmu3tOjpzuE7x4_Jfk67urL-sPxc2n99fri5vCrISURaNrV5tal2WljZR1KbmtLDOgleOOywZW-3bXKeVUvRLYdI5rjrOlskLIJTk96KJftJByO-Du0Pd6hDCnVgjORMUVXnVJXv-DbsMcR9wOKaGkEnhMpM4OlEGzKYJrp-gHHXctZ-0-p3afU_uQE8KvHiXnbgD7F_0TDAL8APz0Pez-I9V-XH--Ooj-BnhloS0</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Lin, Hsiao‐Wei</creator><creator>Chen, Chun‐Min</creator><creator>Yeh, Yi‐Chun</creator><creator>Chen, Yen‐Yu</creator><creator>Guo, Ru‐Yu</creator><creator>Lin, Yen‐Ping</creator><creator>Li, Ya‐Ching</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5380-3147</orcidid></search><sort><creationdate>201906</creationdate><title>Dental treatment procedures for periodontal disease and the subsequent risk of ischaemic stroke: A retrospective population‐based cohort study</title><author>Lin, Hsiao‐Wei ; Chen, Chun‐Min ; Yeh, Yi‐Chun ; Chen, Yen‐Yu ; Guo, Ru‐Yu ; Lin, Yen‐Ping ; Li, Ya‐Ching</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4233-9a8f8c8a556ac338531d6d0cea7f1f139e4c338bb77f7842f1fff1a123357d223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Brain Ischemia</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Curettage</topic><topic>Dental Care</topic><topic>Dental Scaling</topic><topic>Dentistry</topic><topic>Gingivitis</topic><topic>Gum disease</topic><topic>Humans</topic><topic>ischaemic stroke</topic><topic>Periodontal Diseases</topic><topic>Periodontitis</topic><topic>Population studies</topic><topic>Population-based studies</topic><topic>Retrospective Studies</topic><topic>Scaling</topic><topic>Stroke</topic><topic>Taiwan</topic><topic>Teeth</topic><topic>Tooth extractions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Hsiao‐Wei</creatorcontrib><creatorcontrib>Chen, Chun‐Min</creatorcontrib><creatorcontrib>Yeh, Yi‐Chun</creatorcontrib><creatorcontrib>Chen, Yen‐Yu</creatorcontrib><creatorcontrib>Guo, Ru‐Yu</creatorcontrib><creatorcontrib>Lin, Yen‐Ping</creatorcontrib><creatorcontrib>Li, Ya‐Ching</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical periodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Hsiao‐Wei</au><au>Chen, Chun‐Min</au><au>Yeh, Yi‐Chun</au><au>Chen, Yen‐Yu</au><au>Guo, Ru‐Yu</au><au>Lin, Yen‐Ping</au><au>Li, Ya‐Ching</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dental treatment procedures for periodontal disease and the subsequent risk of ischaemic stroke: A retrospective population‐based cohort study</atitle><jtitle>Journal of clinical periodontology</jtitle><addtitle>J Clin Periodontol</addtitle><date>2019-06</date><risdate>2019</risdate><volume>46</volume><issue>6</issue><spage>642</spage><epage>649</epage><pages>642-649</pages><issn>0303-6979</issn><eissn>1600-051X</eissn><abstract>Aim
To investigate the association between specific dental therapy for periodontal disease and the risk of ischaemic stroke.
Materials and Methods
We conducted a population‐based cohort study that used data from the Taiwan National Health Insurance Research Database 2005 for the period of 2000–2013. Our observations focused on patients with the diagnoses of gingivitis or periodontitis with and without specific treatment and subsequent incidence of ischaemic stroke. Dental care services include dental scaling, intensive treatment (subgingival curettage and root planing) and tooth extraction. Multivariate Cox regression analysis was used to estimate the hazard ratios and corresponding 95% confidence intervals (95% CI).
Results
Compared with those in the gingivitis cohort, patients with periodontitis have a higher risk of ischaemic stroke and a lower survival rate of stroke over the 10‐year follow‐up period. After integrative dental care, both dental scaling and intensive treatment, the risk was reduced, especially in patients with periodontitis, while patients with periodontal disease may have an increased risk of stroke after tooth extraction therapy.
Conclusions
Our study showed that periodontitis is a risk factor for ischaemic stroke. Both dental scaling and intensive treatment for periodontal disease are associated with a lower risk of further ischaemic stroke events.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>30989681</pmid><doi>10.1111/jcpe.13113</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-5380-3147</orcidid></addata></record> |
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| ispartof | Journal of clinical periodontology, 2019-06, Vol.46 (6), p.642-649 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Brain Ischemia Cohort analysis Cohort Studies Curettage Dental Care Dental Scaling Dentistry Gingivitis Gum disease Humans ischaemic stroke Periodontal Diseases Periodontitis Population studies Population-based studies Retrospective Studies Scaling Stroke Taiwan Teeth Tooth extractions |
| title | Dental treatment procedures for periodontal disease and the subsequent risk of ischaemic stroke: A retrospective population‐based cohort study |
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