The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 7 ( July, 2020 ) > List of Articles

ORIGINAL RESEARCH

Assessment of Oral–Systemic Disease Association amongst Dental Patients: A Retrospective Panoramic Radiographic Study

Khalil I Assiri, Nuchilakath C Sandeepa, Rawan SM Asiri, Sara AM Mulawi, Shaden MH Najmi, Kumar C Srivastava

Citation Information : Assiri KI, Sandeepa NC, Asiri RS, Mulawi SA, Najmi SM, Srivastava KC. Assessment of Oral–Systemic Disease Association amongst Dental Patients: A Retrospective Panoramic Radiographic Study. J Contemp Dent Pract 2020; 21 (7):748-755.

DOI: 10.5005/jp-journals-10024-2838

License: CC BY-NC 4.0

Published Online: 19-08-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The association between oral health and overall health has been broadly documented in the past few years and is supported by a rapidly growing body of evidence. Interventional studies were able to establish a linkage between dental intervention and its influence on medical situations. This study tried to determine whether the overall health of a subject may be correlated to radiographically noticeable dental pathology. There was a need to test a null theory of whether subjects having good oral health state had fewer systemic illnesses. Materials and methods: This was a retrospective panoramic radiographic study of 400 radiographs of 200 women and 200 men. Subjects were divided into a control group of subjects with no medical history, and a second group with patients who had presented with a medical history. A panoramic radiograph was observed for periapical radiolucency, caries, remaining teeth, remaining root, horizontal, and vertical bone loss. The oral index (OI) was calculated and correlated with the medical status of the patient. Results: Men demonstrated a higher incidence of horizontal bone loss and missing teeth. On the contrary, women showed higher incidences of vertical bone loss, compromised periapical index, and a greater number of root canal treated teeth. Patients having a medical history had a significant percentage of the increased number of periapical lesions, tooth loss, poor quality root canal treatment, and periapical index. Patients with both diabetes mellitus (DM) and hypertension [HTN (61.3%)], anemia (75%), prostate disease (100%), and disabilities such as hearing impairment and mental retardation (100%) had significantly higher percentages of the bad OI. Conclusion: Most patients with medical history demonstrated a significantly poor OI than those with no medical history. The present research contributes to scientific works by probing the relationship between oral health and the overall well-being. Increasing the sample size and interventional studies are needed as an extension of the current research. Clinical significance: Panoramic radiograph is commonly practiced as a screening radiograph in a dental setup. By calculating an OI of each patient based on certain dental conditions, it can help in revealing the burden of medical diseases on oral health and vice versa.


PDF Share
  1. Seymour GJ. Good oral health is essential for good general health: the oral-systemic connection. Clin Microbiol Infect 2007;13:1–2. DOI: 10.1111/j.1469-0691.2007.01797.x.
  2. Reissmann DR, John MT, Schierz O, et al. Association between perceived oral and general health. J Dent 2013;41(7):581–589. DOI: 10.1016/j.jdent.2013.05.007.
  3. Chapple IL. The impact of oral disease upon systemic health–symposium overview. J Dent 2009;37(8):S568–S571. DOI: 10.1016/j.jdent.2009.05.022.
  4. Amar S, Han X. The impact of periodontal infection on systemic diseases. Med Sci Monit 2003;9(12):RA291–RA299.
  5. Naito M, Yuasa H, Nomura Y, et al. Oral health status and health related quality of life: a systemic review. J Oral Sci 2006;48(1):1–7.DOI: 10.2334/josnusd.48.1.
  6. Garcia RI, Henshaw MM, Krall EA. Relationship between periodontal disease and systemic health. Periodontol 2000 2001;25(1):21–36. DOI: 10.1034/j.1600-0757.2001.22250103.x.
  7. Haumschild MS, Haumschild RJ. The importance of oral health in long-term care. J Am Med Dir Assoc 2009;10(9):667–671. DOI: 10.1016/j.jamda.2009.01.002.
  8. Relvas M, Diz P, Seoane J, et al. Oral health scales: design of an oral health scale of infectious potential. Med Oral Patol Oral Cir Bucal 2013;18(4):e664–e670. DOI: 10.4317/medoral.18427.
  9. Joseph BK, Kullman L, Sharma PN. The oral-systemic disease connection: a retrospective study. Clin Oral Invest 2016;20(8): 2267–2273. DOI: 10.1007/s00784-016-1725-3.
  10. Orstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol 1986;2(1):20–34. DOI: 10.1111/j.1600-9657.1986.tb00119.x.
  11. Li X, Kolltveit KM, Tronstad L, et al. Systemic diseases caused by oral infection. Clin Microbiol Rev 2000;4(4):547–558. DOI: 10.1128/cmr.13.4.547-558.2000.
  12. Aminoshariae A, kulid JC, Mickel A, et al. Association between systematic disease and endodontic outcome: A systematic review. J Endod 2017;43(4):514–519. DOI: 10.1016/j.joen.2016.11.008.
  13. Paquette DW. The periodontal infection-systemic disease link: a review of the truth or myth. J Int Acad Periodontol 2002;4(3):101–109.
  14. Britto LR, Katz J, Guelmann M, et al. Periradicular radiographic assessment in diabetic and control individuals. OOOE 2003;96(4): 449–452. DOI: 10.1016/s1079-2104(03)00034-9.
  15. Schulze A, Schönauer M, Busse M. Sudden improvement of insulin sensitivity related to an endodontic treatment. J Periodontol 2007;78(12):2380–2384. DOI: 10.1902/jop.2007.070033.
  16. Sánchez-Domínguez B, López-López J, Jané-Salas E, et al. Glycated hemoglobin levels and prevalence of apical periodontitis in type 2 diabetic patients. J Endod 2015;41(5):601–606. DOI: 10.1016/j.joen.2014.12.024.
  17. Khalighinejad N, Aminoshariae MR, Aminoshariae A, et al. Association between systemic diseases and apical periodontitis. J Endod 2016;42(10):1427–1434. DOI: 10.1016/j.joen.2016.07.007.
  18. Khalighinejad N, Aminoshariae A, Kulild JC, et al. Association of end-stage renal disease with radiographically and clinically diagnosed apical periodontitis: a hospital-based study. J Endod 2017;43(9): 1438–1441. DOI: 10.1016/j.joen.2017.04.014.
  19. Khalighinejad N, Aminoshariae A, Kulild JC, et al. Apical periodontitis, a predictor variable for preeclampsia: a case-control study. J Endod 2017;43(10):1611–1614. DOI: 10.1016/j.joen.2017.05.021.
  20. Piras V, Usai P, Mezzena S, et al. Prevalence of apical periodontitis in patients with inflammatory bowel diseases: a retrospective clinical study. J Endod 2017;43(3):389–394. DOI: 10.1016/j.joen.2016.11.004.
  21. Gomes-Filho JE, Wayama MT, Dornelles RCM, et al. Raloxifene modulates regulators of osteoclastogenesis and angiogenesis in an oestrogen deficiency periapical lesion model. Int Endod J 2015;48(11):1059–1068. DOI: 10.1111/iej.12403.
  22. Holmlund A, Holm G, Lind L. Number of teeth as a predictor of cardiovascular mortality in a cohort of 7,674 subjects followed for 12 years. J Periodontol 2010;81(6):870–876. DOI: 10.1902/jop.2010.090680.
  23. Östberg AL, Nyholm M, Gullberg B, et al. Tooth loss and obesity in a defined swedish population. Scand J Public Health 2009;37(4): 427–433. DOI: 10.1177/1403494808099964.
  24. Michaud DS, Liu Y, Meyer M, et al. Periodonal disease, tooth loss, and cancer risk in male health professionals. Lancet Oncol 2008;9(6): 550–558. DOI: 10.1016/S1470-2045(08)70106-2.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.