Better Oral Hygiene Is Associated with a Decreased Risk of Meniere's Disease: A Nationwide Cohort Study
- 주제(키워드) periodontitis , oral hygiene , tooth brushing , Meniere's disease
- 주제(기타) Health Care Sciences & Services; Medicine, General & Internal
- 설명문(일반) [Park, Jung-Hyun; Kim, Jin-Woo] Mokdong Hosp, Coll Med, Dept Oral & Maxillofacial Surg, Seoul 07985, South Korea; [Lee, Heajung; Hong, Iksun; Song, Tae-Jin] Ewha Womans Univ, Seoul Hosp, Dept Neurol, Coll Med, Seoul 07804, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 MDPI
- 발행년도 2023
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000203912
- 본문언어 영어
- Published As https://doi.org/10.3390/jpm13010080
초록/요약
To investigate the association of the oral health parameters with Meniere's disease in a nationwide population-based longitudinal cohort database. The data of the participants who underwent an oral health screening by dentists in 2003 (n = 2,415,963) were retrieved from the National Health Insurance Database of the Korean National Health Insurance Service. The main outcome was the occurrence of Meniere's disease, defined as two or more claims of the diagnostic code H810 with a previous audiometric examination. The occurrence of Meniere's disease was analyzed using a Cox proportional hazard model according to the presence of periodontitis and the oral health examination findings, including missing teeth, the frequency of tooth brushing and dental scaling. Overall, the analysis included 2,240,282 participants. During a median follow-up of 16.7 years, Meniere's disease developed in 112,106 (5.0%) participants. Poor oral health status was characterized by the presence of periodontitis (adjusted hazard ratio [aHR]: 1.18, 95% confidence interval [CI]: 1.14-1.22, p < 0.001) and an increased number of missing teeth (>= 15; aHR: 1.25, 95% CI: 1.18-1.32, p < 0.001) was associated with an increased risk of Meniere's disease. Better oral hygiene behaviors, such as frequent tooth brushing (>= 3 per day; aHR: 0.75, 95% CI: 0.73-0.76, p < 0.001) and dental scaling within 1 year (aHR: 0.98, 95% CI: 0.97-0.99, p = 0.003) were negatively associated with the occurrence of Meniere's disease. The presence of periodontitis and an increased number of missing teeth may augment the risk of the occurrence of Meniere's disease. However, maintaining good oral hygiene through tooth brushing and dental scaling may be associated with a decreased risk of Meniere's disease. Further studies should confirm the association between oral health and Meniere's disease.
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