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Improved Oral Health Is Associated with a Lower Risk of Late Onset Ankylosing Spondylitis: A Nationwide Cohort Study
- Title
- Improved Oral Health Is Associated with a Lower Risk of Late Onset Ankylosing Spondylitis: A Nationwide Cohort Study
- Authors
- Chung; Min Kyung; Chang; Yoonkyung; Park; Jung-Hyun; Leem; Gwang Hyun; Song; Tae-Jin
- Ewha Authors
- 송태진; 정민경; 장윤경; 박정현
- SCOPUS Author ID
- 송태진; 정민경; 장윤경; 박정현
- Issue Date
- 2024
- Journal Title
- Journal of Clinical Medicine
- ISSN
- 2077-0383
- Citation
- Journal of Clinical Medicine vol. 13, no. 6
- Keywords
- ankylosing spondylitis; focal disease; oral hygiene; periodontitis; source of infection; tooth brushing
- Publisher
- Multidisciplinary Digital Publishing Institute (MDPI)
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Background: The aim of this study was to evaluate the association of oral health status and habits with the occurrence of ankylosing spondylitis (AS) in a nationwide population-based cohort in a longitudinal setting. Methods: A total of 2,415,963 individuals aged 40–79 years who underwent oral health examinations were included from the National Health Insurance Service-National Health Screening (NHIS-HEALS) cohort of Korea between 2003 and 2004. The occurrence of AS was analyzed according to the oral health status and oral hygiene habits. Results: Among 2,271,221 of the participants, AS occurred in 6366 (0.3%) participants over 16.7 years. The likelihood of AS was higher in participants who had periodontitis (hazard ratio [HR]: 1.33, 95% confidence interval [CI]: 1.20–1.46, p < 0.0001) and more missing teeth (HR: 1.68, 95% CI: 1.42–1.99, p < 0.0001). However, better oral hygiene habits such as frequent tooth brushing (HR: 0.77, 95% CI: 0.71–0.83, p < 0.0001) and a history of dental scaling within the last year (HR 0.88, 95% CI 0.82–0.95, p = 0.001) were associated with a lower occurrence of AS. Conclusions: Periodontitis and an increased number of missing teeth could be related to the occurrence of late-onset AS. Improved oral hygiene care may attenuate the likelihood of late-onset AS. © 2024 by the authors.
- DOI
- 10.3390/jcm13061606
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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