Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients
Issued Date
2022-01-01
Resource Type
ISSN
13434934
eISSN
18804926
Scopus ID
2-s2.0-85133680160
Pubmed ID
35691889
Journal Title
Journal of Oral Science
Volume
64
Issue
3
Start Page
236
End Page
241
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Oral Science Vol.64 No.3 (2022) , 236-241
Suggested Citation
Bajgai G.P., Okuma N., Khovidhunkit S.O.P., Thanakun S. Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients. Journal of Oral Science Vol.64 No.3 (2022) , 236-241. 241. doi:10.2334/josnusd.22-0057 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/84472
Title
Comparison of measured blood pressure levels, hypertension history, oral diseases, and associated factors among Thai dental patients
Author(s)
Other Contributor(s)
Abstract
Purpose: To compare blood pressure (BP), hypertension (HT) history, oral diseases, and potentially associated factors among dental patients in Thailand and explore the associations among them. Methods: This study included 709 patients. Demographic data, BP levels, oral diseases, xerostomia, anxiety, depression, and associated factors were evaluated. Results: One-third of the patients were male; patients with a history of HT were older than those without (P < 0.001). In total, 53 (7.5%) had such a history, and HT was controlled in 29 (54.7%) of them. Patients with possible HT (BP ≥140/90 mmHg; 94 in total, 13.3%) were five times more likely to have a definitive diagnosis of HT than those without possible HT (odd ratio [OR] = 4.95; 95% confidence interval [CI]: 2.76-8.87; P < 0.001). They also had an increased tendency to be taking antidyslipidemic (OR = 5.54; 95% CI: 2.90-10.60; P = 0.001) or antidiabetic (OR = 4.80; 95% CI: 1.91-12.08; P = 0.001) drugs. Male sex (ß = 0.156, P < 0.001), higher age (ß = 0.299, P < 0.001), higher body mass index (ß = 0.410, P < 0.001), and periapical tissue diseases (ß = 0.073, P = 0.019) were significantly associated with elevated systolic BP. Severe periodontitis (ß = 0.081, P = 0.023) and a comparable association pattern with systolic BP were related to diastolic BP. Multivariate analysis revealed no significant association between BP and tooth loss, xerostomia, smoking, education level, anxiety, or depression. Conclusion: Dentists play an essential role in screening for undiagnosed and uncontrolled HT. Significant associations were noted between oral inflammatory diseases and high BP.