Hypertension and Its Association with Oral Health Status in Adults: A Pilot Study in Padusunan Adults Community

Authors: Murniwati, Nurul Khairiyah, Putri Ovieza Maizar

Abstract:

The association between general and oral health is clearly important, particularly in adults with medical conditions. Many of the medical systemic conditions are either caused or aggravated by poor oral hygiene and vice versa. Hypertension is one of common medical systemic problem which has been a public health concern worldwide due to its known consequences. Those consequences must be related to oral health status as well, whether it may cause or worsen the oral health conditions. The objective of this study was to find out the association between hypertension and oral health status in adults. This study was an analytical observational study by using cross-sectional method. A total of 42 adults both male and female in Padusunan Village, Pariaman, West Sumatra, Indonesia were selected as subjects by using purposive sampling. Manual sphygmomanometer was used to measure blood pressure and dental examination was performed to calculate the decayed, missing, and filled teeth (DMFT) scores in order to represent oral health status. The data obtained was analyzed statistically using One Way ANOVA to determine the association between hypertensive adults and their oral health status. The result showed that majority age of the subjects was ranging from 51-70 years (40.5%). Based on blood pressure examination, 57.1% of subjects were classified to prehypertension. Overall, the mean of DMFT score calculated in normal, prehypertension and hypertension group was not considered statistically significant. There was no significant association (p>0.05) between hypertension and oral health status in adults.

Keywords: Blood pressure, hypertension, DMFT, oral health status.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1339662

References:

[1] World Health Organization. The World Oral Health Report 2003; Continuous improvement of oral health in 21st century - the approach of The WHO Global Oral Health Programme. Geneva, World Health Organization, 2003.
[2] World Health Organization. A global brief on hypertension: silent killer, a global public health crisis. Geneva, World Health Organization, 2013.
[3] R. T. Demmer, M. Desvarieux, “Periodontal infections and cardiovascular disease: The heart of the matter,” JADA, vol. 137, pp. 14S-20S, Oct. 2006.
[4] K. Bell, J. Twiggs, and R. Bernie, “Hypertension: The Silent Killer: Updated JNC-8 Guideline”, Harrison School of Pharmacy, Auburn University, Alabama Pharmacy Association, 2015.
[5] N. H. Masood, S. K. El-Samarrai, “Dental caries in relation to salivary parameters among hypertensive patients in comparison to healthy individuals”, J BaghColl Dentistry, vol. 23 (1), pp. 136-140, 2011.
[6] World Health Organization. Oral Health Survey: Basic Method--5th edition. Geneva, World Health Organization, 2013.
[7] C. M. Marya A Text Book of Public Health Dentistry. 1st ed. Jaypee Brothers Medical Publishers, New Delhi: India, 2011.
[8] H. Hessari, “Oral Health among Young Adults and the Middle-aged in Iran”, Academic dissertation, Faculty of Medicine, University of Helsinki, Finland, 2009.
[9] H. Sharanya. “Assessment of Salivary Parameters and Incidence of Dental Caries in Hypertensive Patient”, J. Pharm. Sci. & Res., vol. 7(9), pp. 782-787, 2015.
[10] Sabino-Silva et al, “Increased SGLT1 expression in salivary gland ductal cells correlates with hyposalivation in diabetic and hypertensive rats”, Diabetology & Metabolic Syndrome, vol. 5(64), pp. 1-5, 2013.
[11] Begzati et al., “Early Childhood Caries (ECC) — Etiology, Clinical Consequences and Prevention”, Creative Commons Attribution License inTech, chapter 2, pp. 31-63, 2015.
[12] Haq MH, Tanwir F, Nawaz M, et al. “Association of Systemic Diseases on Tooth Loss and Oral Health”, J Biomedical Sci, vol. 4(1), pp. 1-7, Apr. 2015.
[13] Holmlund, A., Holm, G. and Lind, L. “Severity of periodontal disease and number of remaining teeth are related to the prevalence of myocardial infarction and hypertension in a study based on 4254 subjects”, Journal of Periodontology, vol. 77, pp. 1173-1178, 2006.
[14] M. Leye et al. “Hypertension and Periodontal Status in Senegales Patients: A Case Control Study”, Open Journal of Epidemiology, vol. 4, pp. 25-29, Feb. 2014.
[15] Siti Norsuryani et al. “Hypertension and its association with the severity of chronic periodontitis”, Arch OrofacSci, vol. 10(1), pp. 5-9, Jan. 2015.
[16] M. M. Zainuddin N, et al. “Systemic conditions in patients with periodontal disease”, Int Med J, vol. 20(3), pp. 363-366, 2013.