SELF-RATED ORAL HEALTH AND CARDIOVASCULAR HEALTH IN PATIENTS UNDERGOING ELECTIVE TOOTH EXTRACTION
DOI:
https://doi.org/10.32782/3041-1394.2025-2.8Keywords:
self-rated oral health, tooth extraction, cardiovascular risk, periodontal screening test, preventionAbstract
Introduction. Significant importance is paid to self-rated oral health, the association of which with cardiovascular health has not yet been evaluated. Our objective was to compare self-rated oral health and cardiovascular health. Materials and methods. In compliance with the Helsinki Declaration of Human Rights and under the supervision of the Bioethics Committee of DNP “LNMU” (protocol No.10 dated 18.11.2024), 26 patients (8 men and 18 women; median age 31.5 [26.0; 37.0] years) undergoing elective tooth extraction in 2023–2025 were examined. Self-assessment of oral and cardiovascular health was performed using a 10-point scale and objectively assessed by a periodontal screening test, including evaluation of gingival margin, probing depth, furcation, mobility, bleeding, and dental deposits. The results were processed using methods of variational statistics. Results. Before elective tooth extraction, 53.85% of patients rated their dental condition as average or poor. A worse overall periodontal index in patients in the lower quartile of self-assessment (0.92 vs. 2.17 points, p<0.05) indicated a good correlation between subjective and objective assessment of oral health. Nearly half of the patients rated their cardiovascular status as average or unsatisfactory. The latter status was frequently accompanied by endocrine pathology, metabolic dysfunctions, and harmful habits. In these cases, self-rated oral health was worse. Conclusions. Self-rated oral health corresponded to cardiovascular health and allowed for double screening, which is important for both dental and cardiovascular prevention.
References
Aminoshariae A., Nosrat A., Jakovljevic A., Jaćimović J., Narasimhan S., Nagendrababu V. Tooth loss is a risk factor for cardiovascular disease mortality: A systematic review with metaanalyses. Journal of Endodontics. 2024. Vol. 50, No. 10. P. 1370–1380. DOI: https://doi.org/10.1016/j.joen.2024.06.012.
Chan C. C. K., Chen H., McGrath C., Klineberg I., Wong G. H. Y., Chen H. Impact of social wellbeing on tooth loss and cognition: A scoping review. Journal of Dentistry. 2024. Vol. 150. P. 105376. DOI: https://doi.org/10.1016/j.jdent.2024.105376.
Doble A., Bescos R., Witton R., Shivji S., Ayres R., Brookes Z. A case-finding protocol for high cardiovascular risk in a primary care dental school – Model with integrated care. International Journal of Environmental Research and Public Health. 2023. Vol. 20, No. 6. P. 4959. DOI: https://doi.org/10.3390/ijerph20064959.
Doughty J., Gallier S., Paisi M., et al. Opportunistic health screening for cardiovascular and diabetes risk factors in primary care dental practices: Experiences from a service evaluation and a call to action. British Dental Journal. 2023. Vol. 235. P. 727–733. DOI: https://doi.org/10.1038/s41415-023-6449-6.
Drumond V. Z., de Arruda J. A. A., de Andrade B. A. B., Silva T. A., Mesquita R. A., Abreu L. G. Tooth loss from the perspective of studies employing a life course approach: A systematic review. Health Promotion International. 2024. Vol. 39, No. 5. Article daae112. DOI: https://doi.org/10.1093/heapro/daae112.
Gupta K., Kumar S., Anand Kukkamalla M., et al. Dental management considerations for patients with cardiovascular disease: A narrative review. Reviews in Cardiovascular Medicine. 2022. Vol. 23, No. 8. P. 261. DOI: https://doi.org/10.31083/j.rcm2308261.
Hao Y., Yuan Z., Zhu Y., Li S., Gou J., Dong S., Niu L. Association between tooth loss and depression mediated by lifestyle and inflammation: A cross-sectional investigation. BMC Public Health. 2024. Vol. 24, No. 1. P. 2627. DOI: https://doi.org/10.1186/s12889-024-20065-z.
Jiang L., Kordy N., Myhr A., Stangvaltaite-Mouhat L., Skudutyte-Rysstad R., Bhatta L., Sen A. Body mass index, physical activity and dental caries: Cross-sectional HUNT4 oral health study. Scientific Reports. 2025. Vol. 15, No. 1. P. 28453. DOI: https://doi.org/10.1038/s41598-025-12282-2.
Li Y., Liu Y., Yin T., He M., Fang C., Tang X., Peng S., Liu Y. Association of periodontitis, tooth loss, and self-rated oral health with circadian syndrome in US adults: A cross-sectional population study. BMC Oral Health. 2025. Vol. 25, No. 1. P. 713. DOI: https://doi.org/10.1186/s12903-025-06078-z.
Mabbutt L. M., Jensen P., Fretts A., Best L., Cunha-Cruz J. Strong Heart, Strong Smile: Tooth loss and incidence of CVD in American Indian populations. Community Dentistry and Oral Epidemiology. 2025. DOI: https://doi.org/10.1111/cdoe.70020.
Nymberg P., Milos-Nymberg V., Grundberg A., Oscarson N., Stenman E., Sundquist K. Exploring the link between self-rated poor oral health and cardiovascular risk: A cross-sectional study using SCORE2. BMC Oral Health. 2025. Vol. 25, No. 1. P. 298. DOI: https://doi.org/10.1186/s12903-025-05671-6.
Öçbe M., Çelebi E., Öçbe Ç. B. An overlooked connection: Oral health status in patients with chronic diseases. BMC Oral Health. 2025. Vol. 25, No. 1. P. 314. DOI: https://doi.org/10.1186/s12903-025-05673-4.
Peres M. A., Macpherson L. M. D., Weyant R. J., Daly B., Venturelli R., Mathur M. R., et al. Oral diseases: A global public health challenge. The Lancet. 2019. Vol. 394. P. 249–260. DOI: https://doi.org/10.1016/S0140-6736(19)31146-8.
Petrenya N., Hopstock L. A., Holde G. E., Oscarson N., Jönsson B. Relationship between periodontitis and risk of cardiovascular disease: Insights from the Tromsø Study. Journal of Periodontology. 2022. Vol. 93, No. 9. P. 1353–1365. DOI: https://doi.org/10.1002/JPER.22-0036.
Rødseth S. C., Høvik H., Bjertness E., Skudutyte-Rysstad R. Is poor self-rated health associated with higher caries experience in adults? The HUNT4 Oral Health Study. Caries Research. 2025. Vol. 59, No. 3. P. 195–206. DOI: https://doi.org/10.1159/000542522.
Singer R. H., Feaster D. J., Stoutenberg M., et al. Dentists’ willingness to screen for cardiovascular disease in the dental care setting: Findings from a nationally representative survey. Community Dentistry and Oral Epidemiology. 2019. Vol. 47, No. 4. P. 299–308. DOI: https://doi.org/10.1111/cdoe.12457.
Zhang L., Ren H., Li C. Study on the development characteristics and spatial and temporal patterns of population ageing in 31 central cities in China. Frontiers in Public Health. 2024. Vol. 12. P. 1341455. DOI: https://doi.org/10.3389/fpubh.2024.1341455
