Association between periodontitis treatment and dementia in Taiwanese adults

• Published in: BMC oral health Vol. 23; no. 1; p. 969
• Main Authors: Chen, Hui-Ling, Wu, Dai-Rong, Chen, Jhih-Jhen, Lin, Wei-Szu, Chen, I-Chieh, Liu, Jeng-Fen, Lien, Shine, Lin, Ching-Heng
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 06.12.2023; BioMed Central; BMC
• Subjects: Adult; Adults; Age groups; Alzheimer's disease; Analysis; Care and treatment; Case-Control Studies; Chronic illnesses; Chronic Periodontitis - therapy; Codes; Cognitive ability; Dementia; Dementia - complications; Dementia - epidemiology; Dementia disorders; Dental Care; Dental health; Dental Scaling; Diabetes; Diagnosis; Emergency medicine; Epidemiology; Gum disease; Humans; Hyperlipidemia; Hypertension; Inflammation; Life expectancy; Medical research; Medicine, Experimental; National health insurance; Older people; Periodontitis; Periodontitis - complications; Periodontitis - epidemiology; Periodontitis - therapy; Population; Quality of life; Risk factors; Scaling; Scaling treatment; Teeth; Urbanization; Taiwan; Scaling treatment; Adults; Periodontitis; Dementia
• ISSN: 1472-6831; 1472-6831
• DOI: 10.1186/s12903-023-03551-5

The chronic systemic inflammatory response in periodontitis may be a potential risk factor for dementia, especially in adults. This study determined the association between periodontal treatment and dementia in adults and evaluated the effect of regular scaling treatment on the risk of dementia in this population. This case-control study identified 18,930 patients with a dementia-related diagnosis from the Taiwan National Health Insurance Research Database. Scaling and periodontal emergency treatments were evaluated after 1 year and 3 years. Using multivariable logistic regression analysis to evaluate the association between periodontal emergency treatment and dementia risk. The results showed that scaling treatment rates were lower in the dementia cohort than the non-dementia cohort after 1 and 3 years. Patients who received periodontal emergency treatment within 3 years had a significantly increased risk of dementia. Furthermore, patients with periodontitis who did not receive scaling treatment within 3 years had a higher risk of dementia than patients without periodontitis (OR, 1.22; 95% CI, 1.10-1.35). This study demonstrated that periodontitis and dementia are associated, and that periodontitis is a risk factor for dementia in adults. The risk of dementia was dependent on the periodontal health status of adults, and our findings suggest that regular scaling can reduce the incidence of dementia in adults. Therefore, regular and routine scaling treatment is suggested for adults.