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Osteoporosis International
Published in: Osteoporosis International 4/2024

14-12-2023 | Gingival Diseases | Original Article

Association between dental diseases and oral hygiene care and the risk of vertebral fracture: a nationwide cohort study

Authors: Jung Eun Yoo, Youn Huh, Euyhyun Kim, Sang-Hyun Park, Kyungdo Han, Hyun-Seok Kim, Jin-Soo Ahn, Hye Soon Park, Kyung Hwan Cho, Sang Ho Jun, Ga Eun Nam

Published in: Osteoporosis International | Issue 4/2024

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Abstract

Summary   

Periodontal disease and increased missing teeth were associated with incident vertebral fractures. In contrast, professional dental cleaning and frequent tooth brushing, was associated with a lower risk of vertebral fracture. Better oral hygiene care attenuated the risk associated with dental diseases.

Purpose

To investigate the association between oral health and the risk of vertebral fractures.

Methods

We included 2,532,253 individuals aged ≥40 years who underwent the Korean National Health Insurance Service health examinations in 2008 and followed up until December 31, 2017. We performed multivariable Cox proportional hazard regression analyses to evaluate the association between dental diseases and oral hygiene care and the risk of vertebral fractures.

Results

Over the 9.3-year median follow-up, 1.46% (n = 36,857) experienced vertebral fractures. Individuals with dental diseases had a higher risk of vertebral fracture than those without (hazard ratio [HR] 1.04, 95% confidence interval [CI]: 1.02–1.07 for periodontal diseases; 1.02, 1.00–1.05 for dental caries; 1.12, 1.05–1.20 for ≥15 missing teeth). Good oral hygiene care was associated with a lower vertebral fracture risk (HR 0.89, 95% CI: 0.86–0.91 for ≥1 time/year [vs. <1 time/year] of professional dental cleaning; 0.90, 0.87–0.93 for ≥2 times/day [vs. 0–1 time/day] of toothbrushing). The combined dental diseases was significantly associated with an increased vertebral fracture risk, whereas combined oral hygiene care was associated with further risk reduction. Better oral hygiene care reduced vertebral fracture risk associated with dental diseases (all P <0.001).

Conclusion

Periodontal disease, dental caries, and an increased number of missing teeth were independently associated with higher risks for vertebral fractures. Conversely, improved oral hygiene care, such as personal dental cleaning and frequent tooth brushing, may modify vertebral fracture risks associated with dental disease.
Appendix
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Metadata
Title
Association between dental diseases and oral hygiene care and the risk of vertebral fracture: a nationwide cohort study
Authors
Jung Eun Yoo
Youn Huh
Euyhyun Kim
Sang-Hyun Park
Kyungdo Han
Hyun-Seok Kim
Jin-Soo Ahn
Hye Soon Park
Kyung Hwan Cho
Sang Ho Jun
Ga Eun Nam
Publication date
14-12-2023
Publisher
Springer London
Published in
Osteoporosis International / Issue 4/2024
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-023-06983-5

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