Chin J Dent Res 2025;28(3):197–207; doi:10.3290/j.cjdr.b6553442
Association between Periodontitis and Systemic Diseases: Results from the 4th National Oral Health Survey in China
Writer:Ya Lin ZHAN, Jian JIAO, Wu Di JING, Xi Ping FENG, Bao Jun TAI, De Yu HU, Huan Cai LIN, Bo WANG, Chun Xiao WANG, Shu Guo ZHENG, Xue Nan LIU, Wen Sheng RONG, Wei Jian WANG, Xing WANG, Yan SI, Huan Xin MENG Clicked:
Objective: To understand the oral health knowledge, attitude, behaviour and oral health status of Chinese diabetic patients so as to facilitate the development of oral health education programmes for diabetic patients in China. Method: A face-to-face questionnaire was conducted for 1024 diabetic patients and 8030 nondiabetic people aged 55 to 74 years old in order to understand their oral health knowledge, attitudes, and behaviour. Oral health examination was implemented including caries, gingival bleeding, dental calculus, periodontal attachment loss, etc. according to the Oral Health Surveys Basic Methods 5th Edition. Results: Compared with non-diabetic patients, those with diabetes had more oral health knowledge and more positive attitudes. The proportion of people who formed toothbrushing habits was higher in diabetic patients, but that of regular scaling and flossing is as low as that in non-diabetic people. The detection rate of deep periodontal pockets in diabetic patients was higher than that in non-pa
Objective: To evaluate the association between systemic diseases and severity of periodontitis based on Chinese epidemiological data.
Methods: Data of dentate subjects (35- to 44-year-old group, 55- to 64-year-old group, and 65- to 74-year-old group) from the Fourth National Oral Health Survey of China were analyzed. Selfreport diagnosis of systemic diseases was based on face-to-face interview. Periodontal status was defined by the 2018 classification scheme and periodontal parameters including bleeding on probing (BOP), probing depth (PD) and attachment loss (AL).
Results: The prevalence of systemic diseases, was much higher in subjects with advanced periodontitis but similar in subjects with other periodontal status. The association between systemic diseases and advanced periodontitis is stronger in the younger adult group but weakens with age.
Conclusion: Periodontitis is a significant associated with systemic diseases, especially hypertension, heart disease, diabetes among Chinese adults based on the data of the Fourth National Oral Health Survey of China. In view of the worsening health burden of periodontitis, it might be necessary for healthcare providers to be more concerned about prevention and treatment of periodontitis in order to enhance systemic health.
Keywords: epidemiology, periodontitis, systemic diseases
(editor:CJDR) |