IADR Abstract Archives
Objective Evaluation Determining Prevalence of Non-communicable Diseases in Dental Patients
Objectives: To determine prevalence of systemic diseases and whether there is any associated factor by history taking, physical examination and laboratory investigation from dental patients at dental hospital.
Methods: One hundred and five dental patients who were older than 35 years and denied history of blood investigation within 6 months were enrolled. Demographic data, medical history, family history and lifestyle behaviors were collected. Routine physical examination and laboratory investigations, including blood tests, urinalyses, and chest radiographs were performed.
Results: Thirty-six subjects (34.3%) were men and 69 were women (65.7%). The average age was 51.6±9.8 years. Fifty subjects (47.6%) reported systemic diseases. The most common history of systemic diseases was hypertension (17 subjects,16.2%) followed by dyslipidemia (14 subjects,13.3%) and allergic disease (13 subjects,12.4%). Compared to results from examination, systemic disorders were found in 83 subjects (79.0%). The most prevalent disease was dyslipidemia (58 subjects,55.2%) which 48 subjects (45.7%) were newly diagnosed. High blood pressure (26 subjects, 24.8%) and elevated liver enzymes (14 subjects,13.3%) were subsequently found. Of these, 18 and 14 subjects denied previous history. Except for history of dyslipidemia and liver diseases, only association between history of hypertension and diabetes with high blood pressure and high blood glucose levels from examination was shown (p=0.03 and p<0.001 respectively).
Increasing age and male had an increased risk for abnormal blood glucose levels (OR=1.09; 95%CI 1.03-1.15 and OR=2.97; 95%CI 1.06-8.39). Overweight and obesity increased risks for hypertriglyceridemia (OR=15.17; 95%CI 1.70-135.00 and OR=19.18; 95%CI 2.28-161.04). Furthermore, female and obese status adjusted for BMI had association with decreased HDL (OR=6.27; 95%CI 1.20-32.62, OR=5.71; 95%CI 1.27-25.68).
Conclusions: Evaluation of dental patients’ medical status, interviewing alone probably underestimate dyslipidemia and liver disease. Therefore, blood investigations should be encouraged by dentist for update medical status of dental patients.
Methods: One hundred and five dental patients who were older than 35 years and denied history of blood investigation within 6 months were enrolled. Demographic data, medical history, family history and lifestyle behaviors were collected. Routine physical examination and laboratory investigations, including blood tests, urinalyses, and chest radiographs were performed.
Results: Thirty-six subjects (34.3%) were men and 69 were women (65.7%). The average age was 51.6±9.8 years. Fifty subjects (47.6%) reported systemic diseases. The most common history of systemic diseases was hypertension (17 subjects,16.2%) followed by dyslipidemia (14 subjects,13.3%) and allergic disease (13 subjects,12.4%). Compared to results from examination, systemic disorders were found in 83 subjects (79.0%). The most prevalent disease was dyslipidemia (58 subjects,55.2%) which 48 subjects (45.7%) were newly diagnosed. High blood pressure (26 subjects, 24.8%) and elevated liver enzymes (14 subjects,13.3%) were subsequently found. Of these, 18 and 14 subjects denied previous history. Except for history of dyslipidemia and liver diseases, only association between history of hypertension and diabetes with high blood pressure and high blood glucose levels from examination was shown (p=0.03 and p<0.001 respectively).
Increasing age and male had an increased risk for abnormal blood glucose levels (OR=1.09; 95%CI 1.03-1.15 and OR=2.97; 95%CI 1.06-8.39). Overweight and obesity increased risks for hypertriglyceridemia (OR=15.17; 95%CI 1.70-135.00 and OR=19.18; 95%CI 2.28-161.04). Furthermore, female and obese status adjusted for BMI had association with decreased HDL (OR=6.27; 95%CI 1.20-32.62, OR=5.71; 95%CI 1.27-25.68).
Conclusions: Evaluation of dental patients’ medical status, interviewing alone probably underestimate dyslipidemia and liver disease. Therefore, blood investigations should be encouraged by dentist for update medical status of dental patients.