Metabolic syndrome as a risk indicator for periodontal disease and tooth loss.
OBJECTIVE
The aim of the present study was to evaluate the association of metabolic syndrome (MS) with periodontitis (PE) and tooth loss (TL).


METHODS
A cross-sectional study was conducted with 363 individuals who underwent full-mouth periodontal examination, and the association between MS and PE was evaluated considering three outcomes: severe periodontitis, mean probing depth ≥2.4 mm, and mean clinical attachment loss ≥2.0 mm. The prevalence ratio (PR) between MS and PE was calculated using a model adjusted for gender, age, smoking, years of education, and socioeconomic status.


RESULTS
The adjusted model showed a PR for severe periodontitis of 1.17 (95 % CI 0.83-1.65). There was no significant association between MS and PE defined as mean probing depth ≥2.4 mm. MS was significantly associated with PE defined as mean attachment loss ≥2 mm in individuals aged 41-60 years (PR 1.47, 95 % CI 1.05-2.06). In addition, MS was associated with TL (>6 teeth) (PR 1.23, 95 % CI 1.02-1.49) for all ages, both in crude and adjusted analyses.


CONCLUSIONS
We concluded that there is a weak association of MS with both attachment loss and TL.


CONCLUSIONS
Patients with MS seem to have a higher risk of attachment loss and tooth loss and should be screened for periodontal disease.
Department of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. martalmusskopf@gmail.com.|Department of Periodontology, Lutheran University of Brasil, Canoas, Brazil. martalmusskopf@gmail.com.
Marta L
ML
Musskopf
Department of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Luciana D
LD
Daudt
Department of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Patrícia
P
Weidlich
Division of Endocrinology, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Fernando
F
Gerchman
Division of Endocrinology, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Jorge L
JL
Gross
Department of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Rui V
RV
Oppermann
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications*; D008875:Middle Aged; D017622:Periodontal Attachment Loss / Q000209:etiology; D010510:Periodontal Diseases / Q000209:etiology*; D010512:Periodontal Index; D016388:Tooth Loss / Q000209:etiology*
Metabolic syndrome; Periodontal attachment loss; Periodontitis; Tooth loss