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KMID : 1157520180140010035
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International Journal of Clinical Preventive Dentistry
2018 Volume.14 No. 1 p.35 ~ p.40
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Cognitive Function and Oral Health Status in Stroke Patients
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Moon Ja-Young
Sim Seon-Ju
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Abstract
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Objective: Some evidences suggest that tooth loss may be associated with stroke, at the same time, with cognitive impairment. So, we investigated the association between tooth loss and cognitive impairment in stroke patients.
Methods: In a cross-sectional study, 251 stroke patients attacked within the latest 1 year, were surveyed for oral health status including the periodontitis and the number of remaining tooth. Subjects aged between 40 and 79 years. 41.8% of the participants were female, mean age was 58.9±9.5 years. Questionnaires were focused on education, income, vascular risk factors (hypertension, diabetes mellitus, cardiac disease, hyperlipidemia), smoking and drinking habit, previous and present medication, and BMI (body mass index). All subjects were examined the number of teeth, and the presence of periodontitis. The Korean Mini-mental state examination (K-MMSE) was tested as a screening test for cognitive impairment by medical doctor.
Results: Tooth loss was significantly associated with MMSE in multivariate analyses. The odds ratio (OR) was 1.75 (1.75- 3.13) with adjustment for age, sex, income, education, smoking, drinking, hypertension, diabetes mellitus (DM), heart disease, hyperlipidemia, BMI, family hypertension history, family DM history, family heart disease (p＜0.05).
Conclusion: Tooth loss was significantly associated with cognitive function in stroke patients.
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KEYWORD
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tooth loss, oral health, stroke, cognition
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