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Association between Dental Scaling and Reduced Risk of End-Stage Renal Disease: A Nationwide Matched Cohort Study

Author

Listed:
  • Yu-Hsiang Chung

    (Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
    Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Hsien-Cheng Kuo

    (Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
    Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Hsin-Yi Liu

    (Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
    Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Mei-Yi Wu

    (Division of Nephrology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
    Division of Nephrology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Wei-Jen Chang

    (Department of Dentistry, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
    School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Jui-Tai Chen

    (Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
    Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Yih-Giun Cherng

    (Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
    Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Tzeng-Ji Chen

    (Department of Family Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    School of Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan)

  • Ying-Xiu Dai

    (School of Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan
    Department of Dermatology, Taipei Veterans General Hospital, Taipei 11217, Taiwan)

  • Hsiang-Ling Wu

    (School of Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan
    Department of Anesthesiology, Taipei Veterans General Hospital, Taipei 11217, Taiwan)

  • Wan-Chi Liu

    (Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
    Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Ying-Hsuan Tai

    (Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
    Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

Abstract

Periodontitis is prevalent in patients with chronic kidney disease (CKD) and is also associated with kidney function decline. It is unclear whether dental scaling treatment prevents the progression of CKD. In a nationwide cohort study, Taiwan’s National Health Insurance Research Database was used to select people with CKD. Propensity score-matching procedures were performed to compare the long-term risk of end-stage renal disease (ESRD) between CKD patients with and without the receipt of dental scaling. A total of 33,637 matched pairs with CKD were included, with 503,373 person-years of follow-up for analyses. Dental scaling was significantly associated with a lower risk of ESRD (adjusted hazard ratio (aHR): 0.83, 95% confidence interval (CI): 0.77–0.90). In addition, there was a dose-dependent relationship between the frequency of dental scaling and a reduced risk of ESRD. Dental scaling was also linked to reduced risks of major adverse cardiovascular events (aHR: 0.91, 95% CI: 0.87–0.95), sepsis (aHR: 0.81, 95% CI: 0.77–0.85), and all-cause mortality (aHR: 0.81, 95% CI: 0.76–0.87). Dental scaling was significantly associated with lower risks of progression to ESRD in patients with CKD. Regular dental scaling may serve as a prophylactic measure for kidney function decline.

Suggested Citation

  • Yu-Hsiang Chung & Hsien-Cheng Kuo & Hsin-Yi Liu & Mei-Yi Wu & Wei-Jen Chang & Jui-Tai Chen & Yih-Giun Cherng & Tzeng-Ji Chen & Ying-Xiu Dai & Hsiang-Ling Wu & Wan-Chi Liu & Ying-Hsuan Tai, 2021. "Association between Dental Scaling and Reduced Risk of End-Stage Renal Disease: A Nationwide Matched Cohort Study," IJERPH, MDPI, vol. 18(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:8910-:d:620967
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    References listed on IDEAS

    as
    1. Yu-Ming Wu & Hsien-Cheng Kuo & Chun-Cheng Li & Hsiang-Ling Wu & Jui-Tai Chen & Yih-Giun Cherng & Tzeng-Ji Chen & Ying-Xiu Dai & Hsin-Yi Liu & Ying-Hsuan Tai, 2020. "Preexisting Dementia Is Associated with Increased Risks of Mortality and Morbidity Following Major Surgery: A Nationwide Propensity Score Matching Study," IJERPH, MDPI, vol. 17(22), pages 1-12, November.
    2. Akemi Nishide & Misuzu Fujita & Yasunori Sato & Kengo Nagashima & Sho Takahashi & Akira Hata, 2017. "Income-Related Inequalities in Access to Dental Care Services in Japan," IJERPH, MDPI, vol. 14(5), pages 1-10, May.
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    Cited by:

    1. Chung-Yi Liao & Chun-Cheng Li & Hsin-Yi Liu & Jui-Tai Chen & Yih-Giun Cherng & Tzeng-Ji Chen & Ying-Xiu Dai & Hsiang-Ling Wu & Wan-Chi Liu & Ying-Hsuan Tai, 2021. "Migraine Headaches after Major Surgery with General or Neuraxial Anesthesia: A Nationwide Propensity-Score Matched Study," IJERPH, MDPI, vol. 19(1), pages 1-12, December.
    2. Sorana Florica Baciu & Anca-Ștefania Mesaroș & Ina Maria Kacso, 2023. "Chronic Kidney Disease and Periodontitis Interplay—A Narrative Review," IJERPH, MDPI, vol. 20(2), pages 1-18, January.

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