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- Title
Periodontitis is associated with decreased experimental pressure pain tolerance: The Tromsø Study 2015–2016.
- Authors
Hadler‐Olsen, Elin; Petrenya, Natalia; Jönsson, Birgitta; Steingrímsdóttir, Ólöf Anna; Stubhaug, Audun; Nielsen, Christopher Sivert
- Abstract
Aim: To assess the relationship between periodontitis and experimental pain tolerance. Materials and Methods: Participants from the population‐based seventh survey of the Tromsø Study with data on periodontitis were included (n = 3666, 40–84 years old, 51.6% women). Pain tolerance was assessed through (i) pressure pain tolerance (PPT) test with a computerized cuff pressure algometry on the leg, and (ii) cold‐pressor tolerance (CPT) test where one hand was placed in circulating 3°C water. Cox proportional hazard regression was used to assess the association between periodontitis and pain tolerance adjusted for age, sex, education, smoking and obesity. Results: In the fully adjusted model using the 2012 Centers for Disease Control/American Academy of Periodntology case definitions for surveillance of periodontitis, moderate (hazard ratio [HR] = 1.09; 95% confidence interval [CI]: 1.01, 1.18) and severe (HR = 1.25, 95% CI: 1.11, 1.42) periodontitis were associated with decreased PPT. Using the 2018 classification of periodontitis, having Stage II/III/IV periodontitis was significantly associated with decreased PPT (HR = 1.09; 95% CI: 1.01, 1.18) compared with having no or stage I periodontitis. There were no significant associations between periodontitis and CPT in fully adjusted models. Conclusions: Moderate and severe periodontitis was associated with experimental PPT.
- Subjects
UNITED States; NORWAY; LEG physiology; RISK assessment; PUBLIC health surveillance; PAIN measurement; PRESSURE; RESEARCH funding; ALGOMETRY; SEX distribution; SMOKING; PAIN threshold; AGE distribution; ORAL hygiene; DESCRIPTIVE statistics; SURVEYS; ODDS ratio; PAIN; QUALITY of life; CENTERS for Disease Control &; Prevention (U.S.); INFLAMMATION; COMPARATIVE studies; CONFIDENCE intervals; PERIODONTITIS; EDUCATIONAL attainment; OBESITY; PROPORTIONAL hazards models
- Publication
Journal of Clinical Periodontology, 2024, Vol 51, Issue 7, p874
- ISSN
0303-6979
- Publication type
Article
- DOI
10.1111/jcpe.13968