DOI QR코드

DOI QR Code

Effect of Allergic Rhinitis and Asthma on Oral Health

  • Kim, Chang-Suk (Department of Dental Hygiene, Ulsan College) ;
  • Lee, Kyeong-Soo (Department of Preventive Medicine and Public Health, Yeungnam University)
  • Received : 2019.09.27
  • Accepted : 2019.10.22
  • Published : 2019.12.31

Abstract

Background: This study aimed to investigate allergic rhinitis and the relationship between allergic diseases, such as asthma and allergic rhinitis, and dental caries and periodontal disease using the raw data from third year of the 6th Korean National Health and Nutrition Examination Survey. Methods: A total of 3,729 subjects aged over 30 years who underwent examination for allergic diseases and an oral health checkup were selected. The data were analyzed using SPSS IBM SPSS ver. 25.0 (IBM Corp., USA). Composite sample cross correlation and composite sample logistic regression analyses were performed using the composite sample general linear model. Results: On examining the socioeconomic characteristics of the subjects suffering from allergic disease and the relationship between allergic disease and oral health, allergic rhinitis was more frequently found in younger subjects with a higher level of education. Periodontal disease and dental caries were more frequent among female, older age groups, lower income earners, and subjects with a lower level of education (p<0.05). On examining the relationship between the oral health characteristics of the subject and allergic diseases and oral health, allergic rhinitis was more common in subjects with a good oral health status perception than those who answered "bad" to the oral health status question. The community periodontal index of treatment needs (CPITN) score was higher in subjects who answered "poor" to the oral health status question, lower frequency of brushing, and higher in subjects using secondary oral hygiene products; the decayed, missing and filled teeth (DMFT) index was higher in subjects with a perception of poor oral health status (p<0.05). The DMFT index was high in the asthma group, and the CPITN score was high in the group who answered "no" to allergic rhinitis. Conclusion: There is a relationship between asthma and allergic rhinitis and the DFMT index and CPITN score. Corresponding oral programs for allergic patients need to be developed.

Keywords

References

  1. Brozek JL, Bousquet J, Baena-Cagnani CE, et al.: Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol 126: 466-476, 2010. https://doi.org/10.1016/j.jaci.2010.06.047
  2. Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. Lancet 351: 1225-1232, 1998. https://doi.org/10.1016/s0140-6736(97)07302-9
  3. Hong SJ, Ahn KM, Lee SY, Kim KE: The prevalences of asthma and allergic diseases in Korean children. Korean J Pediatr 51: 345-350, 2008.
  4. Westman M, Stjarne P, Asarnoj A, et al.: Natural course and comorbidities of allergic and nonallergic rhinitis in children. J Allergy Clin Immunol 129: 403-408, 2012. https://doi.org/10.1016/j.jaci.2011.09.036
  5. Leynaert B, Neukirch F, Demoly P, Bousquet J: Epidemiologic evidence for asthma and rhinitis comorbidity. J Allergy Clin Immunol 106(5 Suppl): S201-S205, 2000. https://doi.org/10.1067/mai.2000.110151
  6. Mazzoleni S, Stellini E, Cavaleri E, Angelova Volponi A, Ferro R, Fochesato Colombani S: Dental caries in children with asthma undergoing treatment with short-acting beta2-agonists. Eur J Paediatr Dent 9: 132-138, 2008.
  7. Tanaka LS, Dezan CC, Parron Fernandes KB, et al.: The influence of asthma onset and severity on malocclusion prevalence in children and adolescents. Dental Press J Orthod 17: 50-57, 2012. http://doi.org/10.1590/S2176-94512012000100007
  8. Cho SH: Recent update of local allergic rhinitis. Allergy Asthma Respir Dis 1: 303-308, 2013. https://doi.org/10.4168/aard.2013.1.4.303
  9. Lee KS, Rha YH: Research on pediatric allergic rhinitis in Korea. Allergy Asthma Respir Dis 6: 58-65, 2018. https://doi.org/10.4168/aard.2018.6.s1.s58
  10. Chala S, Rouiffi S, Soualhi M, Bourkadi JE, Abouqal R, Abdallaoui F: Association between untreated carious lesions and asthma in adults at Rabat University Hospital, Morocco: a cross sectional study. BMC Res Notes 10: 221, 2017. https://doi.org/10.1186/s13104-017-2548-2
  11. Song WJ, Cho SH: Challenges in the management of asthma in the elderly. Allergy Asthma Immunol Res 7: 431-439, 2015. https://doi.org/10.4168/aair.2015.7.5.431
  12. Greiner AN, Hellings PW, Rotiroti G, Scadding GK: Allergic rhinitis. Lancet 378: 2112-2122, 2011. https://doi.org/10.1016/S0140-6736(11)60130-X
  13. Shin MS, Hwang MY, Kim SK: Relationship of oral health awareness to oral health indexes among adults. J Dent Hyg Sci 12: 607-616, 2012.
  14. Kim CS, Choi YK: Survey of adults' perceptions of the association between chronic diseases and oral health. J Dent Hyg Sci 17: 12-19, 2017. https://doi.org/10.17135/jdhs.2017.17.1.12
  15. Choi YY: Relationship between asthma and dental caries in Korean adults: data from the Sixth Korea National Health and Nutrition Examination Survey. J Korean Soc Dent Hyg 19: 131-140, 2019. https://doi.org/10.13065/jksdh.20190010
  16. Alavaikko S, Jaakkola MS, Tjaderhane L, Jaakkola JJ: Asthma and caries: a systematic review and meta-analysis. Am J Epidemiol 174: 631-641, 2011. https://doi.org/10.1093/aje/kwr129
  17. Bozejac BV, Stojsin I, Duric M, et al.: Impact of inhalation therapy on the incidence of carious lesions in patients with asthma and COPD. J Appl Oral Sci 25: 506-514, 2017. https://doi.org/10.1590/1678-7757-2016-0147
  18. Ryberg M, Moller C, Ericson T: Effect of ${\beta}2$-adrenoceptor agonists on saliva proteins and dental caries in asthmatic children. J Dent Res 66: 1404-1406, 1987. https://doi.org/10.1177/00220345870660082401
  19. Friedrich N, Volzke H, Schwahn C, et al.: Inverse association between periodontitis and respiratory allergies. Clin Exp Allergy 36: 495-502, 2006. https://doi.org/10.1111/j.1365-2222.2006.02455.x
  20. Lee KO, Lee KH, Kim DE: Long-term effects of syrup medication for asthma on the salivary invertase activity and deciduous caries. J Korean Acad Pediatr Dent 25: 421-429, 1998.
  21. Kim DE: Influences of syrup medication for asthma on the plaque index and gingival index. J Korean Acad Pediatr Dent 25: 157-161, 1998.

Cited by

  1. Prediction Models of Early Childhood Caries Based on Machine Learning Algorithms vol.18, pp.16, 2019, https://doi.org/10.3390/ijerph18168613