Association Between Periodontitis And Metabolic Syndrome In A Family Health Unit In Salvador-Ba

IntroductionThe metabolic syndrome is characterized by multiple disorders, and the in periodontitis, inflammation occurs in the tissues supporting the tooth, where in this process it is believed that the migration of oral bacteria and byproducts to the circulatory system occurs, with a systemic spread of inflammatory mediators. This study aims to verify the effect of periodontitis on the occurrence of the metabolic syndrome. MethodCross-sectional study with 90 users of the Family Health Unit from Vale do Cambonas in Salvador-BA. Questionnaires were applied, physical / anthropometric and dental evaluation were performed, record of the results of laboratory tests was registered and evaluation of medical records. Data analysisA bivariate and stratified analysis was performed, obtaining means and standard deviation for continuous variables, absolute and relative frequency for all variables, and multiple conditional logistic regression was performed to obtain the final model adjusted for potential confounders. ResultsIn the final sample 46,67% of participants had metabolic syndrome according NECP-ATP III criterion and 30, 00% had periodontitis. From those, 20.00% had severe periodontitis, 10% moderate periodontitis and none with mild periodontitis, according to the criterion proposed by Gomes-Filho et al. (2018). There was statistical significance in the association between periodontitis and MetS (ORcrude = 2.58, 95% CI [1.02 - 6.55]) / (ORadjusted = 2.63, 95% CI [1.01 - 6.80]) and severe periodontitis and MetS (ORcrude = 3.86, 95% CI [1.24 - 11.98]) / (ORadjusted = 4.14, 95% CI [1.29-13.29]). ConclusionThe main findings of this study indicate a positive association between periodontitis and metabolic syndrome, with a higher effect when the exposure was severe periodontitis.