Association between oral hygiene, chronic diseases, and oral squamous cell carcinoma.
- Author:
Jiangfeng HUANG
1
;
Baochang HE
1
;
Fa CHEN
;
Fangping LIU
;
Lingjun YAN
;
Zhijian HU
;
Lisong LIN
;
Fei HE
;
Lin CAI
2
Author Information
- Publication Type:Journal Article
- MeSH: Alcohol Drinking; Carcinoma, Squamous Cell; epidemiology; Case-Control Studies; Chronic Disease; epidemiology; Diet; Humans; Incidence; Mouth Neoplasms; epidemiology; Odds Ratio; Oral Hygiene; Risk Factors; Smoking; Surveys and Questionnaires
- From: Chinese Journal of Preventive Medicine 2015;49(8):688-692
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the association between oral hygiene, chronic diseases, and oral squamous cell carcinoma.
METHODSWe performed a case-control study with 414 cases and 870 controls in Fujian during September 2010 to January 2015. Patients were newly diagnosed oral squamous cell carcinoma cases according to the pathologic diagnoses, control subjects were enrolled from community population. Epidemiological data were collected by in-person interviews using a standard questionnaire. The contents of the questionnaire included demography character, history of tobacco smoking and alcohol drinking, dietary habits, oral hygiene status, family history of cancer, etc. Using unconditional logistic regression analysis to estimate adjusted odds ratios (OR) and corresponding 95% confidence intervals (CI) for oral hygiene and chronic diseases. We also stratified by sex, smoking and drinking to explore possible difference in association between subgroups.
RESULTSThe multivariate logistic regression analysis indicated that number of teeth (20-27 and < 20), bad prosthesis, recurrent oral ulceration were the risk factors of oral squamous cell carcinoma, the adjusted OR (95% CI) values were 2.01 (1.49-2.73), 3.51 (2.39-5.15), 2.33 (1.79-3.04), 3.96 (2.11-7.44), respectively; brushing tooth once per bay, brushing tooth more than once per day, regular oral health examination at least 5 years per time were the protective factors of oral squamous cell carcinoma, the adjusted OR (95% CI) values were 0.24 (0.13-0.43), 0.13 (0.07-0.24), 0.37 (0.26-0.53), respectively. The stratification analysis indicated that recurrent oral ulceration could increase the risk of oral squamous cell carcinoma for non-smokers and non-drinking, the adjusted OR (95% CI) value was 5.21 (2.42-11.18) and 4.71 (2.37-9.36); and a risky effect of hypertension on risk of oral squamous cell carcinoma was observed for non-smokers and non-drinking, the adjusted OR (95% CI) values were 1.70 (1.10-2.61) and 1.58 (1.07-2.34).
CONCLUSIONSOral hygiene and chronic diseases could affect the incidence of oral squamous cell carcinoma.
