Evidence map›Paper›PMID 34209432›Full record

ArticleBiology2021

"Dental Cluster" Versus "Metabolic Cluster": Analyzing the Associations of Planned and Delivered Dental Procedures with Metabolic Syndrome, Utilizing Data from the Dental, Oral, Medical Epidemiological (DOME) Cross-Sectional Record-Based Nationwide Study.

Itzhak Abramovitz, Avraham Zini, Pablo Pribluda, Ron Kedem, Dorit Zur, Noam E Protter, Galit Almoznino

Open access · goldAbstract read
In one paragraph

Article in Biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Itzhak AbramovitzFaculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 91120, Israel.
Avraham ZiniFaculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 91120, Israel.
Pablo PribludaFaculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 91120, Israel.
Ron KedemMedical Information Department, General Surgeon Headquarter, Medical Corps, Israel Defense Forces, Tel-Hashomer 02149, Israel.ORCID 0000-0002-4454-5032
Dorit ZurMedical Information Department, General Surgeon Headquarter, Medical Corps, Israel Defense Forces, Tel-Hashomer 02149, Israel.
Noam E ProtterChief Dental Surgeon & Head of Forensic Unit, Medical Corps, Israel Defense Forces, Tel-Hashomer 02149, Israel.
Galit AlmozninoFaculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 91120, Israel.ORCID 0000-0001-9671-0047
Hebrew University of Jerusalem · ILIsrael Defense Forces Medical Corps · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are conflicting results existing regarding the association between dental status and metabolic syndrome (MetS). The present research analyzed the associations of the sum of the standard dental unit (SDU) scores of planned (SDU-P) and delivered (SDU-D) dental procedures per patient with MetS components, consequences, and related conditions. The SDU score of each dental procedure represents the time and complexity of the executed procedure. This cross-sectional study analyzed data from the Dental, Oral, Medical Epidemiological (DOME) repository, which includes comprehensive socio-demographic, medical, and dental databases of a nationally representative sample of 132,529 military personnel. Univariate analyses revealed that SDU-P had statistically significant positive associations with all systemic morbidities related to MetS, while the SDU-D exhibited positive associations with some of the systemic morbidities and with lower ORs. SDU-P and SDU-D were associated with worse scores of auxiliary examinations used in the assessment of MetS components. SDU-P retained significant positive associations in the multivariate analysis with impaired glucose tolerance (IGT) (OR = 7.40 (1.91-28.57)), deep vein thrombosis (DVT) (OR = 5.61 (1.53-20.83)), obstructive sleep apnea (OSA) (OR = 5.05 (2.40-10.63)), and fatty liver (OR = 1.82 (1.17-2.84)). In contrast, obesity was the only systemic parameter retaining a significant association with SDU-D following multivariate analysis (OR = 1.47 (1.23-1.76)). It can be concluded that SDU-P, but not SDU-D, is a better predictor of systemic morbidities related to MetS. In other words, MetS is associated with a higher dental treatment needs burden, rather than with dental treatments performed de facto. Dental and general health authorities should collaborate and share information and focus on reducing common health-related risk factors, such as smoking and sugar consumption, in particular among high-risk populations, such as immigrants and those with lower SES and rural locality.

Indexed as

dental cariesdiabetes mellituselectronic health recordfatty liverhyperlipidemiasmetabolic syndromeobesity

Identifiers

PMID34209432
PMCPMC8301031
OpenAlexW3177273952

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.