The relationship between periodontal disease attributes and Helicobacter pylori infection among adults in the United States

Am J Public Health. 2002 Nov;92(11):1809-15. doi: 10.2105/ajph.92.11.1809.

Abstract

Objectives: We investigated the relationship between Helicobacter pylori infection and abnormal periodontal conditions.

Methods: Data from the first phase of the third National Health and Nutrition Examination Survey were used. A total of 4504 participants aged 20 to 59 years who completed a periodontal examination and tested positive for H. pylori antibodies were examined.

Results: Periodontal pockets with a depth of 5 mm or more were associated with increased odds of H. pylori seropositivity (odds ratio [OR] = 1.47; 95% confidence interval [CI] = 1.12, 1.94) after adjustment for sociodemographic factors. This association is comparable to the independent effects of poverty on H. pylori (OR = 1.54; 95% CI = 1.10, 2.16).

Conclusions: Poor periodontal health, characterized by advanced periodontal pockets, may be associated with H. pylori infection in adults, independent of poverty status.

MeSH terms

  • Adult
  • Antibodies, Bacterial / analysis
  • Dental Calculus / complications
  • Dental Calculus / epidemiology
  • Dental Calculus / microbiology
  • Epidemiologic Studies
  • Female
  • Helicobacter Infections / complications
  • Helicobacter Infections / epidemiology*
  • Helicobacter pylori / immunology
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Nutrition Surveys
  • Periodontal Pocket / complications
  • Periodontal Pocket / epidemiology*
  • Periodontal Pocket / microbiology
  • Probability
  • Risk Factors
  • Seroepidemiologic Studies
  • Socioeconomic Factors
  • Stomatitis, Aphthous / complications
  • Stomatitis, Aphthous / epidemiology
  • Stomatitis, Aphthous / microbiology
  • United States / epidemiology

Substances

  • Antibodies, Bacterial