Affiliation:
1. Department of Preventive Dentistry Kagoshima University Graduate School of Medical and Dental Sciences Kagoshima Japan
2. Department of Orthopaedic Surgery Kagoshima University Graduate School of Medical and Dental Sciences Kagoshima Japan
3. Division of Preventive Dentistry Kagoshima University Hospital Kagoshima Japan
Abstract
AbstractObjectiveMalignant soft tissue sarcoma (MSTS) is a rare disease, but is seen in patients undergoing orthopedic surgery. Although the association of periodontal disease with various cancers occurring in the oral cavity, gastrointestinal tract, lungs, and prostate, has been reported, the association between periodontal disease and MSTS remains unclear. This study investigated the association between periodontal disease and MSTS in patients undergoing orthopedic surgery.Subjects and MethodsOne hundred fifteen patients who underwent orthopedic surgery between 2017 and 2021 were retrospectively enrolled (mean age = 66.8 ± 10.7 years). The patient background was adjusted by the propensity score (PS). Subsequently, the association of periodontal disease with MSTS was analyzed using PS inverse probability of treatment weighting (IPTW). Periodontal status was determined by evaluating the periodontal inflamed surface area, which was calculated by measuring the periodontal probing pocket depth and detecting bleeding on probing.ResultsMultivariate logistic regression analysis after adjustment by the PS showed that severe periodontitis was significantly associated with MSTS (odds ratio 2.81, p = 0.04). Furthermore, IPTW showed that severe periodontitis was significantly associated with MSTS (odds ratio 3.21, p = 0.01).ConclusionThe results indicate an association between periodontal inflammation and MSTS.
Subject
General Dentistry,Otorhinolaryngology