The Experts below are selected from a list of 2814 Experts worldwide ranked by ideXlab platform
Chyunyu Yang - One of the best experts on this subject based on the ideXlab platform.
-
frequent Dental Scaling is associated with a reduced risk of periprosthetic infection following total knee arthroplasty a nationwide population based nested case control study
2016Co-Authors: Tawei Tai, Tzuchieh Lin, Yea Huei Kao Yang, Chyunyu YangAbstract:Oral bacteremia has been presumed to be an important risk factor for total knee arthroplasty (TKA) infection. We aimed to investigate whether Dental Scaling could reduce the risk of TKA infection. A nested case-control study was conducted to compare 1,291 TKA patients who underwent resection arthroplasty for infected TKA and 5,004 matched controls without infection in the TKA cohort of Taiwan's National Health Insurance Research Database (NHIRD). The frequency of Dental Scaling was analyzed. Multiple conditional logistic regression was used to assess the frequency of Dental Scaling and the risk of TKA infection. The percentage of patients who received Dental Scaling was higher in the control group than in the TKA infection group. The risk for TKA infection was 20% lower for patients who received Dental Scaling at least once within a 3-year period than for patients who never received Dental Scaling. Moreover, the risk of TKA infection was reduced by 31% among patients who underwent more frequent Dental Scaling (5-6 times within 3 years). Frequent and regular Dental Scaling is associated with a reduced risk of TKA infection.
-
Dental Scaling reduces the risk of periprosthetic infection following total knee arthroplasty a nationwide population based nested case control study
2016Co-Authors: Tawei Tai, Tzuchieh Lin, Yeahuei Yang Kao, Chyunyu YangAbstract:BACKGROUND Periprosthetic infection is the most challenging complication following total knee arthroplasty (TKA). Poor oral hygiene has been assumed as an important risk factor for TKA infection. We aimed to investigate whether the improvement of oral hygiene through Dental Scaling could reduce the risk of TKA infection. METHODS A nested case control study was conducted and enrollees in the National Health Insurance Research Database (NHIRD) aged above 40 years who had received total knee arthroplasty (TKA) between 1999–2002 were included as the TKA cohort. The cases were patients who underwent resection arthroplasty for infected TKA, and each case was matched by 4 controls from the TKA cohort by gender, using incidence density sampling method. The frequency of Dental Scaling before the index date was analyzed and compared between the case and the control groups. Multiple conditional logistic regression was used to assess the frequency of Dental Scaling and the risk of TKA infection. RESULTS The percentages of patients who ever received Dental Scaling before the end of follow-up were higher in the control group than that in the TKA infection group. As compared with patients never received Dental Scaling, there was a trend that patients who received Dental Scaling once within 2 years, may have 9% lower risk in TKA infection (adjusted odds ratio, 0.91; 95% confidence interval, 0.76–1.08). Moreover, the risk of TKA infection can be reduced significantly in patients who had Dental Scaling at least once per year, with an odds ratio of 0.71 (95% confidence interval, 0.53–0.95). CONCLUSIONS Improvement of oral hygiene by more frequent and regular Dental Scaling (at least once per year) may reduce the risk of TKA infection. TKA Patients should be advised to check their oral hygiene regularly.
Tawei Tai - One of the best experts on this subject based on the ideXlab platform.
-
frequent Dental Scaling is associated with a reduced risk of periprosthetic infection following total knee arthroplasty a nationwide population based nested case control study
2016Co-Authors: Tawei Tai, Tzuchieh Lin, Yea Huei Kao Yang, Chyunyu YangAbstract:Oral bacteremia has been presumed to be an important risk factor for total knee arthroplasty (TKA) infection. We aimed to investigate whether Dental Scaling could reduce the risk of TKA infection. A nested case-control study was conducted to compare 1,291 TKA patients who underwent resection arthroplasty for infected TKA and 5,004 matched controls without infection in the TKA cohort of Taiwan's National Health Insurance Research Database (NHIRD). The frequency of Dental Scaling was analyzed. Multiple conditional logistic regression was used to assess the frequency of Dental Scaling and the risk of TKA infection. The percentage of patients who received Dental Scaling was higher in the control group than in the TKA infection group. The risk for TKA infection was 20% lower for patients who received Dental Scaling at least once within a 3-year period than for patients who never received Dental Scaling. Moreover, the risk of TKA infection was reduced by 31% among patients who underwent more frequent Dental Scaling (5-6 times within 3 years). Frequent and regular Dental Scaling is associated with a reduced risk of TKA infection.
-
Dental Scaling reduces the risk of periprosthetic infection following total knee arthroplasty a nationwide population based nested case control study
2016Co-Authors: Tawei Tai, Tzuchieh Lin, Yeahuei Yang Kao, Chyunyu YangAbstract:BACKGROUND Periprosthetic infection is the most challenging complication following total knee arthroplasty (TKA). Poor oral hygiene has been assumed as an important risk factor for TKA infection. We aimed to investigate whether the improvement of oral hygiene through Dental Scaling could reduce the risk of TKA infection. METHODS A nested case control study was conducted and enrollees in the National Health Insurance Research Database (NHIRD) aged above 40 years who had received total knee arthroplasty (TKA) between 1999–2002 were included as the TKA cohort. The cases were patients who underwent resection arthroplasty for infected TKA, and each case was matched by 4 controls from the TKA cohort by gender, using incidence density sampling method. The frequency of Dental Scaling before the index date was analyzed and compared between the case and the control groups. Multiple conditional logistic regression was used to assess the frequency of Dental Scaling and the risk of TKA infection. RESULTS The percentages of patients who ever received Dental Scaling before the end of follow-up were higher in the control group than that in the TKA infection group. As compared with patients never received Dental Scaling, there was a trend that patients who received Dental Scaling once within 2 years, may have 9% lower risk in TKA infection (adjusted odds ratio, 0.91; 95% confidence interval, 0.76–1.08). Moreover, the risk of TKA infection can be reduced significantly in patients who had Dental Scaling at least once per year, with an odds ratio of 0.71 (95% confidence interval, 0.53–0.95). CONCLUSIONS Improvement of oral hygiene by more frequent and regular Dental Scaling (at least once per year) may reduce the risk of TKA infection. TKA Patients should be advised to check their oral hygiene regularly.
Fuder Wang - One of the best experts on this subject based on the ideXlab platform.
-
Dental Scaling and atrial fibrillation a nationwide cohort study
2013Co-Authors: Sujung Chen, Chiajen Liu, Tzefan Chao, Kangling Wang, Tzengji Chen, Pesus Chou, Fuder WangAbstract:Abstract Background Improvement of oral hygiene through Dental Scaling was associated with a decreased risk of cardiovascular events. The goal of the present study was to investigate whether Dental Scaling can reduce the risk of atrial fibrillation (AF). Methods In year 2000, a total of 28,909 subjects who were age 60 or more without past history of cardiac arrhythmias were identified from the "National Health Insurance Research Database" in Taiwan. Among these subjects, those who have received Dental Scaling at least 1 time/year for 3 consecutive years (1998–2000) were selected to be the exposed group (n=3391). A total of 13,564 age, sex and underlying disease-matched subjects without receiving Dental Scaling were identified to be the non-exposed group. The study endpoint was the occurrence of new-onset AF. Results During a follow-up of 4.6±1.1years, 478 participants (2.8%) developed AF. The exposed group had a lower AF occurrence rate than non-exposed group (2.2% versus 3.0%; p value=0.017). After an adjustment with age, gender, and comorbidities in the multivariate analysis, Dental Scaling was associated with a reduced risk of AF (hazard ratio=0.671, 95% CI=0.524–0.859; p value=0.002). Among the exposed group, the hazard ratio in developing AF was 0.340 (95% CI=0.247–0.489; p value Conclusions The risk of AF was lower in subjects receiving Dental Scaling. Improvement of oral hygiene by Dental Scaling may be a simple and useful way to prevent AF.
-
Dental Scaling and risk reduction in infective endocarditis a nationwide population based case control study
2013Co-Authors: Sujung Chen, Chiajen Liu, Tzefan Chao, Kangling Wang, Tzengji Chen, Fuder Wang, Chernen ChiangAbstract:Abstract Background Infective endocarditis (IE) is an uncommon but potentially life-threatening disease. Poor oral hygiene has been assumed as an important risk factor for IE. We aimed to investigate whether the improvement of oral hygiene through Dental Scaling could reduce the risk of IE. Methods From January 1, 2000 to December 31, 2009, a total of 736 patients with newly diagnosed IE were identified from the National Health Insurance Research Database. On the same date of enrollment, 10 patients (without IE) with matched age, sex, and underlying diseases were selected to be the control group for each study patient. The frequency of Dental Scaling before the enrollment was analyzed and compared between the study and the control groups. Results The percentages of patients who ever received Dental Scaling before the enrollment were higher in the control group than that in the study group. For patients who received Dental Scaling once in 2 years, the risk of IE can be reduced by about 15% (odds ratio, 0.845; 95% confidence interval, 0.693-1.012) with a borderline P value ( P = 0.058). Moreover, the risk of IE decreased significantly among patients who received Dental Scaling at least once per year, with an odds ratio of 0.696 (95% confidence interval, 0.542-0.894; P = 0.005). Conclusions Improvement of oral hygiene by Dental Scaling may reduce the risk of IE. More frequent and regular Dental Scaling (at least once per year) was associated with a significant decrease in IE.
Jingyang Huang - One of the best experts on this subject based on the ideXlab platform.
-
periodontitis and Dental Scaling associated with pyogenic liver abscess a population based case control study
2018Co-Authors: Yingtung Yeh, Jingyang Huang, Bingyen Wang, Chiaowen Lin, S F Yang, Hanwei Yeh, Y C Chang, Chaobin YehAbstract:BACKGROUND AND OBJECTIVES The purpose of this study was to investigate the relationship between periodontitis, Dental Scaling (DS) and pyogenic liver abscesses (PLAs). MATERIAL AND METHODS A nationwide population-based case-control study was applied using data from the National Health Insurance Research Database in Taiwan. We identified and enrolled 691 PLA patients, who were individually matched by age and sex to 2764 controls. RESULTS Conditional logistic regression was applied to estimate adjusted odds ratios (aORs) in patients with exposure to periodontitis and DS before PLA. After adjusting for other confounding factors, periodontitis remained a risk factor for PLA among patients aged 20-40 years, with an aOR of 2.31 (95% confidence interval [CI] = 1.37-3.90, P = .0018). In addition, the average aOR for PLA was significantly lower among patients with one DS (aOR = 0.76, 95% CI = 0.59-0.96) and more than one DS (aOR = 0.61, 95% CI = 0.39-0.95) within 1 year before the index date. CONCLUSION According to these results, we concluded that adult patients with periodontitis aged <50 years old are more at risk for PLA than controls, particularly when they have no DS. Moreover, from 20 years of age, non-periodontal patients subjected to at least 2 DS per year are less at risk for PLA than controls.
-
Dental Scaling decreases the risk of parkinson s disease a nationwide population based nested case control study
2018Co-Authors: Changkai Chen, Jingyang Huang, Yuchao ChangAbstract:The protective effect of Dental Scaling in Parkinson's disease (PD) remains inconclusive. The aim of this study was to analyze the association between Dental Scaling and the development of PD. A retrospective nested case-control study was performed using the National Health Insurance Research Database of Taiwan. The authors identified 4765 patients with newly diagnosed PD from 2005 to 2013 and 19,060 individuals without PD by matching sex, age, and index year. In subgroup 1, with individuals aged 40⁻69 years, individuals without periodontal inflammatory disease (PID) showed a protective effect of Dental Scaling against PD development, especially for Dental Scaling over five consecutive years (adjusted odds ratio = 0.204, 95% CI = 0.047⁻0.886, p = 0.0399). In general, the protective effect of Dental Scaling showed greater benefit for individuals with PID than for those without PID, regardless of whether Dental Scaling was performed for five consecutive years. In subgroup 2, with patients aged ≥70 years, the discontinued (not five consecutive years) Scaling showed increased risk of PD. This was the first study to show that patients without PID who underwent Dental Scaling over five consecutive years had a significantly lower risk of developing PD. These findings emphasize the value of early and consecutive Dental Scaling to prevent the development of PD.
Tzefan Chao - One of the best experts on this subject based on the ideXlab platform.
-
Dental Scaling and atrial fibrillation a nationwide cohort study
2013Co-Authors: Sujung Chen, Chiajen Liu, Tzefan Chao, Kangling Wang, Tzengji Chen, Pesus Chou, Fuder WangAbstract:Abstract Background Improvement of oral hygiene through Dental Scaling was associated with a decreased risk of cardiovascular events. The goal of the present study was to investigate whether Dental Scaling can reduce the risk of atrial fibrillation (AF). Methods In year 2000, a total of 28,909 subjects who were age 60 or more without past history of cardiac arrhythmias were identified from the "National Health Insurance Research Database" in Taiwan. Among these subjects, those who have received Dental Scaling at least 1 time/year for 3 consecutive years (1998–2000) were selected to be the exposed group (n=3391). A total of 13,564 age, sex and underlying disease-matched subjects without receiving Dental Scaling were identified to be the non-exposed group. The study endpoint was the occurrence of new-onset AF. Results During a follow-up of 4.6±1.1years, 478 participants (2.8%) developed AF. The exposed group had a lower AF occurrence rate than non-exposed group (2.2% versus 3.0%; p value=0.017). After an adjustment with age, gender, and comorbidities in the multivariate analysis, Dental Scaling was associated with a reduced risk of AF (hazard ratio=0.671, 95% CI=0.524–0.859; p value=0.002). Among the exposed group, the hazard ratio in developing AF was 0.340 (95% CI=0.247–0.489; p value Conclusions The risk of AF was lower in subjects receiving Dental Scaling. Improvement of oral hygiene by Dental Scaling may be a simple and useful way to prevent AF.
-
Dental Scaling and risk reduction in infective endocarditis a nationwide population based case control study
2013Co-Authors: Sujung Chen, Chiajen Liu, Tzefan Chao, Kangling Wang, Tzengji Chen, Fuder Wang, Chernen ChiangAbstract:Abstract Background Infective endocarditis (IE) is an uncommon but potentially life-threatening disease. Poor oral hygiene has been assumed as an important risk factor for IE. We aimed to investigate whether the improvement of oral hygiene through Dental Scaling could reduce the risk of IE. Methods From January 1, 2000 to December 31, 2009, a total of 736 patients with newly diagnosed IE were identified from the National Health Insurance Research Database. On the same date of enrollment, 10 patients (without IE) with matched age, sex, and underlying diseases were selected to be the control group for each study patient. The frequency of Dental Scaling before the enrollment was analyzed and compared between the study and the control groups. Results The percentages of patients who ever received Dental Scaling before the enrollment were higher in the control group than that in the study group. For patients who received Dental Scaling once in 2 years, the risk of IE can be reduced by about 15% (odds ratio, 0.845; 95% confidence interval, 0.693-1.012) with a borderline P value ( P = 0.058). Moreover, the risk of IE decreased significantly among patients who received Dental Scaling at least once per year, with an odds ratio of 0.696 (95% confidence interval, 0.542-0.894; P = 0.005). Conclusions Improvement of oral hygiene by Dental Scaling may reduce the risk of IE. More frequent and regular Dental Scaling (at least once per year) was associated with a significant decrease in IE.