The association between medical diseases and orofacial abscess: A retrospective, hospital-based study

Objective: This study aimed to identify the most commonly reported medical diseases among dental patients and to assess its association with the development of the orofacial abscess. Methods: The medical records (n = 3164) of dental patients who visited the dental hospital at Umm-Al-Qura University...

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Main Authors: Hassan Abed, Majed Obaid, Khalid Al-Johani
Format: Article
Language:English
Published: Springer 2021-11-01
Series:Saudi Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S1013905219311307
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author Hassan Abed
Majed Obaid
Khalid Al-Johani
author_facet Hassan Abed
Majed Obaid
Khalid Al-Johani
author_sort Hassan Abed
collection DOAJ
description Objective: This study aimed to identify the most commonly reported medical diseases among dental patients and to assess its association with the development of the orofacial abscess. Methods: The medical records (n = 3164) of dental patients who visited the dental hospital at Umm-Al-Qura University (Makkah, Saudi Arabia) were reviewed. Demographic characteristics of eligible patients were collected. Medical diseases were collected as reported by the patients in the medical records. The International Classification of Diseases (ICD-10) was used to classify the reported medical diseases. Simple descriptive statistics were used to define the characteristics of the study variables through a form of counts and percentages. Multivariable logistic regression analysis was carried out to find out the significant predictors of orofacial abscess. Results: Upon reviewing 3164 medical records, almost half of the patients had medical diseases (n = 1543, 49%). The mean age of the cohort was 30.3 (SD = 16.43). Diabetes mellitus (n = 316, 20%) and hypertension (n = 210, 14%) were the most common reported medical diseases. Male patients reported having more medical diseases compared to the female. Hypertension was found to be significantly high among female patients (X2 = 3.167, P-value < 0.001). Multivariable logistic regression analysis indicated that the female gender is significantly associated with the development of orofacial abscess after adjustment for age and vascular risk factors (i.e., hypertension) (B = 1.26, S.E. = 0.57, OR = 3.54, 95%CI = 1.13 to 11.40, P-value = 0.028). Conclusion: Dentists should be aware that diabetes mellitus and hypertension are prevalent among patients visiting dental services. The female gender has a higher association of developing orofacial abscess than male. Within the limitation of this study in a single study center with few patients having orofacial abscess, this study found no association between medical diseases and the development of orofacial abscess.
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spelling doaj-art-61b73f08461f44d3b6e37be8f3d4054e2025-08-20T02:15:52ZengSpringerSaudi Dental Journal1013-90522021-11-0133773173710.1016/j.sdentj.2020.03.015The association between medical diseases and orofacial abscess: A retrospective, hospital-based studyHassan Abed0Majed Obaid1Khalid Al-Johani2Department of Basic and Clinical Oral Sciences, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia; Department of Sedation and Special Care Dentistry, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom; Corresponding author at: Department of Basic and Clinical Oral Sciences, Faculty of Dentistry, Umm AL-Qura University, P.O.BOX 14405, 21955 Makkah, Saudi Arabia.Department of Community Medicine and Medical Care for Pilgrims, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia; Division of Health and Social Care, School of Population Health and Environmental Science, King’s College London, London, United KingdomDepartment of Oral Diagnostic Science, Faculty of Dentistry, King Abdul-Aziz University, Jeddah, Saudi ArabiaObjective: This study aimed to identify the most commonly reported medical diseases among dental patients and to assess its association with the development of the orofacial abscess. Methods: The medical records (n = 3164) of dental patients who visited the dental hospital at Umm-Al-Qura University (Makkah, Saudi Arabia) were reviewed. Demographic characteristics of eligible patients were collected. Medical diseases were collected as reported by the patients in the medical records. The International Classification of Diseases (ICD-10) was used to classify the reported medical diseases. Simple descriptive statistics were used to define the characteristics of the study variables through a form of counts and percentages. Multivariable logistic regression analysis was carried out to find out the significant predictors of orofacial abscess. Results: Upon reviewing 3164 medical records, almost half of the patients had medical diseases (n = 1543, 49%). The mean age of the cohort was 30.3 (SD = 16.43). Diabetes mellitus (n = 316, 20%) and hypertension (n = 210, 14%) were the most common reported medical diseases. Male patients reported having more medical diseases compared to the female. Hypertension was found to be significantly high among female patients (X2 = 3.167, P-value < 0.001). Multivariable logistic regression analysis indicated that the female gender is significantly associated with the development of orofacial abscess after adjustment for age and vascular risk factors (i.e., hypertension) (B = 1.26, S.E. = 0.57, OR = 3.54, 95%CI = 1.13 to 11.40, P-value = 0.028). Conclusion: Dentists should be aware that diabetes mellitus and hypertension are prevalent among patients visiting dental services. The female gender has a higher association of developing orofacial abscess than male. Within the limitation of this study in a single study center with few patients having orofacial abscess, this study found no association between medical diseases and the development of orofacial abscess.http://www.sciencedirect.com/science/article/pii/S1013905219311307Medical diseasesDiabetesHypertensionOrofacial abscessLogistic regressionRetrospective analysis
spellingShingle Hassan Abed
Majed Obaid
Khalid Al-Johani
The association between medical diseases and orofacial abscess: A retrospective, hospital-based study
Saudi Dental Journal
Medical diseases
Diabetes
Hypertension
Orofacial abscess
Logistic regression
Retrospective analysis
title The association between medical diseases and orofacial abscess: A retrospective, hospital-based study
title_full The association between medical diseases and orofacial abscess: A retrospective, hospital-based study
title_fullStr The association between medical diseases and orofacial abscess: A retrospective, hospital-based study
title_full_unstemmed The association between medical diseases and orofacial abscess: A retrospective, hospital-based study
title_short The association between medical diseases and orofacial abscess: A retrospective, hospital-based study
title_sort association between medical diseases and orofacial abscess a retrospective hospital based study
topic Medical diseases
Diabetes
Hypertension
Orofacial abscess
Logistic regression
Retrospective analysis
url http://www.sciencedirect.com/science/article/pii/S1013905219311307
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