Association between gastroesophageal reflux disease and DMFT index in the PERSIAN Guilan Cohort Study

Abstract Studies investigating the association between gastroesophageal reflux disease (GERD) and the decayed, missing, and filled teeth (DMFT) index have yielded contradictory results. Therefore, this study aimed to determine this relationship in the PERSIAN Guilan Cohort Study (PGCS) population. T...

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Main Authors: Mohammad Samami, Elham Jafari, Soheil Hassanipour, Mohammadreza Naghipour, Farahnaz Joukar, Fariborz Mansour-Ghanaei
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-13744-3
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author Mohammad Samami
Elham Jafari
Soheil Hassanipour
Mohammadreza Naghipour
Farahnaz Joukar
Fariborz Mansour-Ghanaei
author_facet Mohammad Samami
Elham Jafari
Soheil Hassanipour
Mohammadreza Naghipour
Farahnaz Joukar
Fariborz Mansour-Ghanaei
author_sort Mohammad Samami
collection DOAJ
description Abstract Studies investigating the association between gastroesophageal reflux disease (GERD) and the decayed, missing, and filled teeth (DMFT) index have yielded contradictory results. Therefore, this study aimed to determine this relationship in the PERSIAN Guilan Cohort Study (PGCS) population. This analytical cross-sectional study was part of the PGCS. Demographic, clinical, and oral hygiene information were collected. DMFT scores were specified by clinical examination, and GERD status was determined based on self-reported symptoms and confirmation by a medical specialist. Among 10,520 individuals in the PGCS, 13.2% (95% CI 12.5–13.8%) were diagnosed with GERD. The mean DMFT for the GERD group was 14.41 ± 8.47 and 14.59 ± 8.82 for the non-GERD group, and the difference was not statistically significant (P = 0.49). Linear regression analysis showed that older age, lower education and body mass index (BMI), smoking, alcohol consumption, higher wealth score index (WSI), and not tooth brushing were associated with an increased DMFT in the GERD group (P < 0.05). Findings indicate no association between GERD and an increased risk of dental caries in PGCS. These results should be interpreted cautiously, and longitudinal studies are needed to understand this relationship. The results demonstrated that tooth brushing exerts a substantial influence on both groups.
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spelling doaj-art-cc292be2ed494d1aa71b058fc4e111d02025-08-20T04:02:46ZengNature PortfolioScientific Reports2045-23222025-08-011511810.1038/s41598-025-13744-3Association between gastroesophageal reflux disease and DMFT index in the PERSIAN Guilan Cohort StudyMohammad Samami0Elham Jafari1Soheil Hassanipour2Mohammadreza Naghipour3Farahnaz Joukar4Fariborz Mansour-Ghanaei5Department of Oral and Maxillofacial Medicine, School of Dentistry, Guilan University of Medical SciencesDepartment of Oral and Maxillofacial Medicine, School of Dentistry, Guilan University of Medical SciencesGastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Razi HospitalGastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Razi HospitalGastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Razi HospitalGastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Razi HospitalAbstract Studies investigating the association between gastroesophageal reflux disease (GERD) and the decayed, missing, and filled teeth (DMFT) index have yielded contradictory results. Therefore, this study aimed to determine this relationship in the PERSIAN Guilan Cohort Study (PGCS) population. This analytical cross-sectional study was part of the PGCS. Demographic, clinical, and oral hygiene information were collected. DMFT scores were specified by clinical examination, and GERD status was determined based on self-reported symptoms and confirmation by a medical specialist. Among 10,520 individuals in the PGCS, 13.2% (95% CI 12.5–13.8%) were diagnosed with GERD. The mean DMFT for the GERD group was 14.41 ± 8.47 and 14.59 ± 8.82 for the non-GERD group, and the difference was not statistically significant (P = 0.49). Linear regression analysis showed that older age, lower education and body mass index (BMI), smoking, alcohol consumption, higher wealth score index (WSI), and not tooth brushing were associated with an increased DMFT in the GERD group (P < 0.05). Findings indicate no association between GERD and an increased risk of dental caries in PGCS. These results should be interpreted cautiously, and longitudinal studies are needed to understand this relationship. The results demonstrated that tooth brushing exerts a substantial influence on both groups.https://doi.org/10.1038/s41598-025-13744-3Dental cariesDMF indexGastroesophageal refluxCohort studiesEpidemiologic studiesEpidemiology
spellingShingle Mohammad Samami
Elham Jafari
Soheil Hassanipour
Mohammadreza Naghipour
Farahnaz Joukar
Fariborz Mansour-Ghanaei
Association between gastroesophageal reflux disease and DMFT index in the PERSIAN Guilan Cohort Study
Scientific Reports
Dental caries
DMF index
Gastroesophageal reflux
Cohort studies
Epidemiologic studies
Epidemiology
title Association between gastroesophageal reflux disease and DMFT index in the PERSIAN Guilan Cohort Study
title_full Association between gastroesophageal reflux disease and DMFT index in the PERSIAN Guilan Cohort Study
title_fullStr Association between gastroesophageal reflux disease and DMFT index in the PERSIAN Guilan Cohort Study
title_full_unstemmed Association between gastroesophageal reflux disease and DMFT index in the PERSIAN Guilan Cohort Study
title_short Association between gastroesophageal reflux disease and DMFT index in the PERSIAN Guilan Cohort Study
title_sort association between gastroesophageal reflux disease and dmft index in the persian guilan cohort study
topic Dental caries
DMF index
Gastroesophageal reflux
Cohort studies
Epidemiologic studies
Epidemiology
url https://doi.org/10.1038/s41598-025-13744-3
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