Table 3 Age-standardised incidence rates (aSIRs), hazard ratios (HRs) and 95 percent confidence intervals (95% CIs) of non-fatal myocardial infarction (MI) by oral health status between 1973 and 2012.

From: Poor oral health and risk of incident myocardial infarction: A prospective cohort study of Swedish adults, 1973–2012

 

Cases of MI (N)

Person-years

aSIR (per 100,000 person-years)*

Minimally-adjusted HR (95% CI)

Fully-adjusted HR

(95% CI)

Number of teeth §

6

609

310,713

314.6

1.00

1.00

4–5

459

105,356

368.3

1.13 (0.99–1.29)

1.10 (0.96–1.25)

2–3

333

51,847

423.2

1.30 (1.12–1.52)

1.24 (1.06–1.44)

0–1

633

80,294

727.9

1.43 (1.24–1.65)

1.32 (1.14–1.53)

P-trend

   

<0.001

<0.001

Dental plaque

No plaque

248

100,536

286.7

1.00

1.00

Low

831

298,161

341.3

1.03 (0.89–1.19)

1.03 (0.89–1.19)

  High

322

69,219

487.3

1.26 (1.06–1.49)

1.23 (1.03–1.47)

Not accurate||

633

80,294

727.9

Oral lesions

No lesions#

1,189

399,745

348.1

1.00

1.00

Candida-related

145

24,487

434.8

1.17 (0.98–1.40)

1.10 (0.91–1.31)

Denture-related

590

85,835

439.2

1.25 (1.12–1.39)

1.20 (1.07–1.34)

Tongue

368

74,578

408.3

1.14 (1.01–1.28)

1.13 (1.00–1.28)

  1. *Age-standardised incidence rate per 100,000 person-years, standardised to the age distribution of person-years experienced by all participants, using 5-year age categories. Minimally-adjusted HRs: All Cox proportional hazards regression models had attained age as the time scale, stratified by sex (male, female) and attained calendar period in 5-year intervals. Fully-adjusted HRs: All Cox proportional hazards regression models had attained age as time scale, adjusted for alcohol consumption (no/low, moderate/high) and area of residence (small town, rural, city) and stratified by sex (male, female), smoking and snus use (uses neither, smoker only, snus user only, uses both) and attained calendar period in 5-year intervals. §Number of teeth was assessed at baseline through examination of six reference teeth (tooth numbers 16, 21, 24, 36, 41, 44 using the Ramfjord teeth index). Minimally-adjusted model (n = 20,133); Fully-adjusted model (n = 20,125). ||The measurement of dental plaque for individuals with only 0 or 1 of the reference teeth present was considered to not be accurate (n = 4,624). #Reference group included those without any evidence of Candida-related, denture-related, or tongue lesions.