Table 4 Age-standardised incidence rates (aSIRs), hazard ratios (HRs) and 95 percent confidence intervals (95% CIs) of 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

122

310,713

95.3

1.00

1.00

4–5

191

105,356

155.5

age <80 years||

110

60,559

225.0

1.58 (1.16–2.14)

1.51 (1.11–2.05)

age ≥80 years||

81

44,796

69.8

1.31 (0.88–1.96)

1.28 (0.85–1.92)

2–3

184

51,847

215.6

age <80 years||

105

21,305

497.2

2.21 (1.60–3.05)

2.06 (1.49–2.84)

age ≥80 years||

79

30,542

77.7

1.32 (0.87–2.00)

1.25 (0.82–1.90)

0–1

440

80,294

265.9

age <80 years||

223

26,434

597.3

2.75 (2.03–3.74)

2.48 (1.82–3.37)

age ≥80 years||

217

53,861

86.3

1.30 (0.88–1.93)

1.29 (0.87–1.91)

P-trend (age <80)

   

<0.001

<0.001

P-trend (age ≥80)

   

0.38

0.40

Dental plaque

No plaque

78

100,536

101.1

1.00

1.00

Low

265

298,161

126.0

1.10 (0.85–1.42)

1.07 (0.83–1.39)

High

154

69,219

244.0

1.66 (1.25–2.21)

1.56 (1.16–2.09)

Not accurate#

440

80,294

265.9

Oral lesions

No lesions**

466

399,745

149.8

1.00

1.00

Candida-related

99

24,487

248.0

1.30 (1.03–1.63)

1.24 (0.99–1.57)

Denture-related

366

85,835

235.5

age <80 years||

192

35,385

519.9

1.46 (1.20–1.78)

1.37 (1.12–1.68)

age ≥80 years||

174

50,450

82.2

1.02 (0.82–1.26)

1.01 (0.81–1.26)

Tongue

204

74,578

212.0

1.20 (1.02–1.43)

1.20 (1.02–1.43)

  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: 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, 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). ||Refers to attained age. Model contained an interaction term between the oral health exposure and attained age (<80 years, ≥80 years). #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.