The modification of meteorological factors on the relationship between air pollution and periodontal diseases: an exploration based on different interaction strategies.

Publisher: Kluwer Academic Publishers Country of Publication: Netherlands NLM ID: 8903118 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2983 (Electronic) Linking ISSN: 02694042 NLM ISO Abbreviation: Environ Geochem Health Subsets: MEDLINE

Publication: 1999- : Dordrecht : Kluwer Academic Publishers
Original Publication: Kew, Surrey : Science and Technology Letters, 1985-

Air Pollution*/adverse effects ; Air Pollution*/analysis ; Air Pollutants*/toxicity ; Air Pollutants*/analysis ; Periodontal Diseases*/etiology ; Periodontal Diseases*/chemically induced ; Periodontitis*/chemically induced ; Gingivitis*/chemically induced ; Gingivitis*/epidemiology; Humans ; Aged ; Nitrogen Dioxide/analysis ; Particulate Matter/analysis ; Meteorological Concepts ; China ; Environmental Exposure/adverse effects ; Environmental Exposure/analysis

We aimed to characterize the association between air pollutants exposure and periodontal diseases outpatient visits and to explore the interactions between ambient air pollutants and meteorological factors. The outpatient visits data of several large stomatological and general hospitals in Hefei during 2015-2020 were collected to explore the relationship between daily air pollutants exposure and periodontal diseases by combining Poisson's generalized linear model (GLMs) and distributed lag nonlinear model (DLNMs). Subgroup analysis was performed to identify the vulnerability of different populations to air pollutants exposure. The interaction between air pollutants and meteorological factors was verified in both multiplicative and additive interaction models. An interquartile range (IQR) increased in nitrogen dioxide (NO 2 ) concentration was associated with the greatest lag-specific relative risk (RR) of gingivitis at lag 3 days (RR = 1.087, 95% CI 1.008-1.173). Fine particulate matter (PM 2.5 ) exposure also increased the risk of periodontitis at the day of exposure (RR = 1.049, 95% CI 1.004-1.096). Elderly patients with gingivitis and periodontitis were both vulnerable to PM 2.5 exposure. The interaction analyses showed that exposure to high levels of NO 2 at low temperatures was related to an increased risk of gingivitis, while exposure to high levels of NO 2 and PM 2.5 may also increase the risk of gingivitis and periodontitis in the high-humidity environment, respectively. This study supported that NO 2 and PM 2.5 exposure increased the risk of gingivitis and periodontitis outpatient visits, respectively. Besides, the adverse effects of air pollutants exposure on periodontal diseases may vary depending on ambient temperature and humidity.
(© 2023. The Author(s), under exclusive licence to Springer Nature B.V.)

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KJ2020A0163 Projects of Natural Science Research of Anhui Provincial Department of Education; KJ2021A0304 Projects of Natural Science Research of Anhui Provincial Department of Education; 2022AH050686 the Key Project of Nature Science Research Project of Anhui Provincial Department of Education; 2021xkjT013 Scientific Research Promotion Plan of Anhui Medical University

Keywords: Air pollution; Gingivitis; Interaction; Periodontitis

S7G510RUBH (Nitrogen Dioxide)
0 (Air Pollutants)
0 (Particulate Matter)

Date Created: 20230808 Date Completed: 20231030 Latest Revision: 20231030

20240829

10.1007/s10653-023-01705-6

37552412