Periodontitis is associated with decreased experimental pressure pain tolerance: The Tromsø Study 2015–2016

Aim - To assess the relationship between periodontitis and experimental pain tolerance. Materials and Methods - Participants from the population-based seventh survey of the Tromsø Study with data on periodontitis were included (n = 3666, 40–84 years old, 51.6% women). Pain tolerance was assessed thr...

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Bibliographic Details
Published in:Journal of Clinical Periodontology
Main Authors: Hadler-Olsen, Elin Synnøve, Petrenya, Natalia, Jönsson, Birgitta, Steingrímsdóttir, Ólöf Anna, Stubhaug, Audun, Nielsen, Christopher Sivert
Format: Article in Journal/Newspaper
Language:English
Published: Wiley 2024
Subjects:
Tromsø
Online Access:https://hdl.handle.net/10037/33645
https://doi.org/10.1111/jcpe.13968
Description
Summary:Aim - To assess the relationship between periodontitis and experimental pain tolerance. Materials and Methods - Participants from the population-based seventh survey of the Tromsø Study with data on periodontitis were included (n = 3666, 40–84 years old, 51.6% women). Pain tolerance was assessed through (i) pressure pain tolerance (PPT) test with a computerized cuff pressure algometry on the leg, and (ii) cold-pressor tolerance (CPT) test where one hand was placed in circulating 3°C water. Cox proportional hazard regression was used to assess the association between periodontitis and pain tolerance adjusted for age, sex, education, smoking and obesity. Results - In the fully adjusted model using the 2012 Centers for Disease Control/American Academy of Periodntology case definitions for surveillance of periodontitis, moderate (hazard ratio [HR] = 1.09; 95% confidence interval [CI]: 1.01, 1.18) and severe (HR = 1.25, 95% CI: 1.11, 1.42) periodontitis were associated with decreased PPT. Using the 2018 classification of periodontitis, having Stage II/III/IV periodontitis was significantly associated with decreased PPT (HR = 1.09; 95% CI: 1.01, 1.18) compared with having no or stage I periodontitis. There were no significant associations between periodontitis and CPT in fully adjusted models. Conclusions - Moderate and severe periodontitis was associated with experimental PPT.

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