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. 2022 Feb 14;2022:1088371. doi: 10.1155/2022/1088371

Table 2.

Exposures, outcomes, and adjustment variables of seven included studies of tooth loss in relation to incidence of ischemic stroke.

Author (year) Tooth loss evaluation Ischemic stroke assessment Effect estimates Risk Adjustment variables
Wu et al. (2000) Dental examination Review of medical history, including ischemic and hemorrhagic stroke RR No periodontal disease: 1.00R Age, sex, race, education, poverty index, diabetes status, hypertension, smoking status, average alcohol use, body mass index, and serum cholesterol
Edentulous: 1.41 (0.96–2.06)
Joshipura et al. (2003) Self-reported questionnaire Medical evaluation and self-reports, only including ischemic stroke HR 25–32 teeth: 1.00R Age, smoking, alcohol consumptions, body mass index, physical activity, family history of myocardial infarction, multivitamin supplement use, vitamin E use, history of hypertension, diabetes, hypercholesterolemia, and professions
17–24 teeth: 1.50 (1.14–1.97)
11–16 teeth: 1.74 (1.08–2.81)
0–10 teeth:1.66 (1.10–2.51)
Joshy et al. (2016) Self-reported questionnaire Medical evaluation and self-reports, only including ischemic stroke HR 20 teeth: 1R Age, sex, tobacco smoking, alcohol consumption, Australian born status, region of residence, education, health insurance, physical activity, and body mass index
10–19 teeth: 1.11 (0.72–1.73)
1–9 teeth: 0.90 (0.59–1.40)
None: 1.20 (0.90–1.62)
Lee et al. (2019) Dental examination Medical evaluation, only including ischemic stroke HR 28 teeth: 1R Age, sex, body mass index, diagnosis of diabetes mellitus, hypertension, dyslipidemia, chronic pulmonary disease, end-stage renal disease, smoking history, drinking history, exercise habits, and low income level
24–27 teeth: 1.12 (1.09–1.16)
14–23 teeth: 1.26 (1.20–1.32)
1–13 teeth: 1.28 (1.18–1.39)
None: 1.30 (1.13–1.50)
Total: 1.015 (1.012–1.018)
Grau et al. (2004) Dental examination Medical evaluation, including ischemic stroke and transient ischemic attack OR No tooth loss: 1.0R Age and sex
1–19 teeth loss: 0.97 (0.42–2.2)
20–27 teeth loss: 0.75 (0.27–2.05)
All teeth loss: 1.50 (0.52–4.44)
Palm et al. (2014) Dental examination and interview using a structured questionnaire Medical evaluation, self-reports and review of medical history, including ischemic stroke and transient ischemic attack P-value Teeth number None
Cases: 13.8 ± 10.8
Population controls: 16.6 ± 10.1
P-value: 0.04
Leao et al. (2021) Dental examination Medical evaluation, including ischemic stroke and transient ischemic attack P-value Teeth number None
Cases: 11.78 ± 10.06
Hospital controls: 18.53 ± 8.02
P-value: <0.01