Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
권호 표지
DOI QR코드

DOI QR Code

Impact of allergic rhinitis on stomatitis in Korean adolescents

청소년의 알레르기비염이 구내염에 미치는 영향

  • Kyung-Yi Do (Preventive Medicine, Yonsei University Wonju Collage of Medicine) ;
  • Eun-Sun Lee (Department of Dental Hygiene, Hanyang Women's University)
  • 도경이 (연세대학교 원주의과대학 예방의학교실) ;
  • 이은선 (한양여자대학교 치위생과)
  • Received : 2023.10.23
  • Accepted : 2023.11.16
  • Published : 2023.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study aimed to determine whether adolescents with allergic rhinitis are at an increased risk of stomatitis and to ascertain possible sex-specific differences. Methods: The data for this cross-sectional study was obtained from the 18th Korea Youth Risk Behavior Web-based Survey (2022). Of the 56,213 students surveyed, 51,850 (boys 26,397 and girls 25,453) were included in the final analyses. Multivariate logistic regression was performed to identify the impact of allergic rhinitis on the risk of stomatitis among Korean adolescents. Results: In Model II, which was adjusted for allergic disease, boys with allergic rhinitis had a 1.53-fold (adjusted odds ratio [aOR]=1.53, 95% confidence interval [CI]=1.40-1.67), and girls had a 1.35-fold (aOR=1.35, CI=1.25-1.46) elevated risk of stomatitis than in those without. In Model III, after adjusting for all covariates, boys with allergic rhinitis had a 1.48-fold (aOR=1.48, CI=1.36-1.62) elevated risk of stomatitis than in those without, and girls had a 1.32-fold (aOR=1.32, CI=1.22-1.43) elevated risk, which remained statistically significant after adjusting for covariates. Therefore, allergic rhinitis in adolescents exerts a detrimental effect on the risk of experiencing stomatitis symptoms; the risk was higher in boys than in girls. Conclusions: These findings suggest that oral health care attention and intervention are needed for adolescents with allergic rhinitis.

Keywords

References

  1. Calvo-Henriquez C, Rodriguez-Rivas P, Mayo-Yanez M, Gonzalez-Barcala FJ, Boronat-Catala B, Dds SM, et al. Allergic rhinitis and dental caries: A systematic review. Allergol Immunopathol (Madr) 2023;51(2):168-76. https://doi.org/10.15586/aei.v51i2.752
  2. Chuang CY, Sun HL, Ku MS. Allergic rhinitis, rather than asthma, is a risk factor for dental caries. Clin Otolaryngol 2018;43(1):131-6. https://doi.org/10.1111/coa.12912
  3. Manoj MA, Jain A, Madtha SA, Cherian TM. Prevalence and risk factors of recurrent aphthous stomatitis among college students at Mangalore, India. Peer J 2023;11:e14998. https://doi.org/10.7717/peerj.14998
  4. Arbes SJ, Matsui EC. Can oral pathogens influence allergic disease? J Allergy Clin Immunol 2011;127(5):1119-27. https://doi.org/10.1016/j.jaci.2011.03.023
  5. Shim JS, Yang MS. Identification of oral symptoms associated with atopic dermatitis in adolescents: results from the Korea national Representative survey 2009-2017. Sci Rep 2020;10(1):19461. https://doi.org/10.1038/s41598-020-76532-1
  6. Choi JE, Waddell JN, Lyons KM, Kieser JA. Intraoral pH and temperature during sleep with and without mouth breathing. J Oral Rehabil 2016;43(5):356-63. https://doi.org/10.1111/joor.12372
  7. Friedrich N, Volzke H, Schwahn C, Kramer A, Junger M, Schafer T, et al. Inverse association between periodontitis and respiratory allergies. Clin Exp Allergy 2006;36(4):495-502. https://doi.org/10.1111/j.1365-2222.2006.02455.x
  8. Ho SW, Lue KH, Ku MS. Allergic rhinitis, rather than asthma, might be associated with dental caries, periodontitis, and other oral diseases in adults. Peer J 2019;7:e7643. https://doi.org/10.7717/peerj.7643
  9. Ministry of Education (KR), Korea Centers for Disease Control and Prevention. The 18th Korea Youth Risk Behavior Survey Statistics. Osong, Korea: Korea Centers for Disease Control and Prevention; 2022:3-204.
  10. Alavaikko S, Jaakkola MS, Tjaderhane L, Jaakkola JJ. Asthma and caries: a systematic review and meta-analysis. Am J Epidemiol 2011;174(6):631-41. https://doi.org/10.1093/aje/kwr129
  11. Wee JH, Park MW, Min CY, Park IS, Park BJ, Choi HG. Poor oral health is associated with asthma, allergic rhinitis, and atopic dermatitis in Korean adolescents: a cross-sectional study. Medicine (Baltimore) 2020;99(31):e21534. https://doi.org/10.1097/md.0000000000021534
  12. Schuler ICF, Montejo JM. Allergic rhinitis in children and adolescents. Pediatr Clin North Am 2019;66(5):981-93. https://doi.org/10.1016/j.pcl.2019.06.004
  13. Thie NMT, Kato T, Bader G, Montplaisir JY, Lavigne GJ. The significance of saliva during sleep and the relevance of oromotor movements. Sleep Med Rev2002;6(3):213-27. https://doi.org/10.1053/smrv.2001.0183
  14. Avincsal MO, Altundag A, Dinc ME, Cayonu M, Topak M, Kulekci M. Evaluation of halitosis using Oral Chroma™ in patients with allergic rhinitis. Eur Ann Otorhinolaryngol Head Neck Dis 2016;133(4):243-6. https://doi.org/10.1016/j.anorl.2015.08.042
  15. Mummolo S, Nota A, Caruso S, Quinzi V, Marchetti E, Marzo G. Salivary markers and microbial flora in mouth breathing late adolescents. Biomed Res Int 2018;2018:8687608. https://doi.org/10.1155/2018/8687608
  16. Elad S, Heisler S, Shalit M. Saliva secretion in patients with allergic rhinitis. Int Arch Allergy Immunol 2006;141(3):276-80. https://doi.org/10.1159/000095297
  17. Sachs AP, van der Waaij D, Groenier KH, Koeter GH, Schiphuis J. Oropharyngeal flora in asthma and in chronic obstructive pulmonary disease. indigenous oropharyngeal microorganisms in outpatients with asthma or chronic obstructive pulmonary disease. Am Rev Respir Dis 1993;148(5):1302-7. https://doi.org/10.1164/ajrccm/148.5.1302
  18. Tootla R, Toumba KJ, Duggal MS. An evaluation of the acidogenic potential of asthma inhalers. Arch Oral Biol 2004;49(4):275-83. https://doi.org/10.1016/j.archoralbio.2003.11.006
  19. Bozejac BV, StojsinI, Ðuric M, Zvezdin B, Brkanic T, Budisin E, et al. Impact of inhalation therapy on the incidence of carious lesions inpatients With asthma and COPD. J Appl Oral Sci 2017;25(5):506-14. https://doi.org/10.1590/1678-7757-2016-0147
  20. Souza PRM, Duquia RP, Breunig JA, Almeida HL, Jr. Recurrent aphthous stomatitis in 18-year-old adolescents - prevalence and associated factors: a population-based study. An Bras Dermatol 2017;92(5):626-9. https://doi.org/10.1590/abd1806-4841.20174692
  21. Akintoye SO, Greenberg MS. Recurrent aphthous stomatitis. Dent Clin North Am 2014;58(2):281-97. https://doi.org/10.1016/j.cden.2013.12.002
  22. Alsulami S, Aldoboke A, Nooh R, Kalifih O, Khan S, Marglani O. Prevalence of asthma, allergic rhinitis, and atopic dermatitis and their association with oral health in Saudi Arabia. Cureus 2023;15(4):e38061. https://doi.org/10.7759/cureus.38061
  23. Lai WY, Wei CC, Wan L, Mai CH, Lin CL, Tsai JD. Allergic rhinitis and dental-supporting tissue diseases in children. Medicine (Baltimore) 2021;100(7):e24780. https://doi.org/10.1097/md.0000000000024780
  24. Wee JH, Yoo DM, Byun SH, Lee HJ, Park B, Park MW, et al. Subjective oral health status in an adult Korean population with asthma or allergic rhinitis. Medicine (Baltimore) 2020;99(43):e22967. https://doi.org/10.1097/md.0000000000022967
  25. Jiao R, Li W, Song J, Chen Z. Causal association between asthma and periodontitis: a two-sample Mendelian randomization analysis. Oral Dis 2023. https://doi.org/10.1111/odi.14565