Abstract：
Erectile dysfunction (ED) and chronic periodontal disease (CPD) share mutual risk factors, and the incidence of ED is increasing among young adults. The relation of CPD and ED remains obscure due to inconsistent clinical evidence. This study aimed to further assess the relationship between CPD and ED using the Community Periodontal Index of Treatment Need (CPITN) and the International Index of Erectile Function (IIEF). Totally, 202 adult men were included, with 100 subjects with ED in the case group and 102 subjects without ED undergoing routine dental examinations in the control group. The IIEF questionnaire was used to assess the severity of ED, and CPD was assessed through the Community Periodontal Index (CPI) score. Periodontal assessments were performed by one single calibrated examiner. Logistic regression analysis was performed for the association between CPD and ED. After adjustment for age, smoking status, tooth brushing time, education level, monthly income, tooth brushing frequency, and gum bleeding, higher CPI score was identified to be associated with a greater risk of ED (odds ratio [OR] = 2.755, 95% confidence interval [CI] = [1.400, 5.423], p = .003), suggesting that CPD was positively associated with the odds of ED. CPD was getting more severe with the progress of ED (p < .05). Men with ED could be encouraged to receive routine dental examinations and appropriate preventive dental measures to maintain oral and periodontal health.
摘要：
勃起功能障碍（ED）和慢性牙周病（CPD）共同的危险因素，年轻人中ED的发病率正在增加。由于临床证据不一致，CPD和ED的关系仍然模糊。本研究旨在使用社区牙周治疗需求指数（CPITN）和国际勃起功能指数（IIEF）进一步评估CPD与ED之间的关系。完全正确,包括202名成年男子，病例组100例ED患者，对照组102例无ED患者接受常规牙科检查。IIEF问卷用于评估ED的严重程度，通过社区牙周指数（CPI）评分评估CPD。牙周评估由一名单一校准检查者进行。对CPD与ED的关系进行Logistic回归分析。调整后的年龄，吸烟状况,刷牙时间,教育水平,月收入,刷牙频率,牙龈出血,较高的CPI评分与较高的ED风险相关(比值比[OR]=2.755，95%置信区间[CI]=[1.400，5.423]，p=.003)，提示CPD与ED的几率呈正相关.随着ED的进展，CPD变得更加严重（p<0.05）。可以鼓励患有ED的男性接受常规牙科检查和适当的预防性牙科措施，以维持口腔和牙周健康。
