{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T22:44:27Z","timestamp":1765233867723,"version":"build-2065373602"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T00:00:00Z","timestamp":1727481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Emerging concerns link periodontitis to an array of cancers, notably thyroid cancer, though investigations into these associations are still in the nascent stages. This population\u2010based study aimed to investigate the association of thyroid cancer with chronic periodontitis using Taiwan's Longitudinal Health Insurance Database 2010 (LHID2010).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This case\u2010control study utilized LHID2010, selecting 2,775 patients diagnosed with thyroid cancer, matched with 8,325 controls based on age, sex, income, and the presence of diabetes, hypertension, hyperlipidemia, human papillomavirus infection, and tobacco use disorder using propensity\u2010score matching. Multivariate logistic regression models were used to evaluate the association of thyroid cancer with chronic periodontitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A chi\u2010squared analysis demonstrated a significant disparity in the prevalence of chronic periodontitis between those diagnosed with thyroid cancer and the controls, with prevalence rates of 38.5% and 24.1% respectively, and a <jats:italic>p<\/jats:italic>\u2010value less than 0.001. The odds ratio (OR) for having prior chronic periodontitis among patients with thyroid cancer compared to controls was 1.991, with a 95% confidence interval (CI) of 1.816\u20132.184 and a <jats:italic>p<\/jats:italic>\u2010value less than 0.001. The association was similar between sexes, yielding adjusted ORs of 1.991 (95% CI\u00a0=\u00a01.816\u223c2.184) for men and 1.962 (95% CI\u00a0=\u00a01.765\u22122.182) for women, indicating a statistically significant higher prevalence of chronic periodontitis in both male and female patients diagnosed with thyroid cancer compared to their control counterparts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings highlight chronic periodontitis as a potential risk factor for thyroid cancer, underscoring the importance of integrated health surveillance and preventive strategies that encompass oral health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Plain Language Summary<\/jats:title><jats:p>This study aimed to explore the link between thyroid cancer and chronic periodontitis. Using Taiwan's Longitudinal Health Insurance Database 2010 (LHID2010), we selected 2,775 patients with thyroid cancer and matched them with 8,325 individuals without the disease based on age, sex, income, and other health conditions such as diabetes, hypertension, high cholesterol, HPV infection, and smoking habits. The study used statistical models to examine the relationship between thyroid cancer and chronic periodontitis. The findings showed that 38.5% of thyroid cancer patients had chronic periodontitis, compared to 24.1% of the control group. The odds of having chronic periodontitis were nearly twice as high in thyroid cancer patients. This pattern was consistent for both men and women. The study underscores the strong connection between chronic periodontitis and thyroid cancer, emphasizing the importance of raising public awareness about the potential risks of periodontitis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jper.24-0311","type":"journal-article","created":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T09:04:06Z","timestamp":1727514246000},"page":"383-389","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A population\u2010based study on the associations of thyroid cancer with chronic periodontitis"],"prefix":"10.1002","volume":"96","author":[{"given":"Tzong\u2010Hann","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Taipei City Hospital  Taipei Taiwan"},{"name":"Department of Speech, Language and Audiology National Taipei University of Nursing and Health  Taipei Taiwan"},{"name":"Department of Otorhinolaryngology National Yang Ming Chiao Tung University, School of Medicine  Taipei Taiwan"},{"name":"Department of Exercise and Health Sciences University of Taipei  Taipei Taiwan"},{"name":"Research Center of Data Science on Healthcare Industry, College of Management Taipei Medical University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yen\u2010Fu","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology National Yang Ming Chiao Tung University, School of Medicine  Taipei Taiwan"},{"name":"Research Center of Data Science on Healthcare Industry, College of Management Taipei Medical University  Taipei Taiwan"},{"name":"Department of Medical Research Taipei Veterans General Hospital  Taipei Taiwan"},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Taipei Veterans General Hospital  Taipei Taiwan"},{"name":"Institute of Brain Science National Yang Ming Chiao Tung University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Herng\u2010Ching","family":"Lin","sequence":"additional","affiliation":[{"name":"School of Health Care Administration, College of Management Taipei Medical University  Taipei Taiwan"},{"name":"Sleep Research Center Taipei Medical University Hospital  Taipei Taiwan"},{"name":"School of Oral Hygiene Taipei Medical University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6314-8171","authenticated-orcid":false,"given":"Chin\u2010Shyan","family":"Chen","sequence":"additional","affiliation":[{"name":"Research Center of Data Science on Healthcare Industry, College of Management Taipei Medical University  Taipei Taiwan"},{"name":"Department of Economics National Taipei University  New Taipei City 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