{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T18:01:06Z","timestamp":1781200866354,"version":"3.54.1"},"reference-count":35,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Charles Perkins Centre"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hypertension affects over 1.3 million people globally and markers of poor oral health have been associated with hypertension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to determine hypertension awareness, treatment and control, among adults attending a public dental clinic, and explore age-related differences between younger (&lt; 65 years) and older adults (\u2265 65 years) including associations between markers of oral health and hypertension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This cross-sectional study recruited adults \u226518 years from an Australian public dental clinic between November 2022 and May 2023. Two blood pressure readings were obtained using an automated device and the average used for analyses. Demographic, oral health and medical history details were obtained via survey. Hypertension was defined as a systolic blood pressure (SBP) \u2265140 mmHg and\/or diastolic blood pressure (DBP) \u226590 mmHg, or being aware (self-reported diagnosis), and treated with anti-hypertensive medication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants (n\u2009=\u2009302) were middle aged (mean 59.9\u2009\u00b1\u200917.5 years, 51.5%\u2009\u2265\u200965 years, 60.7% female), one third had significant tooth loss (&lt;20 teeth), half required treatment for periodontitis and 52.0% had hypertension (95% CI: 46.2%, 57.7%). Of those with hypertension (n\u2009=\u2009157), 82.7% were aware, 76.9% were treated for hypertension, and 56.6% of those treated had controlled blood pressure. Although older adults were more likely than younger adults to have hypertension (74.2% vs 28.1%), younger adults were less likely to be aware and treated (70.7% vs 86.8%, 56.1% vs 86.8%, respectively). Markers of poor oral health were not independently associated with hypertension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this population with a high burden of oral disease, hypertension was common highlighting the importance of opportunistic blood pressure assessment. Dental settings may offer an additional point of contact for identifying individuals with undiagnosed or uncontrolled hypertension, particularly among younger adults with lower awareness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0351629","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T17:35:01Z","timestamp":1781199301000},"page":"e0351629","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Screening for hypertension in a public dental clinic: A single-centre cross-sectional study in Australia"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4441-921X","authenticated-orcid":true,"given":"Shalinie","family":"King","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Marschner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haeri","family":"Min","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Gibson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niamh","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara 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Harris","year":"2009","journal-title":"J Biomed Inform"},{"issue":"10","key":"pone.0351629.ref015","article-title":"Caries risk assessment in practice for age 6 through adult","volume":"35","author":"JDB Featherstone","year":"2007","journal-title":"J Calif Dent Assoc"},{"issue":"1","key":"pone.0351629.ref016","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1111\/j.1600-0757.2012.00457.x","article-title":"Risk factors for periodontal disease","volume":"62","author":"RJ Genco","year":"2013","journal-title":"Periodontol 2000"},{"issue":"1","key":"pone.0351629.ref017","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1111\/j.1875-595X.2002.tb00595.x","article-title":"Periodontal Screening and Recording (PSR) Index: precursors, utility and limitations in a clinical setting","volume":"52","author":"RG Landry","year":"2002","journal-title":"Int Dent J"},{"key":"pone.0351629.ref018","unstructured":"Heart Foundation, 2023 guideline for assessing and managing cardiovascular 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Whelton","year":"2018","journal-title":"Hypertension"},{"issue":"12","key":"pone.0351629.ref032","doi-asserted-by":"crossref","first-page":"2386","DOI":"10.1097\/HJH.0b013e32833e0fe1","article-title":"Is periodontal inflammation associated with raised blood pressure? 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