{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T23:23:25Z","timestamp":1776295405335,"version":"3.50.1"},"reference-count":81,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T00:00:00Z","timestamp":1601424000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>\u201cSOS teeth\u201d are defined as the first priority teeth for treatment, that have distinct cavitation reaching the pulp chamber or only root fragments are present. These are teeth with severe morbidity, that may require pulp capping, root canal treatment, or extraction, and therefore should be treated first. The study aims to explore whether or not a metabolic syndrome (MetS) is associated with SOS teeth. To that end, we performed across-sectional records-based study of a nationally representative sample of 132,529 military personnel aged 18\u201350 years, who attended the military dental clinics for one year. The mean number of SOS had no statistically significant association with: smoking (p = 0.858), alcohol consumption (p = 0.878), hypertension (p = 0.429), diabetes mellitus (p = 0.866), impaired glucose tolerance (p = 0.909), hyperlipidemia (p = 0.246), ischemic heart disease (p = 0.694), S\/P myocardial infarction (p = 0.957), obstructive sleep apnea (p = 0.395), fatty liver (p = 0.074), S\/P stroke (p = 0.589), and S\/P transient ischemic attack (p = 0.095) and with parental history of: diabetes (p = 0.396)], cardiovascular disease (p = 0.360), stroke (p = 0.368), and sudden death (p = 0.063) as well as with any of the medical auxiliary examinations (p &gt; 0.05). Cariogenic diet was positively associated with SOS teeth (p &lt; 0.001). We conclude that SOS teeth had no statistically significant association with MetS components or with conditions that are consequences or associated with MetS. The only statistically significant parameter was a cariogenic diet, a well-known risk factor for caries and MetS.<\/jats:p>","DOI":"10.3390\/jcm9103170","type":"journal-article","created":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T09:41:01Z","timestamp":1601458861000},"page":"3170","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["SOS Teeth: First Priority Teeth with Advanced Caries and Its Associations with Metabolic Syndrome among a National Representative Sample of Young and Middle-Aged Adults"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9671-0047","authenticated-orcid":false,"given":"Galit","family":"Almoznino","sequence":"first","affiliation":[{"name":"Big Biomedical Data Research Laboratory, Hadassah School of Dental Medicine, Hebrew University, Jerusalem 91120, Israel"},{"name":"Department of Endodontics, Hadassah School of Dental Medicine, Hebrew University, Jerusalem 91120, Israel"},{"name":"Department of Oral Medicine, Sedation &amp; Maxillofacial Imaging, Hadassah School of Dental Medicine, Hebrew University, Jerusalem 91120, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ortal","family":"Kessler Baruch","sequence":"additional","affiliation":[{"name":"Department of Endodontics, Hadassah School of Dental Medicine, Hebrew University, Jerusalem 91120, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4454-5032","authenticated-orcid":false,"given":"Ron","family":"Kedem","sequence":"additional","affiliation":[{"name":"Medical Information Department, General Surgeon Headquarter, Medical Corps, Israel Defense Forces, Tel-Hashomer 02149, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noam E.","family":"Protter","sequence":"additional","affiliation":[{"name":"Forensic Unit, Medical Corps, Israel Defense Forces, Tel-Hashomer 02149, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boaz","family":"Shay","sequence":"additional","affiliation":[{"name":"Department of Endodontics, Hadassah School of Dental Medicine, Hebrew University, Jerusalem 91120, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4665-6518","authenticated-orcid":false,"given":"Nirit","family":"Yavnai","sequence":"additional","affiliation":[{"name":"Medical Research &amp; Academy Section, Medical Corps, Israel Defense Forces, Tel-Hashomer 02149, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorit","family":"Zur","sequence":"additional","affiliation":[{"name":"Medical Information Department, General Surgeon Headquarter, Medical Corps, Israel Defense Forces, Tel-Hashomer 02149, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1661-7529","authenticated-orcid":false,"given":"Eitan","family":"Mijiritsky","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv 6139001, Israel"},{"name":"The Maurice and Gabriela Goldschleger, School of Dental Medicine, Tel-Aviv University, Tel Aviv 6139001, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Itzhak","family":"Abramovitz","sequence":"additional","affiliation":[{"name":"Department of Endodontics, Hadassah School of Dental Medicine, Hebrew University, Jerusalem 91120, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,9,30]]},"reference":[{"key":"ref_1","unstructured":"Cappelli, D.P., and Mobley, C.C. 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