ResearchOral Surg Oral Med Oral Pathol Oral Radiol14h ago
Orofacial adverse events associated with Glucagon-like peptide-1 receptor agonists: a real-world multinational retrospective matched cohort study.
Orofacial adverse events associated with Glucagon-like peptide-1 receptor
agonists: a real-world multinational retrospective matched cohort study.
Oyewole SO(1), Owosho AA(2).
Author information:
(1)College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
(2)The Robert Ebert and Greg Stubblefield Head and Neck Tumor Center,
Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis,
MO, USA; Oral Medicine, Dental Oncology and Urgent Care Unit, Missouri School of
Dentistry and Oral Health, A.T. Still University, Kirksville, MO, USA.
Electronic address: adepitanowosho@atsu.edu.
BACKGROUND: This study quantifies orofacial adverse event risks associated with
Glucagon‑like peptide‑1 receptor agonists (GLP-1RAs), addressing public concerns
like "Ozempic teeth/mouth/tongue" Using a large-scale matched cohort, it
clarifies associations between GLP-1RA therapy and oral health.
MATERIALS AND METHODS: We performed a retrospective cohort analysis within the
TriNetX research network, comparing GLP‑1RA users with age‑ and sex‑matched
controls in a 1:1 propensity‑matched design. Individuals with prior orofacial
conditions or predisposing therapies to adverse outcomes were excluded. ICD-10
codes identified orofacial adverse outcomes across mucosal, salivary,
neuropathic, and dental categories. Odds ratio (OR) and 95% confidence intervals
were calculated to assess orofacial adverse event risks.
RESULT: A cohort of 226,485 GLP‑1RA users was analyzed after exclusions and
matching. Gastroesophageal reflux disease (GERD) (5.36%) was the most frequent
event, while most conditions were rare. Compared with controls, GLP‑1RA therapy
did not increase risk for most outcomes and showed significant inverse
associations for multiple mucosal, neuropathic, salivary, and dental conditions
(OR = 0.893-0.295). Only GERD (OR = 1.329 [1.291-1.367]) demonstrated
significant increased odds.
CONCLUSION: The findings of this observational data suggest that GLP-1RAs do not
increase the risk of most orofacial conditions and may be inversely associated
with mucosal, neuropathic, salivary, and dental disorders. However, clinicians
should monitor for GERD-related symptoms. Further prospective research is
required to validate these associations.
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Conflict of interest statement: DECLARATIONS OF INTEREST None.