The association of chronic apical periodontitis and endodontic therapy with atherosclerosis
Identifieur interne : 000F03 ( Main/Exploration ); précédent : 000F02; suivant : 000F04The association of chronic apical periodontitis and endodontic therapy with atherosclerosis
Auteurs : Johannes Petersen [Autriche] ; Eva-Maria Gla L [Autriche] ; Parinaz Nasseri [Autriche] ; Adriano Crismani [Autriche] ; Anna K. Luger [Autriche] ; Elisabeth Schoenherr [Autriche] ; Kristina Bertl [Autriche] ; Bernhard Glodny [Autriche]Source :
- Clinical Oral Investigations [ 1432-6981 ] ; 2013.
Abstract
Chronic apical periodontitis (CAP) appears to be a risk factor for coronary heart disease. The aims of the study were to estimate the significance of AP for the atherosclerotic burden and to examine the potential effect of endodontic treatment.
The whole-body computed tomography (CT) examinations of 531 patients with a mean age of 50 ± 15.7 years were evaluated retrospectively. The atherosclerotic burden of the abdominal aorta was quantified using a calcium scoring method. The parameters of periodontitis were measured using the CT scan.
The patients had a total of 11,191 teeth. The volume of the aortic atherosclerotic burden for patients with at least one CAP lesion was 0.32 ± 0.92 ml, higher than for patients with no CAP (0.17 ± 0.51 ml;
CAP correlated positively with the aortic atherosclerotic burden. In regression models, CAP without endodontic treatment was found to be an important factor, not however apical radiolucencies in teeth with endodontic treatment.
Further research is needed to clarify the possible clinical significance of these associations.
Url:
DOI: 10.1007/s00784-013-1156-3
PubMed: 24338091
PubMed Central: 4145204
Affiliations:
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sort="Gla L, Eva Maria" uniqKey="Gla L E" first="Eva-Maria" last="Gla L">Eva-Maria Gla L</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Radiology, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Radiology, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck</wicri:regionArea><wicri:noRegion>6020 Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Nasseri, Parinaz" sort="Nasseri, Parinaz" uniqKey="Nasseri P" first="Parinaz" last="Nasseri">Parinaz Nasseri</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Radiology, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Radiology, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck</wicri:regionArea><wicri:noRegion>6020 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The aims of the study were to estimate the significance of AP for the atherosclerotic burden and to examine the potential effect of endodontic treatment.</p></sec><sec><title>Materials and methods</title><p>The whole-body computed tomography (CT) examinations of 531 patients with a mean age of 50 ± 15.7 years were evaluated retrospectively. The atherosclerotic burden of the abdominal aorta was quantified using a calcium scoring method. The parameters of periodontitis were measured using the CT scan.</p></sec><sec><title>Results</title><p>The patients had a total of 11,191 teeth. The volume of the aortic atherosclerotic burden for patients with at least one CAP lesion was 0.32 ± 0.92 ml, higher than for patients with no CAP (0.17 ± 0.51 ml; <italic>p</italic> < 0.05). The atherosclerotic burden increased with age and number of CAP lesions without root canal treatment, but not with number of CAP lesions with endodontic treatments (<italic>p</italic> < 0.05 each). In logistic regression models, age (Wald 90.8), CAP without endodontic treatment (Wald 39.9), male gender (Wald 9.8), and caries per tooth (Wald 9.0) correlated positively and the number of fillings (Wald 11) correlated negatively with the atherosclerotic burden (<italic>p</italic> < 0.05 each). Apical radiolucencies in teeth with endodontic treatment were irrelevant with respect to atherosclerosis.</p></sec><sec><title>Conclusions</title><p>CAP correlated positively with the aortic atherosclerotic burden. In regression models, CAP without endodontic treatment was found to be an important factor, not however apical radiolucencies in teeth with endodontic treatment.</p></sec><sec><title>Clinical relevance</title><p>Further research is needed to clarify the possible clinical significance of these associations.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Spodick, Dh" uniqKey="Spodick D">DH Spodick</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Griffiths, Pd" uniqKey="Griffiths P">PD Griffiths</name></author><author><name sortKey="Hannington, G" uniqKey="Hannington G">G Hannington</name></author><author><name sortKey="Booth, Jc" uniqKey="Booth J">JC Booth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hannington, G" uniqKey="Hannington G">G Hannington</name></author><author><name sortKey="Booth, Jc" uniqKey="Booth J">JC Booth</name></author><author><name 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Toole</name></author><author><name sortKey="Beck, Jd" uniqKey="Beck J">JD Beck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ragnarsson, E" uniqKey="Ragnarsson E">E Ragnarsson</name></author><author><name sortKey="Eliasson, St" uniqKey="Eliasson S">ST Eliasson</name></author><author><name sortKey="Gudnason, V" uniqKey="Gudnason V">V Gudnason</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dietrich, T" uniqKey="Dietrich T">T Dietrich</name></author><author><name sortKey="Jimenez, M" uniqKey="Jimenez M">M Jimenez</name></author><author><name sortKey="Krall Kaye, Ea" uniqKey="Krall Kaye E">EA Krall Kaye</name></author><author><name sortKey="Vokonas, Ps" uniqKey="Vokonas P">PS Vokonas</name></author><author><name sortKey="Garcia, Ri" uniqKey="Garcia R">RI Garcia</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holmlund, A" uniqKey="Holmlund A">A Holmlund</name></author><author><name 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sortKey="Georgopoulou, Mk" uniqKey="Georgopoulou M">MK Georgopoulou</name></author><author><name sortKey="Spanaki Voreadi, Ap" uniqKey="Spanaki Voreadi A">AP Spanaki-Voreadi</name></author><author><name sortKey="Pantazis, N" uniqKey="Pantazis N">N Pantazis</name></author><author><name sortKey="Kontakiotis, Eg" uniqKey="Kontakiotis E">EG Kontakiotis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jorge, Eg" uniqKey="Jorge E">EG Jorge</name></author><author><name sortKey="Tanomaru Filho, M" uniqKey="Tanomaru Filho M">M Tanomaru-Filho</name></author><author><name sortKey="Goncalves, M" uniqKey="Goncalves M">M Gonçalves</name></author><author><name sortKey="Tanomaru, Jm" uniqKey="Tanomaru J">JM Tanomaru</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kirkevang, Ll" uniqKey="Kirkevang L">LL Kirkevang</name></author><author><name sortKey="Horsted Bindslev, P" uniqKey="Horsted Bindslev P">P Hörsted-Bindslev</name></author><author><name sortKey=" Rstavik, D" uniqKey=" Rstavik D">D Ørstavik</name></author><author><name sortKey="Wenzel, A" uniqKey="Wenzel A">A Wenzel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Scavo, R" uniqKey="Scavo R">R Scavo</name></author><author><name sortKey="Martinez Lalis, R" uniqKey="Martinez Lalis R">R Martinez Lalis</name></author><author><name sortKey="Zmener, O" uniqKey="Zmener O">O Zmener</name></author><author><name sortKey="Dipietro, S" uniqKey="Dipietro S">S Dipietro</name></author><author><name sortKey="Grana, D" uniqKey="Grana D">D Grana</name></author><author><name sortKey="Pameijer, Ch" uniqKey="Pameijer C">CH Pameijer</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Autriche</li></country><region><li>Vienne (Autriche)</li></region><settlement><li>Vienne (Autriche)</li></settlement></list><tree><country name="Autriche"><noRegion><name sortKey="Petersen, Johannes" sort="Petersen, Johannes" uniqKey="Petersen J" first="Johannes" last="Petersen">Johannes Petersen</name></noRegion><name sortKey="Bertl, Kristina" sort="Bertl, Kristina" uniqKey="Bertl K" first="Kristina" last="Bertl">Kristina Bertl</name><name sortKey="Crismani, Adriano" sort="Crismani, Adriano" uniqKey="Crismani A" first="Adriano" last="Crismani">Adriano Crismani</name><name sortKey="Gla L, Eva Maria" sort="Gla L, Eva Maria" uniqKey="Gla L E" first="Eva-Maria" last="Gla L">Eva-Maria Gla L</name><name sortKey="Glodny, Bernhard" sort="Glodny, Bernhard" uniqKey="Glodny B" first="Bernhard" last="Glodny">Bernhard Glodny</name><name sortKey="Luger, Anna K" sort="Luger, Anna K" uniqKey="Luger A" first="Anna K." last="Luger">Anna K. Luger</name><name sortKey="Nasseri, Parinaz" sort="Nasseri, Parinaz" uniqKey="Nasseri P" first="Parinaz" last="Nasseri">Parinaz Nasseri</name><name sortKey="Nasseri, Parinaz" sort="Nasseri, Parinaz" uniqKey="Nasseri P" first="Parinaz" last="Nasseri">Parinaz Nasseri</name><name sortKey="Schoenherr, Elisabeth" sort="Schoenherr, Elisabeth" uniqKey="Schoenherr E" first="Elisabeth" last="Schoenherr">Elisabeth Schoenherr</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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