Periodontitis as a risk factor for cerebrovascular accident: a case–control study in the Indian population
Identifieur interne : 006B46 ( Istex/Corpus ); précédent : 006B45; suivant : 006B47Periodontitis as a risk factor for cerebrovascular accident: a case–control study in the Indian population
Auteurs : A. R. Pradeep ; P. Hadge ; P. Arjun Raju ; S. R. Shetty ; K. Shareef ; C. N. GuruprasadSource :
- Journal of Periodontal Research [ 0022-3484 ] ; 2010-04.
English descriptors
- KwdEn :
- Acute ischemic attack, Alcohol consumption, Anticoagulant drug treatment, Arterial hypertension, Atherosclerosis, Cardiovascular, Cardiovascular disease, Cerebral infarction, Cerebral ischemia, Cerebrovascular, Cerebrovascular accident, Cerebrovascular disease, Chlamydia pneumoniae, Chronic infections, Clinical attachment loss, Control group, Coronary heart disease, Current smoking, Dental disease, Diabetes mellitus, Dietary history, Family history, Further studies, Genetic factors, Gingival, Gingival index, Helicobacter pylori, Hemorrhagic stroke, Higher risk, Hypertension, Indian population, Infarction, Ischemia, Ischemic, Ischemic stroke, Logistic regression analysis, Medical records, Mental health, Myocardial infarction, National institute, Nonvegetarian diet, Odds ratio, Odds ratio interval, Oral infections, Other risk factors, Periapical lesions, Periodontal, Periodontal disease, Periodontal health, Periodontal infection, Periodontal pathogens, Periodontal status, Periodontitis, Plaque, Plaque index, Pocket depth, Population controls, Porphyromonas gingivalis, Postgraduate students, Present study, Previous studies, Research institute fort, Risk factor, Risk factors, Severe periodontitis, Similar study, Statistical analysis, Stroke cases, Stroke patients, Total serum cholesterol level, Transient ischemic attack, Victoria hospital, Young adults.
- Teeft :
- Acute ischemic attack, Alcohol consumption, Anticoagulant drug treatment, Arterial hypertension, Atherosclerosis, Cardiovascular, Cardiovascular disease, Cerebral infarction, Cerebral ischemia, Cerebrovascular, Cerebrovascular accident, Cerebrovascular disease, Chlamydia pneumoniae, Chronic infections, Clinical attachment loss, Control group, Coronary heart disease, Current smoking, Dental disease, Diabetes mellitus, Dietary history, Family history, Further studies, Genetic factors, Gingival, Gingival index, Helicobacter pylori, Hemorrhagic stroke, Higher risk, Hypertension, Indian population, Infarction, Ischemia, Ischemic, Ischemic stroke, Logistic regression analysis, Medical records, Mental health, Myocardial infarction, National institute, Nonvegetarian diet, Odds ratio, Odds ratio interval, Oral infections, Other risk factors, Periapical lesions, Periodontal, Periodontal disease, Periodontal health, Periodontal infection, Periodontal pathogens, Periodontal status, Periodontitis, Plaque, Plaque index, Pocket depth, Population controls, Porphyromonas gingivalis, Postgraduate students, Present study, Previous studies, Research institute fort, Risk factor, Risk factors, Severe periodontitis, Similar study, Statistical analysis, Stroke cases, Stroke patients, Total serum cholesterol level, Transient ischemic attack, Victoria hospital, Young adults.
Abstract
Pradeep AR, Hadge P, Arjun Raju P, Shetty SR, Shareef K, Guruprasad CN. Periodontitis as a risk factor for cerebrovascular accident: a case–control study in the Indian population. J Periodont Res 2010; doi: 10.1111/j.1600‐0765.2009.01220.x. © 2009 John Wiley & Sons A/S
Url:
DOI: 10.1111/j.1600-0765.2009.01220.x
Links to Exploration step
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<front><div type="abstract">Pradeep AR, Hadge P, Arjun Raju P, Shetty SR, Shareef K, Guruprasad CN. Periodontitis as a risk factor for cerebrovascular accident: a case–control study in the Indian population. J Periodont Res 2010; doi: 10.1111/j.1600‐0765.2009.01220.x. © 2009 John Wiley & Sons A/S</div>
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<hi rend="italic">Pradeep AR, Hadge P, Arjun Raju P, Shetty SR, Shareef K, Guruprasad CN. Periodontitis as a risk factor for cerebrovascular accident: a case–control study in the Indian population. J Periodont Res 2010; doi: 10.1111/j.1600‐0765.2009.01220.x. © 2009 John Wiley & Sons A/S</hi>
</p>
<p><hi rend="bold">Background and Objective: </hi>
Chronic infections have been reported to be risk factors for coronary heart disease and ischemic stroke. However, the association of coronary heart disease and ischemic stroke with periodontal disease, which is also a chronic inflammatory disease, needs to be evaluated. The present case–control study was designed to determine if an association exists between periodontal disease and cerebrovascular accident in the Indian population.</p>
<p><hi rend="bold">Material and Methods: </hi>
This case–control study consisted of 200 subjects (100 cases and 100 controls) who were 33–68 years of age. Cases were examined within 5 d after their first acute ischemic attack. Clinical parameters recorded included plaque index, gingival index, probing pocket depth and clinical attachment loss. The medical questionnaire collected information on family history of stroke, dietary history, history of smoking and history of alcohol consumption. Cases were additionally scrutinized for diabetes, hypertension and total serum cholesterol level. The education level of patients was also considered.</p>
<p><hi rend="bold">Results: </hi>
The mean plaque index, gingival index, probing pocket depth and clinical attachment loss values of subjects with cerebrovascular accident were significantly higher when compared with those of the control group (<hi rend="italic">p</hi>
< 0.05). In fully adjusted logistic regression analysis, a probing pocket depth of > 4.5 mm was found to be the most significant factor for stroke (odds ratio = 8.5; confidence interval = 1.1–68.2) followed by hypertension (odds ratio = 7.6; confidence interval = 3.3–17.1) and smoking (odds ratio = 3.1; confidence interval = 1.3–7.4).</p>
<p><hi rend="bold">Conclusion: </hi>
The data from this study support the proposed link between periodontitis and cerebrovascular accident in the Indian population. However, further studies are necessary to verify and quantify the role of oral infections and genetic factors in the process of atherosclerosis.</p>
</abstract>
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<correspondenceTo>A. R. Pradeep, MDS, Professor and Head, Department of Periodontics, Government Dental College and Research Institute Fort, Bangalore‐560002, Karnataka, India
Tel: +91 80 26705053
Fax: +91 80 26703176
e‐mail: <email>periodontics_gdc@yahoo.co.in</email>
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<abstractGroup><abstract type="main" xml:lang="en"><p> <i>Pradeep AR, Hadge P, Arjun Raju P, Shetty SR, Shareef K, Guruprasad CN. Periodontitis as a risk factor for cerebrovascular accident: a case–control study in the Indian population. J Periodont Res 2010; doi: 10.1111/j.1600‐0765.2009.01220.x. © 2009 John Wiley & Sons A/S</i>
</p>
<p><b>Background and Objective: </b>
Chronic infections have been reported to be risk factors for coronary heart disease and ischemic stroke. However, the association of coronary heart disease and ischemic stroke with periodontal disease, which is also a chronic inflammatory disease, needs to be evaluated. The present case–control study was designed to determine if an association exists between periodontal disease and cerebrovascular accident in the Indian population.</p>
<p><b>Material and Methods: </b>
This case–control study consisted of 200 subjects (100 cases and 100 controls) who were 33–68 years of age. Cases were examined within 5 d after their first acute ischemic attack. Clinical parameters recorded included plaque index, gingival index, probing pocket depth and clinical attachment loss. The medical questionnaire collected information on family history of stroke, dietary history, history of smoking and history of alcohol consumption. Cases were additionally scrutinized for diabetes, hypertension and total serum cholesterol level. The education level of patients was also considered.</p>
<p><b>Results: </b>
The mean plaque index, gingival index, probing pocket depth and clinical attachment loss values of subjects with cerebrovascular accident were significantly higher when compared with those of the control group (<i>p</i>
< 0.05). In fully adjusted logistic regression analysis, a probing pocket depth of > 4.5 mm was found to be the most significant factor for stroke (odds ratio = 8.5; confidence interval = 1.1–68.2) followed by hypertension (odds ratio = 7.6; confidence interval = 3.3–17.1) and smoking (odds ratio = 3.1; confidence interval = 1.3–7.4).</p>
<p><b>Conclusion: </b>
The data from this study support the proposed link between periodontitis and cerebrovascular accident in the Indian population. However, further studies are necessary to verify and quantify the role of oral infections and genetic factors in the process of atherosclerosis.</p>
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<abstract>Pradeep AR, Hadge P, Arjun Raju P, Shetty SR, Shareef K, Guruprasad CN. Periodontitis as a risk factor for cerebrovascular accident: a case–control study in the Indian population. J Periodont Res 2010; doi: 10.1111/j.1600‐0765.2009.01220.x. © 2009 John Wiley & Sons A/S</abstract>
<abstract>Background and Objective: Chronic infections have been reported to be risk factors for coronary heart disease and ischemic stroke. However, the association of coronary heart disease and ischemic stroke with periodontal disease, which is also a chronic inflammatory disease, needs to be evaluated. The present case–control study was designed to determine if an association exists between periodontal disease and cerebrovascular accident in the Indian population.</abstract>
<abstract>Material and Methods: This case–control study consisted of 200 subjects (100 cases and 100 controls) who were 33–68 years of age. Cases were examined within 5 d after their first acute ischemic attack. Clinical parameters recorded included plaque index, gingival index, probing pocket depth and clinical attachment loss. The medical questionnaire collected information on family history of stroke, dietary history, history of smoking and history of alcohol consumption. Cases were additionally scrutinized for diabetes, hypertension and total serum cholesterol level. The education level of patients was also considered.</abstract>
<abstract>Results: The mean plaque index, gingival index, probing pocket depth and clinical attachment loss values of subjects with cerebrovascular accident were significantly higher when compared with those of the control group (p < 0.05). In fully adjusted logistic regression analysis, a probing pocket depth of > 4.5 mm was found to be the most significant factor for stroke (odds ratio = 8.5; confidence interval = 1.1–68.2) followed by hypertension (odds ratio = 7.6; confidence interval = 3.3–17.1) and smoking (odds ratio = 3.1; confidence interval = 1.3–7.4).</abstract>
<abstract>Conclusion: The data from this study support the proposed link between periodontitis and cerebrovascular accident in the Indian population. However, further studies are necessary to verify and quantify the role of oral infections and genetic factors in the process of atherosclerosis.</abstract>
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