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Periodontitis is associated with angiographically verified coronary artery disease

Identifieur interne : 007A38 ( Istex/Corpus ); précédent : 007A37; suivant : 007A39

Periodontitis is associated with angiographically verified coronary artery disease

Auteurs : K Re Buhlin ; P Ivi M Ntyl ; Susanna Paju ; Jaakko S. Peltola ; Markku S. Nieminen ; Juha Sinisalo ; Pirkko J. Pussinen

Source :

RBID : ISTEX:F742CF0FCAA2EFB72B484812B415A7CD7CFD085D

English descriptors

Abstract

We investigated the association of periodontitis and severity of coronary artery disease (CAD) as verified using coronary angiography.

Url:
DOI: 10.1111/j.1600-051X.2011.01775.x

Links to Exploration step

ISTEX:F742CF0FCAA2EFB72B484812B415A7CD7CFD085D

Le document en format XML

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<forename type="first">Susanna</forename>
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Introduction
<p>We investigated the association of periodontitis and severity of coronary artery disease (
<hi rend="fc">CAD</hi>
) as verified using coronary angiography.</p>
Material and Methods
<p>Participants were recruited among those attending coronary angiography at Helsinki University Central Hospital, Finland, in 2007 and 2008. Detailed clinical periodontal examination [number of teeth, bleeding on probing, periodontal probing depth (
<hi rend="fc">PPD</hi>
)] and oral panoramic radiographs [alveolar bone loss (
<hi rend="fc">ABL</hi>
), angular bone defects] were performed.</p>
Results
<p>Of 506 patients, 123 (24.3%) had no significant
<hi rend="fc">CAD</hi>
, whereas 184 (36.4%) had stable
<hi rend="fc">CAD</hi>
and 169 (33.4%) acute coronary syndrome (
<hi rend="fc">ACS</hi>
). Both stable
<hi rend="fc">CAD</hi>
and
<hi rend="fc">ACS</hi>
were associated with 8–17 missing teeth with
<hi rend="fc">OR</hi>
s 4.33 (1.61–11.7,
<hi rend="italic">p</hi>
 = 0.020) and 5.24 (1.90–14.5,
<hi rend="italic">p</hi>
 = 0.014), and more than seven teeth with
<hi rend="fc">PPD</hi>
≥6 mm with
<hi rend="fc">OR</hi>
s 2.44 (1.01–6.07,
<hi rend="italic">p</hi>
 = 0.049) and 2.75 (1.16–6.53,
<hi rend="italic">p</hi>
 = 0.022) respectively. Severe
<hi rend="fc">ABL</hi>
was associated with
<hi rend="fc">ACS</hi>
with an
<hi rend="fc">OR</hi>
5.39 (1.23–23.6,
<hi rend="italic">p</hi>
 = 0.025). Number of stenosed arteries was linearly associated with
<hi rend="fc">ABL</hi>
(
<hi rend="italic">p</hi>
for trend <0.001), number of missing teeth (
<hi rend="italic">p</hi>
 < 0.001), and pockets with probing depth ≥6 mm (
<hi rend="italic">p</hi>
 = 0.033).</p>
Conclusions
<p>Compared with patients with no significant stenosis, poor periodontal health including missing teeth, periodontal inflammation, and bone loss is associated with angiographically verified coronary artery narrowing in patients with stable
<hi rend="fc">CAD</hi>
or
<hi rend="fc">ACS</hi>
.</p>
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<p>We investigated the association of periodontitis and severity of coronary artery disease (
<fc>CAD</fc>
) as verified using coronary angiography.</p>
</section>
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<title type="main">Material and Methods</title>
<p>Participants were recruited among those attending coronary angiography at Helsinki University Central Hospital, Finland, in 2007 and 2008. Detailed clinical periodontal examination [number of teeth, bleeding on probing, periodontal probing depth (
<fc>PPD</fc>
)] and oral panoramic radiographs [alveolar bone loss (
<fc>ABL</fc>
), angular bone defects] were performed.</p>
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<title type="main">Results</title>
<p>Of 506 patients, 123 (24.3%) had no significant
<fc>CAD</fc>
, whereas 184 (36.4%) had stable
<fc>CAD</fc>
and 169 (33.4%) acute coronary syndrome (
<fc>ACS</fc>
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<fc>CAD</fc>
and
<fc>ACS</fc>
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<fc>ABL</fc>
was associated with
<fc>ACS</fc>
with an
<fc>OR</fc>
5.39 (1.23–23.6,
<i>p</i>
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<i>p</i>
for trend <0.001), number of missing teeth (
<i>p</i>
 < 0.001), and pockets with probing depth ≥6 mm (
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<p>Compared with patients with no significant stenosis, poor periodontal health including missing teeth, periodontal inflammation, and bone loss is associated with angiographically verified coronary artery narrowing in patients with stable
<fc>CAD</fc>
or
<fc>ACS</fc>
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<p>The authors declare that they have no conflict of interest. The study was financially supported by the Academy of Finland (#118391 for PJP), the Finnish Dental Society Apollonia, the Sigrid Juselius Foundation, the Aarne Koskelo Foundation, the Paulo Foundation, the Finnish Medical Society's Swedish Funds, and the Jenny and Antti Wihuri Foundation.</p>
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<abstract>We investigated the association of periodontitis and severity of coronary artery disease (CAD) as verified using coronary angiography.</abstract>
<abstract>Participants were recruited among those attending coronary angiography at Helsinki University Central Hospital, Finland, in 2007 and 2008. Detailed clinical periodontal examination [number of teeth, bleeding on probing, periodontal probing depth (PPD)] and oral panoramic radiographs [alveolar bone loss (ABL), angular bone defects] were performed.</abstract>
<abstract>Of 506 patients, 123 (24.3%) had no significant CAD, whereas 184 (36.4%) had stable CAD and 169 (33.4%) acute coronary syndrome (ACS). Both stable CAD and ACS were associated with 8–17 missing teeth with ORs 4.33 (1.61–11.7, p = 0.020) and 5.24 (1.90–14.5, p = 0.014), and more than seven teeth with PPD ≥6 mm with ORs 2.44 (1.01–6.07, p = 0.049) and 2.75 (1.16–6.53, p = 0.022) respectively. Severe ABL was associated with ACS with an OR 5.39 (1.23–23.6, p = 0.025). Number of stenosed arteries was linearly associated with ABL (p for trend <0.001), number of missing teeth (p < 0.001), and pockets with probing depth ≥6 mm (p = 0.033).</abstract>
<abstract>Compared with patients with no significant stenosis, poor periodontal health including missing teeth, periodontal inflammation, and bone loss is associated with angiographically verified coronary artery narrowing in patients with stable CAD or ACS.</abstract>
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