Treatment of denture-related stomatitis improves endothelial function assessed by flow-mediated vascular dilation
Identifieur interne : 000428 ( Main/Exploration ); précédent : 000427; suivant : 000429Treatment of denture-related stomatitis improves endothelial function assessed by flow-mediated vascular dilation
Auteurs : Grzegorz Osmenda [Pologne] ; Joanna Maci G [Pologne] ; Grzegorz Wilk [Pologne] ; Anna Maci G [Pologne] ; Daniel Nowakowski [Pologne] ; Jolanta Loster [Pologne] ; El Bieta Dembowska [Pologne] ; Douglas Robertson [Royaume-Uni] ; Tomasz Guzik [Pologne, Royaume-Uni] ; Marta Cze Nikiewicz-Guzik [Pologne, Royaume-Uni]Source :
- Archives of Medical Science : AMS [ 1734-1922 ] ; 2016.
Abstract
The presence of oral inflammation has recently been linked with the pathogenesis of cardiovascular diseases. While numerous studies have described links between periodontitis and endothelial dysfunction, little is known about the influence of denture-related stomatitis (DRS) on cardiovascular risk. Therefore, the aim of this study was to determine whether the treatment of DRS can lead to improvement of the clinical measures of vascular dysfunction.
The DRS patients were treated with a local oral antifungal agent for 3 weeks. Blood pressure, flow-mediated dilatation (FMD) and nitroglycerine-mediated vascular dilatation (NMD) were measured during three study visits: before treatment, one day and two months after conclusion of antifungal therapy.
Flow-mediated dilatation measurements showed significant improvement of endothelial function 2 months after treatment (FMD median 5%, 95 CI: 3–8.3 vs. 11%, 95% CI: 8.8–14.4;
Treatment of DRS is associated with improvement of endothelial function. Since endothelial dysfunction is known to precede the development of severe cardiovascular disorders such as atherosclerosis and hypertension, patients should be more carefully screened for DRS in general dental practice, and immediate DRS treatment should be advised.
Url:
DOI: 10.5114/aoms.2017.64715
PubMed: 28144257
PubMed Central: 5206372
Affiliations:
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Experimental Dentistry, Dental School, Jagiellonian University, Krakow, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Dental Prophylaxis and Experimental Dentistry, Dental School, Jagiellonian University, Krakow</wicri:regionArea><wicri:noRegion>Krakow</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff0006">Oral Sciences Research Group, Glasgow Dental School, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Oral Sciences Research Group, Glasgow Dental School, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow</wicri:regionArea><orgName type="university">Université de Glasgow</orgName><placeName><settlement type="city">Glasgow</settlement><region type="country">Écosse</region></placeName></affiliation></author></titleStmt><publicationStmt><idno 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G</name><affiliation wicri:level="1"><nlm:aff id="aff0002">Department of Dental Prophylaxis and Experimental Dentistry, Dental School, Jagiellonian University, Krakow, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Dental Prophylaxis and Experimental Dentistry, Dental School, Jagiellonian University, Krakow</wicri:regionArea><wicri:noRegion>Krakow</wicri:noRegion></affiliation></author><author><name sortKey="Wilk, Grzegorz" sort="Wilk, Grzegorz" uniqKey="Wilk G" first="Grzegorz" last="Wilk">Grzegorz Wilk</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Department of Internal and Agricultural Medicine, Jagiellonian University Collegium Medicum, Krakow, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Internal and Agricultural Medicine, Jagiellonian University Collegium Medicum, Krakow</wicri:regionArea><wicri:noRegion>Krakow</wicri:noRegion></affiliation></author><author><name sortKey="Maci G, Anna" sort="Maci G, Anna" uniqKey="Maci G A" first="Anna" last="Maci G">Anna Maci G</name><affiliation wicri:level="1"><nlm:aff id="aff0003">Zbigniew Żak Voivodeship Dental Clinic, Krakow, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Zbigniew Żak Voivodeship Dental Clinic, Krakow</wicri:regionArea><wicri:noRegion>Krakow</wicri:noRegion></affiliation></author><author><name sortKey="Nowakowski, Daniel" sort="Nowakowski, Daniel" uniqKey="Nowakowski D" first="Daniel" last="Nowakowski">Daniel Nowakowski</name><affiliation wicri:level="1"><nlm:aff id="aff0002">Department of Dental Prophylaxis and Experimental Dentistry, Dental School, Jagiellonian University, Krakow, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Dental Prophylaxis and Experimental Dentistry, Dental School, Jagiellonian University, Krakow</wicri:regionArea><wicri:noRegion>Krakow</wicri:noRegion></affiliation></author><author><name sortKey="Loster, Jolanta" sort="Loster, Jolanta" uniqKey="Loster J" first="Jolanta" last="Loster">Jolanta Loster</name><affiliation wicri:level="1"><nlm:aff id="aff0004">Department of Prosthodontics, Dental School, Jagiellonian University, Krakow, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Prosthodontics, Dental School, Jagiellonian University, Krakow</wicri:regionArea><wicri:noRegion>Krakow</wicri:noRegion></affiliation></author><author><name sortKey="Dembowska, El Bieta" sort="Dembowska, El Bieta" uniqKey="Dembowska E" first="El Bieta" last="Dembowska">El Bieta Dembowska</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Department of Periodontology, Dental School, Pomeranian Medical University, Szczecin, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Periodontology, Dental School, Pomeranian Medical University, Szczecin</wicri:regionArea><wicri:noRegion>Szczecin</wicri:noRegion></affiliation></author><author><name sortKey="Robertson, Douglas" sort="Robertson, Douglas" uniqKey="Robertson D" first="Douglas" last="Robertson">Douglas Robertson</name><affiliation wicri:level="4"><nlm:aff id="aff0006">Oral Sciences Research Group, Glasgow Dental School, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Oral Sciences Research Group, Glasgow Dental School, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow</wicri:regionArea><orgName type="university">Université de Glasgow</orgName><placeName><settlement type="city">Glasgow</settlement><region type="country">Écosse</region></placeName></affiliation></author><author><name sortKey="Guzik, Tomasz" sort="Guzik, Tomasz" uniqKey="Guzik T" first="Tomasz" last="Guzik">Tomasz Guzik</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Department of Internal and Agricultural Medicine, Jagiellonian University Collegium Medicum, Krakow, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Internal and Agricultural Medicine, Jagiellonian University Collegium Medicum, Krakow</wicri:regionArea><wicri:noRegion>Krakow</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff0007">Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow</wicri:regionArea><orgName type="university">Université de Glasgow</orgName><placeName><settlement type="city">Glasgow</settlement><region type="country">Écosse</region></placeName></affiliation></author><author><name sortKey="Cze Nikiewicz Guzik, Marta" sort="Cze Nikiewicz Guzik, Marta" uniqKey="Cze Nikiewicz Guzik M" first="Marta" last="Cze Nikiewicz-Guzik">Marta Cze Nikiewicz-Guzik</name><affiliation wicri:level="1"><nlm:aff id="aff0002">Department of Dental Prophylaxis and Experimental Dentistry, Dental School, Jagiellonian University, Krakow, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Dental Prophylaxis and Experimental Dentistry, Dental School, Jagiellonian University, Krakow</wicri:regionArea><wicri:noRegion>Krakow</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff0006">Oral Sciences Research Group, Glasgow Dental School, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Oral Sciences Research Group, Glasgow Dental School, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow</wicri:regionArea><orgName type="university">Université de Glasgow</orgName><placeName><settlement type="city">Glasgow</settlement><region type="country">Écosse</region></placeName></affiliation></author></analytic><series><title level="j">Archives of Medical Science : AMS</title><idno type="ISSN">1734-1922</idno><idno type="eISSN">1896-9151</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="s1"><title>Introduction</title><p>The presence of oral inflammation has recently been linked with the pathogenesis of cardiovascular diseases. While numerous studies have described links between periodontitis and endothelial dysfunction, little is known about the influence of denture-related stomatitis (DRS) on cardiovascular risk. Therefore, the aim of this study was to determine whether the treatment of DRS can lead to improvement of the clinical measures of vascular dysfunction.</p></sec><sec id="s2"><title>Material and methods</title><p>The DRS patients were treated with a local oral antifungal agent for 3 weeks. Blood pressure, flow-mediated dilatation (FMD) and nitroglycerine-mediated vascular dilatation (NMD) were measured during three study visits: before treatment, one day and two months after conclusion of antifungal therapy.</p></sec><sec id="s3"><title>Results</title><p>Flow-mediated dilatation measurements showed significant improvement of endothelial function 2 months after treatment (FMD median 5%, 95 CI: 3–8.3 vs. 11%, 95% CI: 8.8–14.4; <italic>p</italic> < 0.01), while there was no difference in control, endothelium-independent vasorelaxations (NMD; median = 15.3%, 95% CI: 10.8–19.3 vs. 12.7%, 95% CI: 10.6–15; <italic>p</italic> = 0.3). Other cardiovascular parameters such as systolic (median = 125 mm Hg; 95% CI: 116–129 vs. 120 mm Hg, 95% CI: 116–126; <italic>p</italic> = 0.1) as well as diastolic blood pressure and heart rate (median = 65.5 bpm, 95% CI: 56.7–77.7 vs. 71 bpm, 95% CI: 66.7–75; <italic>p</italic> = 0.5) did not change during or after the treatment.</p></sec><sec id="s4"><title>Conclusions</title><p>Treatment of DRS is associated with improvement of endothelial function. Since endothelial dysfunction is known to precede the development of severe cardiovascular disorders such as atherosclerosis and hypertension, patients should be more carefully screened for DRS in general dental practice, and immediate DRS treatment should be advised.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Arbes, Sj" uniqKey="Arbes S">SJ Arbes</name></author><author><name sortKey="Slade, Gd" uniqKey="Slade G">GD Slade</name></author><author><name sortKey="Beck, Jd" uniqKey="Beck J">JD Beck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buhlin, K" uniqKey="Buhlin K">K Buhlin</name></author><author><name sortKey="Gustafsson, A" uniqKey="Gustafsson A">A Gustafsson</name></author><author><name sortKey="H Kansson, J" uniqKey="H Kansson J">J Håkansson</name></author><author><name sortKey="Klinge, B" uniqKey="Klinge B">B 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Grzegorz" sort="Osmenda, Grzegorz" uniqKey="Osmenda G" first="Grzegorz" last="Osmenda">Grzegorz Osmenda</name></noRegion><name sortKey="Cze Nikiewicz Guzik, Marta" sort="Cze Nikiewicz Guzik, Marta" uniqKey="Cze Nikiewicz Guzik M" first="Marta" last="Cze Nikiewicz-Guzik">Marta Cze Nikiewicz-Guzik</name><name sortKey="Dembowska, El Bieta" sort="Dembowska, El Bieta" uniqKey="Dembowska E" first="El Bieta" last="Dembowska">El Bieta Dembowska</name><name sortKey="Guzik, Tomasz" sort="Guzik, Tomasz" uniqKey="Guzik T" first="Tomasz" last="Guzik">Tomasz Guzik</name><name sortKey="Loster, Jolanta" sort="Loster, Jolanta" uniqKey="Loster J" first="Jolanta" last="Loster">Jolanta Loster</name><name sortKey="Maci G, Anna" sort="Maci G, Anna" uniqKey="Maci G A" first="Anna" last="Maci G">Anna Maci G</name><name sortKey="Maci G, Joanna" sort="Maci G, Joanna" uniqKey="Maci G J" first="Joanna" last="Maci G">Joanna Maci G</name><name sortKey="Nowakowski, Daniel" sort="Nowakowski, Daniel" uniqKey="Nowakowski D" first="Daniel" last="Nowakowski">Daniel Nowakowski</name><name sortKey="Wilk, Grzegorz" sort="Wilk, Grzegorz" uniqKey="Wilk G" first="Grzegorz" last="Wilk">Grzegorz Wilk</name></country><country name="Royaume-Uni"><region name="Écosse"><name sortKey="Robertson, Douglas" sort="Robertson, Douglas" uniqKey="Robertson D" first="Douglas" last="Robertson">Douglas Robertson</name></region><name sortKey="Cze Nikiewicz Guzik, Marta" sort="Cze Nikiewicz Guzik, Marta" uniqKey="Cze Nikiewicz Guzik M" first="Marta" last="Cze Nikiewicz-Guzik">Marta Cze Nikiewicz-Guzik</name><name sortKey="Guzik, Tomasz" sort="Guzik, Tomasz" uniqKey="Guzik T" first="Tomasz" last="Guzik">Tomasz Guzik</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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