The relationship between self-reported history of endodontic therapy and coronary heart disease in the Atherosclerosis Risk in Communities Study
Identifieur interne : 005617 ( Main/Exploration ); précédent : 005616; suivant : 005618The relationship between self-reported history of endodontic therapy and coronary heart disease in the Atherosclerosis Risk in Communities Study
Auteurs : Daniel J. Caplan ; James S. Pankow ; Jianwen Cai ; Steven Offenbacher ; James D. BeckSource :
- Journal of the American Dental Association (1939) [ 0002-8177 ] ; 2009.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Athérosclérose (épidémiologie), Caries dentaires (épidémiologie), Couronnes (), Diabète (épidémiologie), Enquêtes et questionnaires, Examen physique, Facteurs de l'âge, Facteurs sexuels, Femelle, Humains, Hypertension artérielle (épidémiologie), Indice CAO, Maladie coronarienne (épidémiologie), Maladies de la pulpe dentaire (épidémiologie), Mâchoire partiellement édentée (épidémiologie), Mâle, Perte d'attache parodontale (épidémiologie), Poche parodontale (épidémiologie), Populations d'origine continentale, Prévalence, Tabagisme (épidémiologie), Traitement de canal radiculaire (), États-Unis d'Amérique (épidémiologie), Études de cohortes, Études longitudinales, Études prospectives, Études transversales, Études épidémiologiques.
- MESH :
- épidémiologie : Athérosclérose, Caries dentaires, Diabète, Hypertension artérielle, Maladie coronarienne, Maladies de la pulpe dentaire, Mâchoire partiellement édentée, Perte d'attache parodontale, Poche parodontale, Tabagisme, États-Unis d'Amérique.
- Adulte d'âge moyen, Couronnes, Enquêtes et questionnaires, Examen physique, Facteurs de l'âge, Facteurs sexuels, Femelle, Humains, Indice CAO, Mâle, Populations d'origine continentale, Prévalence, Traitement de canal radiculaire, Études de cohortes, Études longitudinales, Études prospectives, Études transversales, Études épidémiologiques.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Age Factors, Atherosclerosis (epidemiology), Cohort Studies, Continental Population Groups, Coronary Disease (epidemiology), Cross-Sectional Studies, Crowns (statistics & numerical data), DMF Index, Dental Caries (epidemiology), Dental Pulp Diseases (epidemiology), Diabetes Mellitus (epidemiology), Epidemiologic Studies, Female, Humans, Hypertension (epidemiology), Jaw, Edentulous, Partially (epidemiology), Longitudinal Studies, Male, Middle Aged, Periodontal Attachment Loss (epidemiology), Periodontal Pocket (epidemiology), Physical Examination, Prevalence, Prospective Studies, Root Canal Therapy (statistics & numerical data), Sex Factors, Smoking (epidemiology), Surveys and Questionnaires, United States (epidemiology).
- MESH :
- geographic , epidemiology : United States.
- epidemiology : Atherosclerosis, Coronary Disease, Dental Caries, Dental Pulp Diseases, Diabetes Mellitus, Hypertension, Jaw, Edentulous, Partially, Periodontal Attachment Loss, Periodontal Pocket, Smoking.
- statistics & numerical data : Crowns, Root Canal Therapy.
- Age Factors, Cohort Studies, Continental Population Groups, Cross-Sectional Studies, DMF Index, Epidemiologic Studies, Female, Humans, Longitudinal Studies, Male, Middle Aged, Physical Examination, Prevalence, Prospective Studies, Sex Factors, Surveys and Questionnaires.
Abstract
Results from numerous studies have suggested links between periodontal disease and coronary heart disease (CHD), but endodontic disease has not been studied extensively in this regard.
The authors evaluated the relationship between self-reported history of endodontic therapy (ET) and prevalent CHD in the Atherosclerosis Risk in Communities (ARIC) Study, aprospective epidemiologic study sponsored by the National Heart, Lung, and Blood Institute. The authors used multivariable logistic regres-sionto analyze data obtained from oral health questionnaires, medical evaluations and clinical dental examinations.
Of 6,651 participants analyzed, 50.4 percent reported never having had ET; 21.5 percent reported having had ET one time; and 28.0 percent reported having had ET two or more times. Final multivariable regression models indicated that among participants with 25 or more teeth, those reporting having had ET two or more times had 1.62 (95 percent confidence interval [CI], 1.04–2.53) times the odds of prevalent CHD compared with those reporting never having had ET. Among participants with 24 or fewer teeth, no significant differences in CHD prevalence were observed among groups regardless of their history of ET.
Among participants with 25 or more teeth, those with a greater self-reported history of ET were more likely to have CHD than were those reporting no history of ET.
More accurate epidemiologic quantification of endodontic infection and inflammation is required before definitive conclusions can be made about potential relationships between endodontic disease and CHD.
Url:
PubMed: 19654253
PubMed Central: 2735042
Affiliations:
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Caplan</name></author><author><name sortKey="Pankow, James S" sort="Pankow, James S" uniqKey="Pankow J" first="James S." last="Pankow">James S. Pankow</name></author><author><name sortKey="Cai, Jianwen" sort="Cai, Jianwen" uniqKey="Cai J" first="Jianwen" last="Cai">Jianwen Cai</name></author><author><name sortKey="Offenbacher, Steven" sort="Offenbacher, Steven" uniqKey="Offenbacher S" first="Steven" last="Offenbacher">Steven Offenbacher</name></author><author><name sortKey="Beck, James D" sort="Beck, James D" uniqKey="Beck J" first="James D." last="Beck">James D. Beck</name></author></analytic><series><title level="j">Journal of the American Dental Association (1939)</title><idno type="ISSN">0002-8177</idno><idno type="eISSN">1943-4723</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Age Factors</term><term>Atherosclerosis (epidemiology)</term><term>Cohort Studies</term><term>Continental Population Groups</term><term>Coronary Disease (epidemiology)</term><term>Cross-Sectional Studies</term><term>Crowns (statistics & numerical data)</term><term>DMF Index</term><term>Dental Caries (epidemiology)</term><term>Dental Pulp Diseases (epidemiology)</term><term>Diabetes Mellitus (epidemiology)</term><term>Epidemiologic Studies</term><term>Female</term><term>Humans</term><term>Hypertension (epidemiology)</term><term>Jaw, Edentulous, Partially (epidemiology)</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Periodontal Attachment Loss (epidemiology)</term><term>Periodontal Pocket (epidemiology)</term><term>Physical Examination</term><term>Prevalence</term><term>Prospective Studies</term><term>Root Canal Therapy (statistics & numerical data)</term><term>Sex Factors</term><term>Smoking (epidemiology)</term><term>Surveys and Questionnaires</term><term>United States (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Athérosclérose (épidémiologie)</term><term>Caries dentaires (épidémiologie)</term><term>Couronnes ()</term><term>Diabète (épidémiologie)</term><term>Enquêtes et questionnaires</term><term>Examen physique</term><term>Facteurs de l'âge</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Hypertension artérielle (épidémiologie)</term><term>Indice CAO</term><term>Maladie coronarienne (épidémiologie)</term><term>Maladies de la pulpe dentaire (épidémiologie)</term><term>Mâchoire partiellement édentée (épidémiologie)</term><term>Mâle</term><term>Perte d'attache parodontale (épidémiologie)</term><term>Poche parodontale (épidémiologie)</term><term>Populations d'origine continentale</term><term>Prévalence</term><term>Tabagisme (épidémiologie)</term><term>Traitement de canal radiculaire ()</term><term>États-Unis d'Amérique (épidémiologie)</term><term>Études de cohortes</term><term>Études longitudinales</term><term>Études prospectives</term><term>Études transversales</term><term>Études épidémiologiques</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Atherosclerosis</term><term>Coronary Disease</term><term>Dental Caries</term><term>Dental Pulp Diseases</term><term>Diabetes Mellitus</term><term>Hypertension</term><term>Jaw, Edentulous, Partially</term><term>Periodontal Attachment Loss</term><term>Periodontal Pocket</term><term>Smoking</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Crowns</term><term>Root Canal Therapy</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Athérosclérose</term><term>Caries dentaires</term><term>Diabète</term><term>Hypertension artérielle</term><term>Maladie coronarienne</term><term>Maladies de la pulpe dentaire</term><term>Mâchoire partiellement édentée</term><term>Perte d'attache parodontale</term><term>Poche parodontale</term><term>Tabagisme</term><term>États-Unis d'Amérique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Age Factors</term><term>Cohort Studies</term><term>Continental Population Groups</term><term>Cross-Sectional Studies</term><term>DMF Index</term><term>Epidemiologic Studies</term><term>Female</term><term>Humans</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Physical Examination</term><term>Prevalence</term><term>Prospective Studies</term><term>Sex Factors</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Couronnes</term><term>Enquêtes et questionnaires</term><term>Examen physique</term><term>Facteurs de l'âge</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Indice CAO</term><term>Mâle</term><term>Populations d'origine continentale</term><term>Prévalence</term><term>Traitement de canal radiculaire</term><term>Études de cohortes</term><term>Études longitudinales</term><term>Études prospectives</term><term>Études transversales</term><term>Études épidémiologiques</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Results from numerous studies have suggested links between periodontal disease and coronary heart disease (CHD), but endodontic disease has not been studied extensively in this regard.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">The authors evaluated the relationship between self-reported history of endodontic therapy (ET) and prevalent CHD in the Atherosclerosis Risk in Communities (ARIC) Study, aprospective epidemiologic study sponsored by the National Heart, Lung, and Blood Institute. The authors used multivariable logistic regres-sionto analyze data obtained from oral health questionnaires, medical evaluations and clinical dental examinations.</p></sec><sec id="S3"><title>Results</title><p id="P3">Of 6,651 participants analyzed, 50.4 percent reported never having had ET; 21.5 percent reported having had ET one time; and 28.0 percent reported having had ET two or more times. Final multivariable regression models indicated that among participants with 25 or more teeth, those reporting having had ET two or more times had 1.62 (95 percent confidence interval [CI], 1.04–2.53) times the odds of prevalent CHD compared with those reporting never having had ET. Among participants with 24 or fewer teeth, no significant differences in CHD prevalence were observed among groups regardless of their history of ET.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Among participants with 25 or more teeth, those with a greater self-reported history of ET were more likely to have CHD than were those reporting no history of ET.</p></sec><sec id="S5"><title>Clinical Implications</title><p id="P5">More accurate epidemiologic quantification of endodontic infection and inflammation is required before definitive conclusions can be made about potential relationships between endodontic disease and CHD.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Beck, James D" sort="Beck, James D" uniqKey="Beck J" first="James D." last="Beck">James D. Beck</name><name sortKey="Cai, Jianwen" sort="Cai, Jianwen" uniqKey="Cai J" first="Jianwen" last="Cai">Jianwen Cai</name><name sortKey="Caplan, Daniel J" sort="Caplan, Daniel J" uniqKey="Caplan D" first="Daniel J." last="Caplan">Daniel J. Caplan</name><name sortKey="Offenbacher, Steven" sort="Offenbacher, Steven" uniqKey="Offenbacher S" first="Steven" last="Offenbacher">Steven Offenbacher</name><name sortKey="Pankow, James S" sort="Pankow, James S" uniqKey="Pankow J" first="James S." last="Pankow">James S. Pankow</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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