Oral health and health behavior in patients referred for open-heart surgery
Identifieur interne : 008113 ( Main/Exploration ); précédent : 008112; suivant : 008114Oral health and health behavior in patients referred for open-heart surgery
Auteurs : Jukka H. Meurman [Finlande] ; Markku Qvarnstrom [Finlande] ; Sok-Ja Janket [États-Unis] ; Pekka Nuutinen [Finlande]Source :
- Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics [ 1079-2104 ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
Abstract
Objective. Little is known about the dental health and health behavior of patients referred for open-heart surgery because of severe heart disease. Yet, coronary atherosclerosis has been suggested to be an inflammatory disease in which chronic dental infections may trigger pathogenic mechanisms in the walls of arteries. In epidemiological studies periodontal disease in particular has been linked with coronary heart disease (CHD). Study design. We set out to investigate by means of clinical examination, x-ray, and questionnaire the oral health status, health-related behavior, and conceptions of 256 CHD patients referred for open-heart surgery in the Kuopio University Hospital. The patients' heart disease was New York Heart Association grades II-IV. For comparison, 250 age- and sex-matched non-CHD patients were also studied. Differences between groups were analyzed conventionally and with the Total Dental Index (TDI), which uses linear modeling and logistic regression analyses to summarize periodontal factors and other signs of oral infections. We expected to find neglected dental care and worse oral health situation among the CHD patients. Results. Edentulousness was seen in 35% of the CHD group and in 15% of the non-CHD group (P <.001). The CHD group had significantly lower number of teeth (8.8 ± 9.1 ) than the non-CHD group (17 ± 10.5; P <.001). No dental appointment in the past 10 years was reported in 66% of the CHD patients and 35% of the non-CHD patients. Forty-nine percent of the CHD group and 69% of the non-CHD group had had a dental visit within the past 2 years (P < .001). Daily tooth brushing was reported by 46% of the CHD group and 56% of the non-CHD group (P <.05). Only 2% of the CHD group and 8% of the non-CHD group flossed daily (P <.001). TDI scores were significantly higher in the edentulous than in the dentate study groups (P <.001), but no difference was observed between CHD and non-CHD patients of the same dentate or edentulous status. Mean TDI score was 3.2 ± 0.8 in edentulous CHD patients and 3.1 ± 0.4 in edentulous non-CHD patients; the scores in the dentate patients were 2.5 ± 0.9 in the CHD group and 2.4 ± 2.0 in the non-CHD group. The TDI score appeared almost significant a predictor of CHD when used as a dependent variable in logistic regression analysis (P =.08). Conclusion. Worse oral health status and less satisfactory oral health behavior were observed in the CHD patients than among the cardiologically healthy.
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 000601
- to stream PascalFrancis, to step Curation: 000103
- to stream PascalFrancis, to step Checkpoint: 000589
- to stream Main, to step Merge: 008348
- to stream Main, to step Curation: 008113
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Oral health and health behavior in patients referred for open-heart surgery</title><author><name sortKey="Meurman, Jukka H" sort="Meurman, Jukka H" uniqKey="Meurman J" first="Jukka H." last="Meurman">Jukka H. Meurman</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Helsinki University Central Hospital, Kuopio University Hospital</s1><s3>FIN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>Helsinki University Central Hospital, Kuopio University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Qvarnstrom, Markku" sort="Qvarnstrom, Markku" uniqKey="Qvarnstrom M" first="Markku" last="Qvarnstrom">Markku Qvarnstrom</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Helsinki University Central Hospital, Kuopio University Hospital</s1><s3>FIN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>Helsinki University Central Hospital, Kuopio University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Janket, Sok Ja" sort="Janket, Sok Ja" uniqKey="Janket S" first="Sok-Ja" last="Janket">Sok-Ja Janket</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Harvard School of Public Health</s1><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Harvard School of Public Health</wicri:noRegion></affiliation></author><author><name sortKey="Nuutinen, Pekka" sort="Nuutinen, Pekka" uniqKey="Nuutinen P" first="Pekka" last="Nuutinen">Pekka Nuutinen</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Helsinki University Central Hospital, Kuopio University Hospital</s1><s3>FIN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>Helsinki University Central Hospital, Kuopio University Hospital</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">03-0235363</idno><date when="2003">2003</date><idno type="stanalyst">PASCAL 03-0235363 INIST</idno><idno type="RBID">Pascal:03-0235363</idno><idno type="wicri:Area/PascalFrancis/Corpus">000601</idno><idno type="wicri:Area/PascalFrancis/Curation">000103</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000589</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000589</idno><idno type="wicri:doubleKey">1079-2104:2003:Meurman J:oral:health:and</idno><idno type="wicri:Area/Main/Merge">008348</idno><idno type="wicri:Area/Main/Curation">008113</idno><idno type="wicri:Area/Main/Exploration">008113</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Oral health and health behavior in patients referred for open-heart surgery</title><author><name sortKey="Meurman, Jukka H" sort="Meurman, Jukka H" uniqKey="Meurman J" first="Jukka H." last="Meurman">Jukka H. Meurman</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Helsinki University Central Hospital, Kuopio University Hospital</s1><s3>FIN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>Helsinki University Central Hospital, Kuopio University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Qvarnstrom, Markku" sort="Qvarnstrom, Markku" uniqKey="Qvarnstrom M" first="Markku" last="Qvarnstrom">Markku Qvarnstrom</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Helsinki University Central Hospital, Kuopio University Hospital</s1><s3>FIN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>Helsinki University Central Hospital, Kuopio University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Janket, Sok Ja" sort="Janket, Sok Ja" uniqKey="Janket S" first="Sok-Ja" last="Janket">Sok-Ja Janket</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Harvard School of Public Health</s1><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Harvard School of Public Health</wicri:noRegion></affiliation></author><author><name sortKey="Nuutinen, Pekka" sort="Nuutinen, Pekka" uniqKey="Nuutinen P" first="Pekka" last="Nuutinen">Pekka Nuutinen</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Helsinki University Central Hospital, Kuopio University Hospital</s1><s3>FIN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>Helsinki University Central Hospital, Kuopio University Hospital</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics</title><title level="j" type="abbreviated">Oral surg. oral med. oral pathol. oral radiol. endo.</title><idno type="ISSN">1079-2104</idno><imprint><date when="2003">2003</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics</title><title level="j" type="abbreviated">Oral surg. oral med. oral pathol. oral radiol. endo.</title><idno type="ISSN">1079-2104</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chronic</term><term>Coronary heart disease</term><term>Etiopathogenesis</term><term>Heart</term><term>Human</term><term>Hygiene</term><term>Infection</term><term>Oral cavity</term><term>Relation</term><term>Surgery</term><term>Tooth</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Cardiopathie coronaire</term><term>Chirurgie</term><term>Coeur</term><term>Hygiène</term><term>Cavité buccale</term><term>Infection</term><term>Dent</term><term>Chronique</term><term>Relation</term><term>Etiopathogénie</term><term>Homme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective. Little is known about the dental health and health behavior of patients referred for open-heart surgery because of severe heart disease. Yet, coronary atherosclerosis has been suggested to be an inflammatory disease in which chronic dental infections may trigger pathogenic mechanisms in the walls of arteries. In epidemiological studies periodontal disease in particular has been linked with coronary heart disease (CHD). Study design. We set out to investigate by means of clinical examination, x-ray, and questionnaire the oral health status, health-related behavior, and conceptions of 256 CHD patients referred for open-heart surgery in the Kuopio University Hospital. The patients' heart disease was New York Heart Association grades II-IV. For comparison, 250 age- and sex-matched non-CHD patients were also studied. Differences between groups were analyzed conventionally and with the Total Dental Index (TDI), which uses linear modeling and logistic regression analyses to summarize periodontal factors and other signs of oral infections. We expected to find neglected dental care and worse oral health situation among the CHD patients. Results. Edentulousness was seen in 35% of the CHD group and in 15% of the non-CHD group (P <.001). The CHD group had significantly lower number of teeth (8.8 ± 9.1 ) than the non-CHD group (17 ± 10.5; P <.001). No dental appointment in the past 10 years was reported in 66% of the CHD patients and 35% of the non-CHD patients. Forty-nine percent of the CHD group and 69% of the non-CHD group had had a dental visit within the past 2 years (P < .001). Daily tooth brushing was reported by 46% of the CHD group and 56% of the non-CHD group (P <.05). Only 2% of the CHD group and 8% of the non-CHD group flossed daily (P <.001). TDI scores were significantly higher in the edentulous than in the dentate study groups (P <.001), but no difference was observed between CHD and non-CHD patients of the same dentate or edentulous status. Mean TDI score was 3.2 ± 0.8 in edentulous CHD patients and 3.1 ± 0.4 in edentulous non-CHD patients; the scores in the dentate patients were 2.5 ± 0.9 in the CHD group and 2.4 ± 2.0 in the non-CHD group. The TDI score appeared almost significant a predictor of CHD when used as a dependent variable in logistic regression analysis (P =.08). Conclusion. Worse oral health status and less satisfactory oral health behavior were observed in the CHD patients than among the cardiologically healthy.</div></front></TEI><affiliations><list><country><li>Finlande</li><li>États-Unis</li></country></list><tree><country name="Finlande"><noRegion><name sortKey="Meurman, Jukka H" sort="Meurman, Jukka H" uniqKey="Meurman J" first="Jukka H." last="Meurman">Jukka H. Meurman</name></noRegion><name sortKey="Nuutinen, Pekka" sort="Nuutinen, Pekka" uniqKey="Nuutinen P" first="Pekka" last="Nuutinen">Pekka Nuutinen</name><name sortKey="Qvarnstrom, Markku" sort="Qvarnstrom, Markku" uniqKey="Qvarnstrom M" first="Markku" last="Qvarnstrom">Markku Qvarnstrom</name></country><country name="États-Unis"><noRegion><name sortKey="Janket, Sok Ja" sort="Janket, Sok Ja" uniqKey="Janket S" first="Sok-Ja" last="Janket">Sok-Ja Janket</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 008113 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 008113 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Main
|étape= Exploration
|type= RBID
|clé= Pascal:03-0235363
|texte= Oral health and health behavior in patients referred for open-heart surgery
}}
| This area was generated with Dilib version V0.6.32. |  |