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<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Relationship Between Periodontal Disease, Tooth Loss, and Carotid Artery Plaque: The Oral Infections and Vascular Disease Epidemiology Study (INVEST)</title>
<author>
<name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moïse" last="Desvarieux">Moïse Desvarieux</name>
<affiliation>
<nlm:aff id="A1"> Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> Department of Medicine, Medical School, University of Minnesota, Minneapolis</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Demmer, Ryan T" sort="Demmer, Ryan T" uniqKey="Demmer R" first="Ryan T." last="Demmer">Ryan T. Demmer</name>
<affiliation>
<nlm:aff id="A1"> Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rundek, Tatjana" sort="Rundek, Tatjana" uniqKey="Rundek T" first="Tatjana" last="Rundek">Tatjana Rundek</name>
<affiliation>
<nlm:aff id="A3"> Department of Neurology, Columbia University College of Physicians and Surgeons, New York, NY</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Boden Albala, Bernadette" sort="Boden Albala, Bernadette" uniqKey="Boden Albala B" first="Bernadette" last="Boden-Albala">Bernadette Boden-Albala</name>
<affiliation>
<nlm:aff id="A3"> Department of Neurology, Columbia University College of Physicians and Surgeons, New York, NY</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Jacobs, David R" sort="Jacobs, David R" uniqKey="Jacobs D" first="David R." last="Jacobs">David R. Jacobs</name>
<affiliation>
<nlm:aff id="A1"> Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Papapanou, Panos N" sort="Papapanou, Panos N" uniqKey="Papapanou P" first="Panos N." last="Papapanou">Panos N. Papapanou</name>
<affiliation>
<nlm:aff id="A4"> Division of Periodontics, Columbia University School of Dental and Oral Surgery, New York, NY</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sacco, Ralph L" sort="Sacco, Ralph L" uniqKey="Sacco R" first="Ralph L." last="Sacco">Ralph L. Sacco</name>
<affiliation>
<nlm:aff id="A3"> Department of Neurology, Columbia University College of Physicians and Surgeons, New York, NY</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">12893951</idno>
<idno type="pmc">2677013</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2677013</idno>
<idno type="RBID">PMC:2677013</idno>
<idno type="doi">10.1161/01.STR.0000085086.50957.22</idno>
<date when="2003">2003</date>
<idno type="wicri:Area/Pmc/Corpus">002076</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002076</idno>
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<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Relationship Between Periodontal Disease, Tooth Loss, and Carotid Artery Plaque: The Oral Infections and Vascular Disease Epidemiology Study (INVEST)</title>
<author>
<name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moïse" last="Desvarieux">Moïse Desvarieux</name>
<affiliation>
<nlm:aff id="A1"> Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> Department of Medicine, Medical School, University of Minnesota, Minneapolis</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Demmer, Ryan T" sort="Demmer, Ryan T" uniqKey="Demmer R" first="Ryan T." last="Demmer">Ryan T. Demmer</name>
<affiliation>
<nlm:aff id="A1"> Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rundek, Tatjana" sort="Rundek, Tatjana" uniqKey="Rundek T" first="Tatjana" last="Rundek">Tatjana Rundek</name>
<affiliation>
<nlm:aff id="A3"> Department of Neurology, Columbia University College of Physicians and Surgeons, New York, NY</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Boden Albala, Bernadette" sort="Boden Albala, Bernadette" uniqKey="Boden Albala B" first="Bernadette" last="Boden-Albala">Bernadette Boden-Albala</name>
<affiliation>
<nlm:aff id="A3"> Department of Neurology, Columbia University College of Physicians and Surgeons, New York, NY</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Jacobs, David R" sort="Jacobs, David R" uniqKey="Jacobs D" first="David R." last="Jacobs">David R. Jacobs</name>
<affiliation>
<nlm:aff id="A1"> Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Papapanou, Panos N" sort="Papapanou, Panos N" uniqKey="Papapanou P" first="Panos N." last="Papapanou">Panos N. Papapanou</name>
<affiliation>
<nlm:aff id="A4"> Division of Periodontics, Columbia University School of Dental and Oral Surgery, New York, NY</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sacco, Ralph L" sort="Sacco, Ralph L" uniqKey="Sacco R" first="Ralph L." last="Sacco">Ralph L. Sacco</name>
<affiliation>
<nlm:aff id="A3"> Department of Neurology, Columbia University College of Physicians and Surgeons, New York, NY</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Stroke; a journal of cerebral circulation</title>
<idno type="ISSN">0039-2499</idno>
<idno type="eISSN">1524-4628</idno>
<imprint>
<date when="2003">2003</date>
</imprint>
</series>
</biblStruct>
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<profileDesc>
<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Background and Purpose</title>
<p id="P1">Chronic infections, including periodontal infections, may predispose to cardiovascular disease. The present study investigates the relationship of periodontal disease and tooth loss with subclinical atherosclerosis.</p>
</sec>
<sec sec-type="methods" id="S2">
<title>Methods</title>
<p id="P2">We enrolled 711 subjects with a mean age of 66±9 years and no history of stroke or myocardial infarction in the Oral Infections and Vascular Disease Epidemiology Study. Subjects received a comprehensive periodontal examination, extensive in-person cardiovascular disease risk factor measurements, and a carotid scan using high-resolution B-mode ultrasound. Regression models were adjusted for conventional risk factors (age, sex, smoking, diabetes, systolic blood pressure, low- and high-density lipoprotein cholesterol, race-ethnicity, education, physical activity) and markers of cultural background, healthy lifestyle, and psychosocial health.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Measures of both current and cumulative periodontitis became more severe as tooth loss increased. A significant association was observed between tooth loss levels and carotid artery plaque prevalence. Among those with 0 to 9 missing teeth, 46% had carotid artery plaque, whereas among those with ≥10 missing teeth, carotid artery plaque prevalence was ≈60% (P<0.05).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Our data suggest that tooth loss is a marker of past periodontal disease in this population and is related to subclinical atherosclerosis, thereby providing a potential pathway for a relationship with clinical events.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article" xml:lang="EN">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">0235266</journal-id>
<journal-id journal-id-type="pubmed-jr-id">7613</journal-id>
<journal-id journal-id-type="nlm-ta">Stroke</journal-id>
<journal-title>Stroke; a journal of cerebral circulation</journal-title>
<issn pub-type="ppub">0039-2499</issn>
<issn pub-type="epub">1524-4628</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">12893951</article-id>
<article-id pub-id-type="pmc">2677013</article-id>
<article-id pub-id-type="doi">10.1161/01.STR.0000085086.50957.22</article-id>
<article-id pub-id-type="manuscript">NIHMS99621</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Relationship Between Periodontal Disease, Tooth Loss, and Carotid Artery Plaque: The Oral Infections and Vascular Disease Epidemiology Study (INVEST)</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Desvarieux</surname>
<given-names>Moïse</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref rid="A1" ref-type="aff">1</xref>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Demmer</surname>
<given-names>Ryan T.</given-names>
</name>
<degrees>MPH</degrees>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rundek</surname>
<given-names>Tatjana</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Boden-Albala</surname>
<given-names>Bernadette</given-names>
</name>
<degrees>DrPH</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jacobs</surname>
<given-names>David R.</given-names>
<suffix>Jr</suffix>
</name>
<degrees>PhD</degrees>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Papapanou</surname>
<given-names>Panos N.</given-names>
</name>
<degrees>DDS, PhD</degrees>
<xref rid="A4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sacco</surname>
<given-names>Ralph L.</given-names>
</name>
<degrees>MD, MS</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis</aff>
<aff id="A2">
<label>2</label>
Department of Medicine, Medical School, University of Minnesota, Minneapolis</aff>
<aff id="A3">
<label>3</label>
Department of Neurology, Columbia University College of Physicians and Surgeons, New York, NY</aff>
<aff id="A4">
<label>4</label>
Division of Periodontics, Columbia University School of Dental and Oral Surgery, New York, NY</aff>
<author-notes>
<corresp id="FN1">Reprint requests to Dr Moïse Desvarieux, MD, PhD, 1300 S Second St, Suite 300, Minneapolis, MN 55454. E-mail
<email>Desvarieux@epi.umn.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>16</day>
<month>3</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>7</month>
<year>2003</year>
</pub-date>
<pub-date pub-type="ppub">
<month>9</month>
<year>2003</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>4</day>
<month>5</month>
<year>2009</year>
</pub-date>
<volume>34</volume>
<issue>9</issue>
<fpage>2120</fpage>
<lpage>2125</lpage>
<abstract>
<sec id="S1">
<title>Background and Purpose</title>
<p id="P1">Chronic infections, including periodontal infections, may predispose to cardiovascular disease. The present study investigates the relationship of periodontal disease and tooth loss with subclinical atherosclerosis.</p>
</sec>
<sec sec-type="methods" id="S2">
<title>Methods</title>
<p id="P2">We enrolled 711 subjects with a mean age of 66±9 years and no history of stroke or myocardial infarction in the Oral Infections and Vascular Disease Epidemiology Study. Subjects received a comprehensive periodontal examination, extensive in-person cardiovascular disease risk factor measurements, and a carotid scan using high-resolution B-mode ultrasound. Regression models were adjusted for conventional risk factors (age, sex, smoking, diabetes, systolic blood pressure, low- and high-density lipoprotein cholesterol, race-ethnicity, education, physical activity) and markers of cultural background, healthy lifestyle, and psychosocial health.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Measures of both current and cumulative periodontitis became more severe as tooth loss increased. A significant association was observed between tooth loss levels and carotid artery plaque prevalence. Among those with 0 to 9 missing teeth, 46% had carotid artery plaque, whereas among those with ≥10 missing teeth, carotid artery plaque prevalence was ≈60% (P<0.05).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Our data suggest that tooth loss is a marker of past periodontal disease in this population and is related to subclinical atherosclerosis, thereby providing a potential pathway for a relationship with clinical events.</p>
</sec>
</abstract>
<kwd-group>
<kwd>atherosclerosis</kwd>
<kwd>infection</kwd>
<kwd>periodontal disease</kwd>
<kwd>tooth loss</kwd>
</kwd-group>
<contract-num rid="NS1">R01 NS029993-14</contract-num>
<contract-sponsor id="NS1">National Institute of Neurological Disorders and Stroke : NINDS</contract-sponsor>
</article-meta>
</front>
</pmc>
</record>

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