Abstract
Objective To evaluate the cardiovascular risk of periodontal disease in three groups of coronary heart disease (CHD) patients.
Design Case-controlled study in Finland.
Intervention Eighty-five people [24 with chronic CHD but no myocardial infarction (MI), 30 with chronic CHD and an MI history, and 31 with CHD and a recent MI] with clinically or angiographically-proved CHD were enrolled, along with 53 randomly selected controls matched for age, sex, socioeconomic status and locality. Structured patient history, blood tests for total cholesterol, high-density lipoprotein cholesterol and triglyceride were carried out. Clinical and radiographic dental examinations were made and four summary indices were constructed: CPSS (clinical periodontal sum score), CRSS (clinical and radiographic sum score), PTSS (panoramic tomography sum score) and RPPS (radiographic periapical and periodontal score). Logistic regression analysis was carried out on the data.
ResultsThe dental indices, whether unadjusted or adjusted for smoking, lipids, age, number of teeth, gender, hypertension or socio-economic status, did not significantly correlate with CHD.
Conclusion Dental indices were higher in CHD patients than controls, but contrary to previous studies the differences were not significant.
Study supported by Paavo Nurmi Foundation, Finland.
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Mattila KJ, Askainen S, Wolf J, Jousimies-Somer H, Valtonen V, Neiminen MS. Age, dental infections, and coronary heart disease. J Dent Res 2000; 79:756–760
Address for reprints: KJ Mattila, Department of Medicine, Division of Cardiology and Division of Infectious Diseases, Helsinki University Central Hospital, Haartmaninkatu, Finland. E-mail: kimmo.mattila@bayer.fi
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Niederman, R. Dental indices are higher in coronary heart disease patients but the difference is not significant. Evid Based Dent 2, 63 (2000). https://doi.org/10.1038/sj.ebd.6400049
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DOI: https://doi.org/10.1038/sj.ebd.6400049