Periodontal conditions in patients with coronary heart disease: a caseÃ¢â‚¬â€œcontrol study
: Carin Starkhammar Johansson
: Blackwell Synergy
Aim: This study examined periodontal conditions in patients with coronary heart
disease (CHD) and subjects with no history of CHD.
Material and Methods: Participants were 161 patients (40Ã¢â‚¬â€œ75) with severe
angina pectoris (diagnosed as CHD by coronary angiography) who subsequently
underwent percutaneous coronary intervention and 162 control subjects with no
history of CHD. Periodontal status was recorded. Bone loss was determined on
radiographs. Periodontal disease experience was classified into five groups according
to Hugoson & Jordan.
Results: Periodontal disease experience groups 4 and 5 were more common in the
CHD group (25%) compared with the control group (8%). The mean bone level (the
distance from the CEJ to the most coronal level of the alveolar bone) was
3.0 1.0mm in CHD subjects and 2.6 0.8mm in controls. CHD patients had
significantly lower numbers of natural teeth, higher numbers of periodontal pockets
4Ã¢â‚¬â€œ6-mm and higher bleeding on probing (%). In a stepwise regression analysis, the
factor periodontal disease experience groups 415 gave an odds ratio of 5.74 (2.07Ã¢â‚¬â€œ
15.90) for having CHD after controlling for smoking and age.
Conclusion: Severe periodontal disease expressed by several clinical and
radiographic parameters was more prevalent among subjects with CHD than among
controls. Analysis, the factor periodontal disease experience groups 415 gave an odds
ratio of 5.74 (2.07Ã¢â‚¬â€œ15.90) for having CHD after controlling for smoking and age.
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