Gingivitis, dental caries and tooth loss: risk factors for cardiovascular diseases or indicators of elevated health risks
: P. V. YloÃ‚Â¨ stalo
: Blackwell Synergy
Objectives: The results of earlier studies connecting dental diseases to cardiovascular
diseases are inconsistent. Our aim in this cross-sectional study was to investigate
whether there are associations of dental diseases and diagnosed angina pectoris among
the 1966 Northern Finland Birth Cohort.
Materials and Methods: A postal questionnaire was sent to all cohort members in
1997Ã¢â‚¬â€œ1998. The number of replies totalled 8690. Angina pectoris was determined by
asking whether the respondent had been diagnosed with angina pectoris. Gingivitis,
dental caries and tooth loss were determined on the basis of self-reported gingival
bleeding, presence of dental caries and six or more missing teeth.
Results: We found overall associations of gingivitis (odds ratio (OR) 1.52, confidence
interval (CI) 1.04Ã¢â‚¬â€œ2.22), dental caries (OR 1.50, CI 1.04Ã¢â‚¬â€œ2.18) and tooth loss (OR
1.53, CI 0.69Ã¢â‚¬â€œ3.42) with the presence of angina pectoris. The associations were
modified by gender and socioeconomic status. In addition, gingivitis, dental caries and
tooth loss were also associated with several cardiovascular risk factors.
Conclusion: There were associations of self-reported gingivitis, dental caries and
tooth loss with angina pectoris. However, the associations between dental diseases and
cardiovascular risk factors suggest that the associations may be because of
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