Coronary heart disease and periodontitis − a case control study in Chilean adults

Abstract

The results are in accordance with those of several previous reports. If the results reflect a causal link between periodontal diseases and CHD they emphasize the need for better control of periodontal diseases. If the associations are-non-causal, they still demonstrate that CHD and periodontal diseases cluster in the same sections of the population, which is important from a public health point of view.

The Association Between Dental Status and Risk of Acute Myocardial Infarction Among Poles: Case-control Study

“…Andriankaja et al [13] reported a slightly lesser effect of CAL on MI, obtaining OR 1.34 (95% CI = 1.15-1.57) for men and OR 2.08 (95% CI = 1.47-2.94) for women after adjustment for age, BMI, physical activity, diabetes and smoking. Likewise, López et al [11] received crude OR 3.78 (95% CI = 1.60-8.92) and adjusted OR 3.17 (1.31-7.63) after adjusting for diabetes, systolic blood pressure and smoking. This can partly be explained by the fact that the study by López et al [11] included a younger age group of 30-50 years, where lower CAL values can be expected.…”

“…Likewise, López et al [11] received crude OR 3.78 (95% CI = 1.60-8.92) and adjusted OR 3.17 (1.31-7.63) after adjusting for diabetes, systolic blood pressure and smoking. This can partly be explained by the fact that the study by López et al [11] included a younger age group of 30-50 years, where lower CAL values can be expected. On the other hand, Cueto et al [12] observed a stronger association between periodontitis and MI with OR = 4.42 (95% CI = 2.22-8.82).…”

“…Previous studies assessing the relationship between periodontitis and MI indicate a clear discrepancy of applied periodontal parameters and definitions of periodontitis, which makes comparisons of data obtained by different researchers harder. Some studies evaluated the alveolar bone loss on radiographs, BoP and root furcation involvement [22], alveolar bone loss on radiographs and PD [14], CAL [10,15], PD and CAL on selected teeth [12,16], and PD and CAL for all teeth excluding third molars [11,13].…”

“…In the present study, the impact of smoking as a confounder was closely monitored. Similarly to other reports, smoking was determined by dividing the subjects into smokers at the time of the study, in the past, and never smokers [11,12].…”

“…Some of them demonstrated that periodontitis constitutes an independent MI risk factor [10][11][12][13][14][15][16][17], whereas other studies did not confirm these relationships [18][19][20]. Therefore, the aim of this study was to answer the question whether the periodontitis severity and extent is an independent and significant risk factor for acute MI in adult Poles under the age of 70 years.…”