Severity of Periodontal Disease and Number of Remaining Teeth Are Related to the Prevalence of Myocardial Infarction and Hypertension in a Study Based on 4,254 Subjects

Abstract

The severity of periodontal disease was related to HT independent of age but to the prevalence of MI in middle-aged subjects only. The number of diseased pockets was significantly related to HT only. On the other hand, the number of teeth was associated with the prevalence of MI independent of age but not to HT. These data support the view that oral health is related to cardiovascular disease in a dose-dependent manner.

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

“…Our research showed a relationship between the number of lost teeth and MI, similarly to the studies by other authors [14,22,26,27]. Most recently, a linear relationship between tooth loss and the degree of arterial stiffness that differed depending on sex was suggested [28].…”

“…It is also one of the few works that have assessed the relationship between the number of teeth and MI [11,17,22,26,27,30]. The authors demonstrated a strong positive association between the extent of periodontitis and MI, independent of classical CVD risk factors, including tobacco smoking.…”

“…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].…”

The Association between the Condition of Dentition and Myocardial Infarction Risk

“…However Elter [31] observed increased risk of cardiovascular disease in patients with significant edentulous area and high Clinical Attachment Level parameters. Holmlund [32] showed relevant correlation between the myocardial infarction and the average number of missing teeth in group of 3352 people, who required periodontal treatment and presented themselves with that problem at the dental office. Also Desvarieux [24] and other authors stated the positive correlation between the number of lost teeth and the frequency of atheromatous plaque presence in cervical arteries, detected in ultrasound [25,31].…”

Hypertension and periodontal status in Senegalese patients: A case-control study

“…In our study, we found a highly significant relationship between periodontitis and hypertension after adjustment for age, physical inactivity, heredity and other periodontal parameters ( Table 3). Periodontal disease [12]. According to Engstrom, hypertension was also significantly associated with periodontal pocket values greater than or equal to 5 mm after adjustment for age, sex, smoking and the number of remaining teeth (OR = 1.76 and [1.14 -2.72]) [13].…”