Dental health of adolescents with arterial hypertension: rationale for approaches to prevention using calcium glycerophosphate and magnesium chloride

Kolesnikova, Lyubov; Погодина, Анна; Федотова, М. В.; Rychkova, L. V.; Валявская, О. В.

doi:10.21508/1027-4065-2018-63-5-98-102

Cited by 3 publications

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References 6 publications

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“…The result of our research showed clinical signs of periodontitis in 32.7% of the adolescents with hypertension. That is higher than the incidence of this disease given in population-based studies (7-24%) [16,17] and in the study of a selective group of normotensive adolescents (9.2%) [18]. In the studied cohort, the frequency of conventional factors of cardiovascular and cardiometabolic risk associated with hypertension was also higher, which is consistent with the results of previous studies [19].…”

Section: Discussionsupporting

confidence: 90%

The state of periodontum and cardiovascular risk factors in adolescents with high blood pressure

et al. 2019

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Objective — To establish significant associations between periodontium status, circadian blood pressure (BP) profile and cardiovascular risk factors in adolescents with high BP. Material and Methods — The cross-sectional study involved 113 adolescents (78 boys) aged 10 to 17 years, with a BP level (during repeated office measurements) of ≥95 percentile for age, height and sex, or ≥140/90 mmHg in adolescents older than 16 years. All adolescents were subjected to 24-hour blood pressure monitoring, anthropometric measurements, laboratory blood tests (lipids, uric acid, alanine aminotransferase, aspartate aminotransferase, fasting glucose), echocardiography (left ventricular myocardial mass index, relative wall thickness), assessment of the stage of puberty, dental examination (complex periodontal index (CPI), oral hygiene index). The association between the periodontium status and cardiovascular risk factors was assessed using univariant and multiple regression analysis, adjusted by sex, age, Tanner stage, body mass index, and oral hygiene index. Results — Clinical features of periodontitis were found in 32.7% of adolescents. Multiple regression analysis showed the presence of significant associations of CPI with the levels of systolic, mean and pulse BP during 24 hours (β=0.42, р=0.0001; β=0.31, р=0.003 and β=0.26, р=0.018, respectively), diastolic BP in the daytime (β=0.23, р=0.019), as well as the indices of load with high systolic BP within 24 hours (β=0.42, р=0.0001) and diastolic BP in the daytime (β=0.25, р=0.006). None of the other cardiovascular risk factors showed meaningful relationships with periodontium status in the multivariate analysis. Conclusion — The relationship between periodontium status and blood pressure level exists already in adolescence. That may, on the one hand, justify assessment of periodontium status and (if necessary) timely implementation of prophylactic measures in adolescents with high blood pressure and, on the other hand, recommend BP assessment in adolescents with diagnosed periodontitis.

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Section: Discussionsupporting

confidence: 90%

The state of periodontum and cardiovascular risk factors in adolescents with high blood pressure

et al. 2019

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Arterial hypertension and periodontitis: key aspects of comorbidity

et al. 2020

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Hypertension and periodontitis are one of the most prevalent infectious diseases worldwide. Hypertension is a key cardiovascular risk factor. In the recent studies, the role of periodontitis in cardiovascular pathology was also proven, However, the relation between these diseases is disputable. The review aims at investigation and systematization of the available evidence about the association between hypertension and periodontitis and the potential underlying mechanisms. We demonstrate that hypertension and periodontitis are co-morbidities, and their interrelation remains significant even when other confounders are considered. Age and the acitivity of periodontitis modify the interrelation, and the key mechanisms include inflammation and oxidative stress leading to the deterioration of vascular function and structure. On the other hand, hypertension-related hemodynamic changes can lead to bone and vascular remodeling of the parodentium which maintains local inflammation. Just a few studies assess the effects of the treatment of periodontitis on blood pressure (BP) levels. The results confirm that the assessment of parodentium and specific treatment (when required) can improve BP control. The individual and population cardiovascular effects of treatment of parodentium pathology should be assessed in complex cardiovascular examination.

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Development of acute renal failure in a child with a generalized form of yersiniosis infection

et al. 2022

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Yersinia infection continues to be a significant problem in infectology due to the prevalence, polymorphism of clinical manifestations, difficulties in laboratory diagnosis, often severe and complicated course of the disease, and the possibility of adverse outcomes.The article presents a clinical case of a generalized form of yersinia infection with the development of acute renal failure in a 10-year-old child.

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Dental health of adolescents with arterial hypertension: rationale for approaches to prevention using calcium glycerophosphate and magnesium chloride

Cited by 3 publications

References 6 publications

The state of periodontum and cardiovascular risk factors in adolescents with high blood pressure

The state of periodontum and cardiovascular risk factors in adolescents with high blood pressure

Arterial hypertension and periodontitis: key aspects of comorbidity

Development of acute renal failure in a child with a generalized form of yersiniosis infection

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