Periodontal health and detection of periodontal bacteria in patients with acute coronary syndrome

Abstract

Introduction: Recent studies have found that patients with periodontitis have greater risk of incurring fatal cardiovascular disease than patients without periodontitis. Emerging research has identified inflammation caused by periodontitis as significantly increasing the risk for ACS. Aim: The aim of this study was to investigate a periodontal status in the patients with ACS, and to assess the association of different periodontal parameters with ACS. Material and methods: In the first group, patients both with ACS and periodontitis were enrolled as cases. Patients were examined 3 days after ischemia. The second group consisted of patients who had only periodontitis. The control group consisted of healthy individuals. Periodontal parameters were measured and matched on the basis of demographic characteristics and assessed between the groups. The severity of periodontitis in both cases was analyzed. Results: Analysis of the periodontal parameters showed that median scores were higher in patients in the first and the second group compared to the third control group but significantly higher in group with ACS. Levels of inflammatory markers were highest in the first group, compared to the second group and the control group. Periodontal pathogens were more strongly present in patients with ACS than in the group with periodontitis, indicating that it was a serious illness in these patients. Conclusion: This study supports an association between periodontitis and ACS. Severe periodontitis is present in this patients indicating that periodontitis can further act on the development of ACS.

Oral cavity protozoa relevant in the practice of dentistry

“…Najčešća lokacija su parodontalni džepovi (anaerobni uslovi pogoduju kolonizaciji), potom sluzokoža gingive, sluzokoža palatinskih krajnika i mekog nepca 22 . Dugotrajna ekstenzivna oralna upala može povećati rizik od kardiovaskularnih bolesti 23,24 , reumatoidnog artritisa 25 i oralnog karcinoma 26 .…”

“…The most common localization are periodontal pockets (this anaerobic environment favors colonization), then gingival mucosa, mucosa of the palatine tonsils and soft palate 22 . A longlasting, extensive oral inflammation may increase the risk for cardiovascular diseases 23,24 , rheumatoid arthritis 25 , and oral cavity carcinoma 26 .…”