Relationship between periodontitis and subclinical risk indicators for chronic non-communicable diseases

Teixeira, Fernanda Cristina Figueira; Marín-León, Leticia; Gomes, Eduardo Nardini; Pedrão, Alice Moreira Neves; Pereira, Alexandre da Costa; Francisco, Priscila Maria Stolses Bergamo

doi:10.1590/1807-3107bor-2020.vol34.0058

Cited by 18 publications

(19 citation statements)

References 36 publications

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“…A cross-sectional study was conducted involving an analysis of the clinical periodontal parameters of adult individuals (35 to 74 years) selected by convenience from a major study named Advento, 13 whose participants were from the metropolitan region of Sao Paulo, Brazil. The invitation to participate in an oral assessment was made by telephone and considered volunteers who had been included in the chronogram of examinations in the Advento Study in the previous six months and had at least four natural teeth present (not including third molars).…”

Section: Methodsmentioning

confidence: 99%

Comparative evaluation of indices and partial-mouth periodontal protocols for epidemiological surveys

Teixeira¹,

Leon²,

Gomes³

et al. 2020

JDHODT

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Objective: To compare the Community Periodontal Index (CPI), the CPI modified and three partial-mouth periodontal protocols for estimates of prevalence, severity and extent of periodontitis in populations.Method: a convenience sample of 350 individuals (aged 35 to 74 years) from Sao Paulo underwent a full-mouth periodontal examination (FMPE) which assessed pocket depth (PD), clinical attachment level (CAL) and bleeding on probing on six sites per tooth. The CPI, CPI modified (CPIm) and three partial-mouth protocols examination (PMPE)-halfmouth 6 sites, full-and half-mouth 3 sites-were derived from the records of the FMPE and have been compared for sensitivity, absolute bias, relative bias and inflation factor in estimates of periodontitis.Results: Significant differences were found in periodontitis prevalence estimates between PMPE, in different case definitions, with relative biases ranging from -10% to -55%. The CPIm had sensitivity of 100% for gingivitis and PD ≥4 mm prevalence, and 80% for moderate and severe periodontitis in relation to FMPE, while for CPI such estimates were 70% and 50%, respectively. The full-mouth 3 sites protocol was similar to the CPIm, regarding the prevalence estimate, but CPIm overestimated severity and extent of periodontitis. The random half-mouth protocols presented low sensitivity to estimate periodontitis prevalence, although they presented small biases for severity and extension (<2.0%). Conclusion:The CPIm and the full-mouth 3 sites protocol presented satisfactory sensitivity to estimate prevalence of periodontitis in populations, being superior to the previous CPI and to the random half-mouth protocols. However, accuracy of estimates may vary with the case definition and population characteristics.

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Section: Methodsmentioning

confidence: 99%

Comparative evaluation of indices and partial-mouth periodontal protocols for epidemiological surveys

Teixeira¹,

Leon²,

Gomes³

et al. 2020

JDHODT

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“…Diabetes mellitus is a major risk factor for CVD and PD has a proven relationship with insulin resistance and diabetes [151], [152]. PD is also associated with lipid abnormalities, such as high triglyceride levels and low HDL cholesterol levels [153]. Obesity, another risk factor for CVD, is also common in patients with PD [153].…”

Section: Periodontitis and Other Cvd Risk Factorsmentioning

confidence: 99%

“…PD is also associated with lipid abnormalities, such as high triglyceride levels and low HDL cholesterol levels [153]. Obesity, another risk factor for CVD, is also common in patients with PD [153]. Smoking, stress, chronic obstructive pulmonary disease, and chronic kidney disease are also related with PD and are also major risk factors for CVDs [154]- [157].…”

Section: Periodontitis and Other Cvd Risk Factorsmentioning

confidence: 99%

Impact of Periodontitis on Cardiovascular Diseases

Agarwal¹

2021

EJDENT

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Cardiovascular diseases (CVDs) are the leading cause of global morbidity and mortality. Recently, an increasing amount of preventive and therapeutic scrutiny has been directed towards lifestyles and their effect on CVDs. Maintaining good dental health is a lifestyle behavior that can help prevent periodontitis (PD), tooth caries, and tooth loss. Published scientific data is persuasive that dental infections, such as PD, have significant deleterious effects on the cardiovascular system. This paper briefly reviews the association of PD with CVDs.

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“…It is believed that there is a migration of oral bacteria and byproducts directed to the blood flow, with a systemic dissemination of local inflammatory mediators. Therefore, periodontitis may be able to stimulate 17 inflammatory systemic responses and to contribute with MetS [25][26][27][28][29][30] .…”

Section: Introductionmentioning

confidence: 99%

Association Between Periodontitis and Metabolic Syndrome in a Family Health Unit in Salvador-Ba

Coelho

Ponte

Filho

et al. 2021

Preprint

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Introduction: The metabolic syndrome is characterized by multiple disorders, and the in periodontitis, inflammation occurs in the tissues supporting the tooth, where in this process it is believed that the migration of oral bacteria and byproducts to the circulatory system occurs, with a systemic spread of inflammatory mediators. This study aims to verify the effect of periodontitis on the occurrence of the metabolic syndrome. Method: Cross-sectional study with 90 users of the Family Health Unit from Vale do Cambonas in Salvador-BA. Questionnaires were applied, physical / anthropometric and dental evaluation were performed, record of the results of laboratory tests was registered and evaluation of medical records. Data analysis: A bivariate and stratified analysis was performed, obtaining means and standard deviation for continuous variables, absolute and relative frequency for all variables, and multiple conditional logistic regression was performed to obtain the final model adjusted for potential confounders. Results: In the final sample 46,67% of participants had metabolic syndrome according NECP-ATP III criterion and 30, 00% had periodontitis. From those, 20.00% had severe periodontitis, 10% moderate periodontitis and none with mild periodontitis, according to the criterion proposed by Gomes-Filho et al. (2018). There was statistical significance in the association between periodontitis and MetS (ORcrude = 2.58, 95% CI [1.02 - 6.55]) / (ORadjusted = 2.63, 95% CI [1.01 - 6.80]) and severe periodontitis and MetS (ORcrude = 3.86, 95% CI [1.24 - 11.98]) / (ORadjusted = 4.14, 95% CI [1.29-13.29]). Conclusion: The main findings of this study indicate a positive association between periodontitis and metabolic syndrome, with a higher effect when the exposure was severe periodontitis.

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Relationship between periodontitis and subclinical risk indicators for chronic non-communicable diseases

Cited by 18 publications

References 36 publications

Comparative evaluation of indices and partial-mouth periodontal protocols for epidemiological surveys

Comparative evaluation of indices and partial-mouth periodontal protocols for epidemiological surveys

Impact of Periodontitis on Cardiovascular Diseases

Association Between Periodontitis and Metabolic Syndrome in a Family Health Unit in Salvador-Ba

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