<scp>P</scp>eriodontitis and atherosclerosis: an observational study

Pinho, Mónica Morado; Almeida, Ricardo Faría; Azevedo, Elsa; Manso, Maria Conceição; Martins, Luciane

doi:10.1111/jre.12026

Cited by 37 publications

(27 citation statements)

References 26 publications

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“…Beck et al (2001) were the first to suggest that periodontitis might play a role in subclinical atherosclerosis. Severe periodontitis characterized by extensive clinical AL was found to increase the likelihood of greater cIMT, and further studies have demonstrated such an association (Pinho et al, 2013). Other indicators, such as number of lost teeth and bleeding on probing, have been associated with increased cIMT (Jung et al, 2013).…”

Section: Discussionmentioning

confidence: 92%

Association of Carotid Intima–media Thickness and Atherosclerotic Plaque with Periodontal Status

Liu

et al. 2014

J Dent Res

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Studies have suggested an association between clinical/subclinical atherosclerosis and periodontal status. The purpose of this study was to investigate the association among maximal carotid intima–media thickness (cIMT), atherosclerotic plaque, and periodontal status in Chinese elderly patients. A cross-sectional study was conducted of 847 participants (age, 70.64 ± 9.03 yr) with ≥10 teeth. A questionnaire survey, routine biochemical tests, a periodontal examination, and maximal cIMT measurement were performed for each. Traditional risk factors for atherogenesis were considered in the statistical analysis. Mean plaque index, which reflects oral hygiene, was correlated with maximal cIMT and atherosclerotic plaque in the study sample overall (β = 0.068, p < .001; OR = 2.051, p < .001) and in euglycemic participants (β = 0.066, p = .008; odds ratio = 2.122, p = .009). In hyperglycemic participants, multiple linear regression analysis ( p = .006) and multivariate logistic regression analysis ( p = .025) revealed a linear and dose-dependent association between mean clinical attachment loss and maximal cIMT after adjustment for traditional risk factors. Each 1-mm increase in mean clinical attachment loss corresponded to a 0.018-mm increase in maximal cIMT. The risk of atherosclerotic plaque increased by 18.3% with each 1-mm increase in mean clinical attachment loss. Other indicators of periodontal exposure, including percentage of sites with attachment loss ≥ 3 to 5 mm (3%-5%), were also correlated with cIMT and atherosclerotic plaque in hyperglycemic patients. In this elderly population, a linear and dose-dependent association among mean clinical attachment loss, attachment loss 3% to 5%, maximal cIMT, and atherosclerotic plaque was verified in those with hyperglycemia. Poor oral hygiene was correlated with maximal cIMT and atherosclerotic plaque in all participants, including those with normal blood glucose.

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Section: Discussionmentioning

confidence: 92%

Association of Carotid Intima–media Thickness and Atherosclerotic Plaque with Periodontal Status

Liu

et al. 2014

J Dent Res

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“…2,3 Both dental caries (decay) and periodontal disease (gum disease) are largely preventable, and even reversible in the early stages, 4,5 and the effects of poor oral health include cardiovascular disease and poorer general health. [5][6][7] As it progresses, oral disease can result in debilitating pain, difficulty eating and speaking, embarrassment and other negative effects. 8 Australia's National Oral Health Plan 2015-2024 9 highlights Aboriginal and Torres Strait Islander (within this paper referred to as Indigenous) people as a priority population group for targeting improvements in oral health.…”

Section: Introductionmentioning

confidence: 99%

Caries and periodontal disease in Indigenous adults in Australia: a case of limited and non-contemporary data

Silva¹,

Martin-Kerry

McKee³

et al. 2017

Aust. Health Review

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Objective. The aim of the present study was to identify all evidence about the prevalence and severity of clinically measured caries and periodontal disease in Indigenous adults in Australia published in peer-reviewed journals and to summarise trends over time. In addition, we examined whether the studies investigated associations between putative risk factors and levels of caries and periodontal disease.Methods. PubMed was searched in September 2014, with no date limitations, for published peer-reviewed articles reporting the prevalence rates and/or severity of caries and periodontal disease in Indigenous adults living in Australia. Articles were excluded if measurement was not based on clinical assessment and if oral disease was reported only in a specific or targeted sample, and not the general population.Results. The search identified 18 papers (reporting on 10 primary studies) that met the inclusion criteria. The studies published clinical data about dental caries and/or periodontal disease in Australian Indigenous adults. The studies reported on oral health for Indigenous adults living in rural (40%), urban (10%) and both urban and rural (50%) locations. Included studies showed that virtually all Indigenous adults living in rural locations had periodontal disease. The data also showed caries prevalence ranged from 46% to 93%. Although 10 studies were identified, the peer-reviewed literature was extremely limited and no published studies were identified that provided statistics for a significant proportion of Australia (Victoria, Tasmania, Queensland or the Australian Capital Territory). There were also inconsistencies in how the data were reported between studies, making comparisons difficult.Conclusions. This review highlights a lack of robust and contemporary data to inform the development of policies and programs to address the disparities in oral health in Indigenous populations living in many parts of Australia.What is known about the topic? Many studies report that Indigenous people in Australia have poorer general health compared with non-Indigenous people. What does this paper add? This paper documents the available caries and periodontal disease prevalence and experience for Indigenous adults in Australia published in peer-reviewed journals. It demonstrates significant limitations in the data, including no data in several large Australian jurisdictions, inconsistency with reporting methods and most data available being for Indigenous adults living in rural locations. Therefore, the oral health data available in the peer-reviewed literature do not reflect the situation of all Indigenous people living in Australia. What are the implications for practitioners? It is important for oral health practitioners to have access to current and relevant statistics on the oral health of Indigenous Australians. However, we have highlighted significant evidence gaps for this population group within the peer-reviewed literature and identified the limitations of the available data upon which INDIGENOUS HEAL...

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“…On the other hand, poor oral health condition, especially periodontal disease, has also been reported to be associated with lifestyle-related diseases. It has been suggested to increase the risk of arteriosclerosis [5,6], type 2 diabetes [7], obesity [8], abdominal obesity [9], and metabolic syndrome [10]. Moreover, metabolic syndrome was shown to possibly play a role in the development or worsening of periodontitis in a longitudinal study [11].…”

Section: Introductionmentioning

confidence: 99%

Associations among Obesity, Eating Speed, and Oral Health

et al. 2018

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Objective: This study was conducted to understand how eating speed and oral health condition are associated with obesity in Japanese working men. Methods: We studied a total of 863 men attending an annual medical checkup of the Japanese Maritime Self Defense Force in Sasebo City, Japan. Participants answered a questionnaire about their eating speed, and we examined their anthropometric status in terms of BMI, waist circumference, and oral health condition, especially periodontal disease and number of functional teeth. Multivariate logistic regression analyses adjusting for potential confounding variables were performed. Results: The multivariate-adjusted odds ratio for waist circumference greater than 90 cm of the ‘very fast' group compared to the ‘slow, very slow' group was 5.22 (95% confidence interval 1.81-15.06) after adjusting for potential confounding factors. Individuals were more likely to have waist circumference greater than 90 cm if they had a larger ‘number of missing functional teeth' (odds ratio 1.14; 95% confidence interval 1.01-1.28) and severe periodontal disease (odds ratio 2.74; 95% confidence interval, 1.46-5.13). Conclusion: Eating speed, the number of missing functional teeth, and severe periodontal disease are associated independently with larger waist circumference.

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Periodontitis and atherosclerosis: an observational study

Abstract: This study showed an association between periodontitis severity and carotid atherosclerosis, suggesting that periodontal disease might be a risk indicator for atherosclerotic disease.

Cited by 37 publications

References 26 publications

Association of Carotid Intima–media Thickness and Atherosclerotic Plaque with Periodontal Status

Association of Carotid Intima–media Thickness and Atherosclerotic Plaque with Periodontal Status

Caries and periodontal disease in Indigenous adults in Australia: a case of limited and non-contemporary data

Associations among Obesity, Eating Speed, and Oral Health

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