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Analysis of periodontal risk profiles in adults with or without a history of myocardial infarction
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.ORCID iD: 0000-0003-0992-2362
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
School of Dental Medicine, University of Berne, Switzerland.
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2004 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 31, no 1, 19-24 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: An association between periodontitis and cardiovascular diseases has been suggested.

AIMS: To study whether a combination of clinical variables in a functional risk diagram enhanced the ability to differentiate between subjects with or without an immediate history of acute myocardial infarction (AMI).

MATERIAL AND METHODS: A functional periodontal pentagon risk diagram (PPRD) with five periodontal risk vectors was created. The surface of individual PPRDs was calculated using data from 88 subjects with recent AMI and 80 matched control subjects with no history of AMI.

RESULTS: Age, gender, number of remaining teeth (mean value: 21.1 versus 21.6 teeth), smoking status, and pocket probing depth (PPD) distribution did not differ by group. Gingival recession was greater in control subjects (mean difference: 5.7, SD: +/- 1.9, p<0.01, 95% CI: 1.8-9.6). Bone loss > or = 4.0 mm was at all levels studied was significantly greater in subjects with AMI and bone loss > or = 50% (> or = 4 mm) was the best individual predictor of AMI (beta = 2.99, p < 0.000, 95% CI: 7.5-53.4). Only PPRD scores were associated with AMI status when factors not included in the PPRD were studied (beta = 22.1, SE: 5.9, p < 0.0001, 95% CI: 10.3-33.7). The best association between AMI status and study variables was the combination of > or = 4 mm of bone loss > or = 50%, proportion of bleeding on probing (%BOP), %PPDs > or = 6 mm, and tooth loss (Nagelkirke r2 = 0.46).

CONCLUSIONS: The combination of five periodontal parameters in a PPRD added predictive value, suggesting that comprehensive data should be used in studies of associations between periodontitis and heart diseases. Radiographic evidence of bone loss was the best individual parameter.

Place, publisher, year, edition, pages
2004. Vol. 31, no 1, 19-24 p.
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-12218DOI: 10.1111/j.0303-6979.2004.00431.xISI: 000187405000005PubMedID: 15058370OAI: oai:DiVA.org:hkr-12218DiVA: diva2:728112
Available from: 2014-06-23 Created: 2014-06-23 Last updated: 2014-09-18Bibliographically approved

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Renvert, StefanOhlsson, OlaPersson, SusannaPersson, G. Rutger
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