Periodontitis as a risk factor for stroke: A hospital-based case–control study

Background: Stroke is the second most common cause of mortality worldwide. Identification of the association between stroke and its risk factor is essential. Objective: Our aim was to study the relationship between gum infections such as periodontitis as a risk factor for cerebral ischemic stroke...

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Main Authors: Mayank Kalpdev, Rashmi Gupta, Kusum Singh, Veer Bahadur Singh, Saranshi Singh, Harish Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Scientific Dental Journal
Subjects:
Online Access:http://www.scidentj.com/article.asp?issn=2580-6548;year=2023;volume=7;issue=1;spage=15;epage=21;aulast=Kalpdev
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author Mayank Kalpdev
Rashmi Gupta
Kusum Singh
Veer Bahadur Singh
Saranshi Singh
Harish Kumar
author_facet Mayank Kalpdev
Rashmi Gupta
Kusum Singh
Veer Bahadur Singh
Saranshi Singh
Harish Kumar
author_sort Mayank Kalpdev
collection DOAJ
description Background: Stroke is the second most common cause of mortality worldwide. Identification of the association between stroke and its risk factor is essential. Objective: Our aim was to study the relationship between gum infections such as periodontitis as a risk factor for cerebral ischemic stroke and its correlation of periodontitis staging for stroke. Methods: This prospective hospital-based case–control study involved 100 cases with their first episode of stroke compared with 100 controls without stroke. Clinical parameterswere recorded—such as “periodontal index,” radiographic bone loss, tooth loss, probing pocket depth, and clinical attachment loss (CAL), all important parameters for assessing periodontal destruction loss of connective tissue attachment to the tooth root surface. Results: Groups were comparable according to age and sex. Statistically significant differences were observed according to associated diseases and investigations, with all the parameters higher for the case group compared to the controls (P < 0.001). There were no significant differences between the groups regarding a family history of cerebral vascular attack. A significant difference was observed for carotid intima-medial thickness, whereas there was no significant difference regarding side. No statistically significant differences were observed according to the total number of teeth lost, interdental CAL, carotid artery atherosclerosis, and 2D echocardiography. Conclusion: There is a strong relationship between periodontal disease and ischemic stroke. Periodontitis is an independent risk factor for cerebral ischemia and is a treatable and preventable disease. Adequate treatment can reduce the incidence of stroke.
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spelling doaj.art-4d53ac58349d47c0b8650327368771172023-07-23T16:14:44ZengWolters Kluwer Medknow PublicationsScientific Dental Journal2580-65482541-321X2023-01-0171152110.4103/SDJ.SDJ_54_22Periodontitis as a risk factor for stroke: A hospital-based case–control studyMayank KalpdevRashmi GuptaKusum SinghVeer Bahadur SinghSaranshi SinghHarish KumarBackground: Stroke is the second most common cause of mortality worldwide. Identification of the association between stroke and its risk factor is essential. Objective: Our aim was to study the relationship between gum infections such as periodontitis as a risk factor for cerebral ischemic stroke and its correlation of periodontitis staging for stroke. Methods: This prospective hospital-based case–control study involved 100 cases with their first episode of stroke compared with 100 controls without stroke. Clinical parameterswere recorded—such as “periodontal index,” radiographic bone loss, tooth loss, probing pocket depth, and clinical attachment loss (CAL), all important parameters for assessing periodontal destruction loss of connective tissue attachment to the tooth root surface. Results: Groups were comparable according to age and sex. Statistically significant differences were observed according to associated diseases and investigations, with all the parameters higher for the case group compared to the controls (P < 0.001). There were no significant differences between the groups regarding a family history of cerebral vascular attack. A significant difference was observed for carotid intima-medial thickness, whereas there was no significant difference regarding side. No statistically significant differences were observed according to the total number of teeth lost, interdental CAL, carotid artery atherosclerosis, and 2D echocardiography. Conclusion: There is a strong relationship between periodontal disease and ischemic stroke. Periodontitis is an independent risk factor for cerebral ischemia and is a treatable and preventable disease. Adequate treatment can reduce the incidence of stroke.http://www.scidentj.com/article.asp?issn=2580-6548;year=2023;volume=7;issue=1;spage=15;epage=21;aulast=Kalpdevperiodontotal diseaseriskseveritystroketooth
spellingShingle Mayank Kalpdev
Rashmi Gupta
Kusum Singh
Veer Bahadur Singh
Saranshi Singh
Harish Kumar
Periodontitis as a risk factor for stroke: A hospital-based case–control study
Scientific Dental Journal
periodontotal disease
risk
severity
stroke
tooth
title Periodontitis as a risk factor for stroke: A hospital-based case–control study
title_full Periodontitis as a risk factor for stroke: A hospital-based case–control study
title_fullStr Periodontitis as a risk factor for stroke: A hospital-based case–control study
title_full_unstemmed Periodontitis as a risk factor for stroke: A hospital-based case–control study
title_short Periodontitis as a risk factor for stroke: A hospital-based case–control study
title_sort periodontitis as a risk factor for stroke a hospital based case control study
topic periodontotal disease
risk
severity
stroke
tooth
url http://www.scidentj.com/article.asp?issn=2580-6548;year=2023;volume=7;issue=1;spage=15;epage=21;aulast=Kalpdev
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