Comparison of periodontal parameters between patients with ischemic and dilative cardiomyopathy

Abstract Background This cross-sectional study aimed in the comparison of periodontal parameters, number of remaining teeth and oral behaviour between patients with ischemic- (ICM) and non-ischemic dilative cardiomyopathy (DCM). Methods Patients with HF from the Department for Cardiac Surgery at the...

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Main Authors: Dirk Ziebolz, Christian Binner, Florentine Reuschel, Mirjam Eisner, Justus Wagner, Tanja Kottmann, Christian D. Etz, Sven Lehmann, Jens Garbade, Gerhard Schmalz
Format: Article
Language:English
Published: BMC 2021-06-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12872-021-02111-5
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author Dirk Ziebolz
Christian Binner
Florentine Reuschel
Mirjam Eisner
Justus Wagner
Tanja Kottmann
Christian D. Etz
Sven Lehmann
Jens Garbade
Gerhard Schmalz
author_facet Dirk Ziebolz
Christian Binner
Florentine Reuschel
Mirjam Eisner
Justus Wagner
Tanja Kottmann
Christian D. Etz
Sven Lehmann
Jens Garbade
Gerhard Schmalz
author_sort Dirk Ziebolz
collection DOAJ
description Abstract Background This cross-sectional study aimed in the comparison of periodontal parameters, number of remaining teeth and oral behaviour between patients with ischemic- (ICM) and non-ischemic dilative cardiomyopathy (DCM). Methods Patients with HF from the Department for Cardiac Surgery at the Heart Center Leipzig were included. The two groups (ICM and DCM) were composed by matching according to age, gender and smoking habits. All participants received a comprehensive periodontal examination, including a periodontal probing on six measurement points of each tooth. Results A total of 226 patients (n = 113 each group) was included. Patients in DCM group used interdental cleaning significantly more often than ICM (23.9% vs. 12.5%, p = 0.04). The majority of patients in both groups (ICM: 83.6%, DCM: 84.6%, p = 0.23) were diagnosed with stage III–IV periodontitis. Periodontal parameters were comparable between groups (p > 0.05). Variance analysis revealed no influence of the group (ICM vs. DCM) on the number of remaining teeth (p = 0.16), periodontitis stage (p = 0.27) or the periodontal inflamed surface area (p = 0.62). Conclusions Patients with severe HF show high periodontal burden, without any differences between ICM and DCM group. Therefore, increased attention should be payed to periodontal health of patients with severe heart disease, irrespective of their underlying disease.
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spelling doaj.art-6ea43942bfe24a2f91f6988b5f7d25652022-12-21T18:41:54ZengBMCBMC Cardiovascular Disorders1471-22612021-06-012111910.1186/s12872-021-02111-5Comparison of periodontal parameters between patients with ischemic and dilative cardiomyopathyDirk Ziebolz0Christian Binner1Florentine Reuschel2Mirjam Eisner3Justus Wagner4Tanja Kottmann5Christian D. Etz6Sven Lehmann7Jens Garbade8Gerhard Schmalz9Department of Cariology, Endodontology and Periodontology, University of LeipzigUniversity Department of Cardiac Surgery, Heart Center LeipzigDepartment of Cariology, Endodontology and Periodontology, University of LeipzigDepartment of Cariology, Endodontology and Periodontology, University of LeipzigDepartment of Cariology, Endodontology and Periodontology, University of LeipzigCRO Dr. med. Kottmann GmbH & Co. KGUniversity Department of Cardiac Surgery, Heart Center LeipzigUniversity Department of Cardiac Surgery, Heart Center LeipzigUniversity Department of Cardiac Surgery, Heart Center LeipzigDepartment of Cariology, Endodontology and Periodontology, University of LeipzigAbstract Background This cross-sectional study aimed in the comparison of periodontal parameters, number of remaining teeth and oral behaviour between patients with ischemic- (ICM) and non-ischemic dilative cardiomyopathy (DCM). Methods Patients with HF from the Department for Cardiac Surgery at the Heart Center Leipzig were included. The two groups (ICM and DCM) were composed by matching according to age, gender and smoking habits. All participants received a comprehensive periodontal examination, including a periodontal probing on six measurement points of each tooth. Results A total of 226 patients (n = 113 each group) was included. Patients in DCM group used interdental cleaning significantly more often than ICM (23.9% vs. 12.5%, p = 0.04). The majority of patients in both groups (ICM: 83.6%, DCM: 84.6%, p = 0.23) were diagnosed with stage III–IV periodontitis. Periodontal parameters were comparable between groups (p > 0.05). Variance analysis revealed no influence of the group (ICM vs. DCM) on the number of remaining teeth (p = 0.16), periodontitis stage (p = 0.27) or the periodontal inflamed surface area (p = 0.62). Conclusions Patients with severe HF show high periodontal burden, without any differences between ICM and DCM group. Therefore, increased attention should be payed to periodontal health of patients with severe heart disease, irrespective of their underlying disease.https://doi.org/10.1186/s12872-021-02111-5Heart failurePeriodontitisPeriodontal medicineIschemic heart disease
spellingShingle Dirk Ziebolz
Christian Binner
Florentine Reuschel
Mirjam Eisner
Justus Wagner
Tanja Kottmann
Christian D. Etz
Sven Lehmann
Jens Garbade
Gerhard Schmalz
Comparison of periodontal parameters between patients with ischemic and dilative cardiomyopathy
BMC Cardiovascular Disorders
Heart failure
Periodontitis
Periodontal medicine
Ischemic heart disease
title Comparison of periodontal parameters between patients with ischemic and dilative cardiomyopathy
title_full Comparison of periodontal parameters between patients with ischemic and dilative cardiomyopathy
title_fullStr Comparison of periodontal parameters between patients with ischemic and dilative cardiomyopathy
title_full_unstemmed Comparison of periodontal parameters between patients with ischemic and dilative cardiomyopathy
title_short Comparison of periodontal parameters between patients with ischemic and dilative cardiomyopathy
title_sort comparison of periodontal parameters between patients with ischemic and dilative cardiomyopathy
topic Heart failure
Periodontitis
Periodontal medicine
Ischemic heart disease
url https://doi.org/10.1186/s12872-021-02111-5
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