Periodontal Disease and its Association with Angiographically Verified Coronary Artery Disease

Purpose: The aim of this research was to investigate the association of chronic and aggressive periodontitis with the severity of coronary artery disease which was angiographically verified. Material and methods: Subjects were selected among the hospitalized patients at the University Hospital Ce...

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Main Authors: Domagoj Vražić, Zoran Miovski, Maja Strozzi, Ivan Puhar, Ana Badovinac, Darko Božić, Darije Plančak
Format: Article
Language:English
Published: University of Zagreb. School of Dental Medicine 2015-01-01
Series:Acta Stomatologica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/201702
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author Domagoj Vražić
Zoran Miovski
Maja Strozzi
Ivan Puhar
Ana Badovinac
Darko Božić
Darije Plančak
author_facet Domagoj Vražić
Zoran Miovski
Maja Strozzi
Ivan Puhar
Ana Badovinac
Darko Božić
Darije Plančak
author_sort Domagoj Vražić
collection DOAJ
description Purpose: The aim of this research was to investigate the association of chronic and aggressive periodontitis with the severity of coronary artery disease which was angiographically verified. Material and methods: Subjects were selected among the hospitalized patients at the University Hospital Centre Zagreb who had coronary angiography done because of the chest pain. Thorough clinical examination included periodontal indices and clinical and socio-demographic characteristics of participants. Subjects were divided in two test groups, acute coronary syndrome (ACS) and stable coronary artery disease (CAD), and the control group with no significant CAD. Data were analyzed using Kruskal-Wallis and Pearson’s Chi-Square test. Results: From 106 subjects, 66 (62.3%) were hospitalized for ACS, 22 (20.7%) had stable CAD and only 18 (17.0%) had no significant CAD. Only 26 (24.5%) out of 106 patients were never smokers (p<0.05). Chronic periodontitis was the most common finding with 68.2% in ACS group and 54.5% in stable CAD group, while healthy patients without periodontitis (72.6%) were dominant in the control group (p<0.001). Stable CAD group had the highest mean probing depth (PD) 3.92±1.16, gingival recession (GR) 1.34±0.78, clinical attachment level (CAL) 4.60±1.41 and bleeding on probing (BOP) 45.98±26.19 values, whereas ACS group had mean PD value of 3.77±0.91, GR 1.11±0.66, CAL 4.32±1.08 and BOP 41.30±22.09, and no significant CAD group had mean PD value of 3.27±0.97, GR 0.69±0.37, CAL 3.62±1.04 and BOP 26.39±13.92 (p<0.05). Conclusion: Periodontitis was shown to be associated with angiographically verified coronary artery disease. Physical inactivity, poor oral hygiene and periodontal inflammation were observed in patients with ACS and stable CAD.
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spelling doaj.art-f8b28fda9e4b4ebe9be7d65fba1ae06a2024-04-15T13:37:21ZengUniversity of Zagreb. School of Dental MedicineActa Stomatologica Croatica0001-70191846-04102015-01-01491142010.15644/asc49/1/2Periodontal Disease and its Association with Angiographically Verified Coronary Artery DiseaseDomagoj Vražić0Zoran Miovski1Maja Strozzi2Ivan Puhar3Ana Badovinac4Darko Božić5Darije Plančak6Department of Periodontology, School of Dental Medicine, Universitiy of Zagreb, Croatia; Clinical Department of Periodontology, Clinical Hospital Center Zagreb, CroatiaDepartment for Cardiovascular Diseases, University Hospital Centre Zagreb, CroatiaDepartment for Cardiovascular Diseases, University Hospital Centre Zagreb, CroatiaDepartment of Periodontology, School of Dental Medicine, Universitiy of Zagreb, Croatia; Clinical Department of Periodontology, Clinical Hospital Center Zagreb, CroatiDepartment of Periodontology, School of Dental Medicine, Universitiy of Zagreb, Croatia; Clinical Department of Periodontology, Clinical Hospital Center Zagreb, CroatiDepartment of Periodontology, School of Dental Medicine, Universitiy of Zagreb, Croatia; Clinical Department of Periodontology, Clinical Hospital Center Zagreb, CroatiDepartment of Periodontology, School of Dental Medicine, Universitiy of Zagreb, Croatia; Clinical Department of Periodontology, Clinical Hospital Center Zagreb, CroatiPurpose: The aim of this research was to investigate the association of chronic and aggressive periodontitis with the severity of coronary artery disease which was angiographically verified. Material and methods: Subjects were selected among the hospitalized patients at the University Hospital Centre Zagreb who had coronary angiography done because of the chest pain. Thorough clinical examination included periodontal indices and clinical and socio-demographic characteristics of participants. Subjects were divided in two test groups, acute coronary syndrome (ACS) and stable coronary artery disease (CAD), and the control group with no significant CAD. Data were analyzed using Kruskal-Wallis and Pearson’s Chi-Square test. Results: From 106 subjects, 66 (62.3%) were hospitalized for ACS, 22 (20.7%) had stable CAD and only 18 (17.0%) had no significant CAD. Only 26 (24.5%) out of 106 patients were never smokers (p<0.05). Chronic periodontitis was the most common finding with 68.2% in ACS group and 54.5% in stable CAD group, while healthy patients without periodontitis (72.6%) were dominant in the control group (p<0.001). Stable CAD group had the highest mean probing depth (PD) 3.92±1.16, gingival recession (GR) 1.34±0.78, clinical attachment level (CAL) 4.60±1.41 and bleeding on probing (BOP) 45.98±26.19 values, whereas ACS group had mean PD value of 3.77±0.91, GR 1.11±0.66, CAL 4.32±1.08 and BOP 41.30±22.09, and no significant CAD group had mean PD value of 3.27±0.97, GR 0.69±0.37, CAL 3.62±1.04 and BOP 26.39±13.92 (p<0.05). Conclusion: Periodontitis was shown to be associated with angiographically verified coronary artery disease. Physical inactivity, poor oral hygiene and periodontal inflammation were observed in patients with ACS and stable CAD.https://hrcak.srce.hr/file/201702PeriodontitisPeriodontal IndexCardiovascular DiseasesCoronary Artery DiseaseCoronary Angiography
spellingShingle Domagoj Vražić
Zoran Miovski
Maja Strozzi
Ivan Puhar
Ana Badovinac
Darko Božić
Darije Plančak
Periodontal Disease and its Association with Angiographically Verified Coronary Artery Disease
Acta Stomatologica Croatica
Periodontitis
Periodontal Index
Cardiovascular Diseases
Coronary Artery Disease
Coronary Angiography
title Periodontal Disease and its Association with Angiographically Verified Coronary Artery Disease
title_full Periodontal Disease and its Association with Angiographically Verified Coronary Artery Disease
title_fullStr Periodontal Disease and its Association with Angiographically Verified Coronary Artery Disease
title_full_unstemmed Periodontal Disease and its Association with Angiographically Verified Coronary Artery Disease
title_short Periodontal Disease and its Association with Angiographically Verified Coronary Artery Disease
title_sort periodontal disease and its association with angiographically verified coronary artery disease
topic Periodontitis
Periodontal Index
Cardiovascular Diseases
Coronary Artery Disease
Coronary Angiography
url https://hrcak.srce.hr/file/201702
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