Carotid and popliteal artery intima-media thickness in patients with poor oral hygiene and the association with acute-phase reactants
| Autor: | Veysel Şahin, Faik Fevzi Okur, Volkan Yurtman, Ihsan Sami Uyar, Elif Yasa, Mehmet Besir Akpinar, Feyzi Abacilar |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Carotid Artery Diseases Male medicine.medical_specialty Time Factors periodontal disease Dentistry Dental plaque Carotid Intima-Media Thickness Oral hygiene Peripheral Arterial Disease Predictive Value of Tests Risk Factors tooth loss Internal medicine medicine.artery Tooth loss Humans Medicine Popliteal Artery cardiovascular diseases Periodontal Diseases Aged biology DMF Index business.industry Cardiovascular Topics Dental Plaque Index C-reactive protein Fibrinogen General Medicine Middle Aged Oral Hygiene medicine.disease infection Popliteal artery stomatognathic diseases C-Reactive Protein Intima-media thickness Predictive value of tests biology.protein Female atherosclerosis medicine.symptom Cardiology and Cardiovascular Medicine business Biomarkers |
| Zdroj: | Cardiovascular Journal of Africa |
| ISSN: | 1680-0745 1995-1892 |
| DOI: | 10.5830/cvja-2013-051 |
| Popis: | Purpose: The aim of this study was to evaluate whether poor oral hygiene is associated with carotid and popliteal arterial intima-media thickness, which is one of the predictors of future progression of sub-clinical atherosclerosis, and high sensitivity C-reactive protein (hsCRP) and fibrinogen levels. Methods: A specialised dentist checked the patients and selected 550 patients during periodontal examinations, according to their oral hygiene. The patients had no history of atherosclerotic disease. Carotid and popliteal artery B-mode ultrasonographic examinations and hsCRP and fibrinogen levels were analysed at baseline and after a mean of 6.2 months. The patients were scored on the DMFT index for the number of decayed (D), missing (M), and filled (F) teeth (T). We also used the Silness-Loe plaque index (SLI) to evaluate oral hygiene and dental plaque. The patients were divided into two groups using the DMFT and SLI criteria. Group I had a DMFT index score from 0 to 3 and SLI index score of 0 or 1. Group II had a DMFT index score from 4 to 28 and SLI index score of 2 or 3. Results: A significant association was observed between dental status, oral hygiene, carotid and popliteal artery intima-media thickness and hsCRP level. Patients with increasing DMFT and SLI scores correlated with increasing carotid artery intima-media thickness. Conclusions: The results clearly showed that chronic poor oral hygiene and tooth loss are related to sub-clinical atherosclerotic changes in the carotid arteries and may be indicative of future progression of atherosclerosis. |
| Databáze: | OpenAIRE |
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