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The occurrence of dental caries is associated with atherosclerosis
Glodny, Bernhard; Nasseri, Parinaz; Crismani, Adriano; Schoenherr, Elisabeth; Luger, Anna K.; Bertl, Kristina; Petersen, Johannes.
  • Glodny, Bernhard; Innsbruck Medical University. Department of Radiology. Innsbruck. AT
  • Nasseri, Parinaz; Innsbruck Medical University. Department of Radiology. Innsbruck. AT
  • Crismani, Adriano; Innsbruck Medical University. Department of Radiology. Innsbruck. AT
  • Schoenherr, Elisabeth; Innsbruck Medical University. Department of Radiology. Innsbruck. AT
  • Luger, Anna K.; Innsbruck Medical University. Department of Radiology. Innsbruck. AT
  • Bertl, Kristina; Innsbruck Medical University. Department of Radiology. Innsbruck. AT
  • Petersen, Johannes; Innsbruck Medical University. Department of Radiology. Innsbruck. AT
Clinics ; 68(7): 946-953, jul. 2013. tab, graf
Article in English | LILACS | ID: lil-680712
ABSTRACT

OBJECTIVE:

Previous studies have suggested that marginal periodontitis is a risk factor for developing atherosclerosis. The objective of this study was to determine whether caries may also be associated with atherosclerosis.

METHODS:

The computed tomography data sets of 292 consecutive patients, 137 women and 155 men with a mean age of 54.1±17.3 years, were analyzed. Caries were quantified based on the number of decayed surfaces of all the teeth, and periodontitis was quantified on the basis of the horizontal bone loss in the jaw. The presence of chronic apical periodontitis (CAP) was assessed, and the aortic atherosclerotic burden was quantified using a calcium scoring method.

RESULTS:

The patients with <1 caries surfaces/tooth had a lower atherosclerotic burden (0.13±0.61 mL) than patients with ≥1 caries surfaces/tooth. The atherosclerotic burden was greater in patients with a higher number of lesions with pulpal involvement and more teeth with chronic apical periodontitis. In the logistical regression models, age (Wald 49.3), number of caries per tooth (Wald 26.4), periodontitis (Wald 8.6), and male gender (Wald 11) were found to be independent risk factors for atherosclerosis. In the linear regression analyses, age and the number of decayed surfaces per tooth were identified as influencing factors associated with a higher atherosclerotic burden, and the number of restorations per tooth was associated with a lower atherosclerotic burden.

CONCLUSION:

Dental caries, pulpal caries, and chronic apical periodontitis are associated positively, while restorations are associated inversely, with aortic atherosclerotic burden. Prospective studies are required to confirm these observations and answer the question of possible causality. .
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Full text: Available Index: LILACS (Americas) Main subject: Aortic Diseases / Periapical Periodontitis / Dental Caries / Atherosclerosis Type of study: Diagnostic study / Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Clinics Journal subject: Medicine Year: 2013 Type: Article Affiliation country: Austria Institution/Affiliation country: Innsbruck Medical University/AT

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Full text: Available Index: LILACS (Americas) Main subject: Aortic Diseases / Periapical Periodontitis / Dental Caries / Atherosclerosis Type of study: Diagnostic study / Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Clinics Journal subject: Medicine Year: 2013 Type: Article Affiliation country: Austria Institution/Affiliation country: Innsbruck Medical University/AT