title: Association between dental health and acute myocardial infarction.
abstract: Known risk factors for coronary heart disease do not explain all of the clinical and epidemiological features of the disease. To examine the role of chronic bacterial infections as risk factors for the disease the association between poor dental health and acute myocardial infarction was investigated in two separate case-control studies of a total of 100 patients with acute myocardial infarction and 102 controls selected from the community at random. Dental health was graded by using two indexes, one of which was assessed blind. Based on these indexes dental health was significantly worse in patients with acute myocardial infarction than in controls. The association remained valid after adjustment for age, social class, smoking, serum lipid concentrations, and the presence of diabetes. Further prospective studies are required in different populations to confirm the association and to elucidate its nature.
authors.affiliation: First Department of Medicine, Helsinki University Central Hospital, Finland.
authors.forename: K J
authors.initials: KJ
authors.lastname: Mattila
authors.forename: M S
authors.initials: MS
authors.lastname: Nieminen
authors.forename: V V
authors.initials: VV
authors.lastname: Valtonen
authors.forename: V P
authors.initials: VP
authors.lastname: Rasi
authors.forename: Y A
authors.initials: YA
authors.lastname: Kesäniemi
authors.forename: S L
authors.initials: SL
authors.lastname: Syrjälä
authors.forename: P S
authors.initials: PS
authors.lastname: Jungell
authors.forename: M
authors.initials: M
authors.lastname: Isoluoma
authors.forename: K
authors.initials: K
authors.lastname: Hietaniemi
authors.forename: M J
authors.initials: MJ
authors.lastname: Jokinen
mesh_terms: D000328:Adult; D005260:Female; D005387:Finland; D006801:Humans; D008055:Lipids / Q000097:blood; D008297:Male; D008875:Middle Aged; D009059:Mouth Diseases / Q000150:complications; D009203:Myocardial Infarction / Q000209:etiology* / Q000382:microbiology; D009909:Oral Health; D009911:Oral Hygiene Index; D011897:Random Allocation; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D012923:Social Class
chemical_list: D008055:Lipids