[Periodontal and dental state of patients with coronary heart disease].
BACKGROUND
Nowadays periodontitis--etiologically linked with bacterial flora, mainly anaerobic--is very often pointed out as one of potential risk factors for coronary heart disease (CHD) and myocardial infarction. Only few Polish publications on this subject are available. The aim of this study was to evaluate the frequency and degree of advancement of periodontitis among patients with CHD and after myocardial infarction, hospitalized in I Clinic of Cardiology, Medical University in Gdansk, Poland. Simultaneously an attempt to answer the question, if periodontitis can be a potential risk factor for CHD and myocardial infarction in Poland's population.


METHODS
104 patients, aged 43-80 (average 60 years) were examined--57 persons after myocardial infarction (group I) and 47 persons with CHD without acute events (group II). Anamnesis and clinical examination using WHO recommended parameters (API, SBI, PD, CAL, CPITN) were performed.


RESULTS
In 82.4% patients of group I and 72.2% of group II periodontitis was diagnosed. This percentage was significantly higher in comparison with general population. Advancement of destructive lesions suggests long duration of disease and it's possible negative influence on general health status. The results indicate possible link between periodontal infection's foci and CHD, and also show, that education, prevalence and treatment program for this population should be created.
Bochniak
Mariusz
M
Zakład Periodontologii i Chorób Błony Sluzowej Jamy Ustnej, Akademii Medycznej w Gdańsku. parodont@amg.gda.pl
Sadlak-Nowicka
Jadwiga
J
Tyrzyk
Sebastian
S
Sobiczewski
Wojciech
W
Rynkiewicz
Andrzej
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D003327:Coronary Disease / Q000150:complications*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D010518:Periodontitis / Q000150:complications* / Q000453:epidemiology; D011044:Poland / Q000453:epidemiology; D012307:Risk Factors