Relationship between aortic atherosclerosis and dental loss in an inner-city population.
Prior studies have suggested an association between atherosclerosis and periodontal disease, both of which are more prevalent in certain minority and economically disadvantaged groups. Few studies have addressed the relationship between cardiovascular disease and dentition among ethnically diverse populations. We studied 131 subjects (60% females, age 59 +/- 15 years) who were referred for clinically indicated transesophageal echocardiography. Dental loss was more severe in patients with hypertension (P < .001), diabetes (P = .05), coronary artery disease (P = .04), and calcium channel blocker use (P = .04). On univariate analysis, maximal aortic intima-media thickness (MAIMT) was significantly correlated with dental loss (r = .40; P < .001). Age was correlated with MAIMT (R = .41; P < .001) and with dental loss (r = .57; P < .001). On multivariate analysis, dental loss (P = .03) and history of coronary artery disease (P = .04) were independent predictors of MAIMT ( R2 = .44). In this inner-city predominantly African American population, atherosclerosis and dental loss are age dependent and are interrelated independent of age.
Castillo
Ricardo
R
Cardiology Division, Brookdale Medical Center, Brooklyn, NY 11203-2098, USA.
Fields
Aurora
A
Qureshi
Ghazanfar
G
Salciccioli
Louis
L
Kassotis
John
J
Lazar
Jason M
JM
D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000367:Age Factors; D000368:Aged; D001018:Aortic Diseases / Q000453:epidemiology* / Q000208:ethnology; D050197:Atherosclerosis / Q000453:epidemiology* / Q000208:ethnology; D002121:Calcium Channel Blockers / Q000009:adverse effects; D003324:Coronary Artery Disease / Q000453:epidemiology / Q000208:ethnology; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000208:ethnology; D017548:Echocardiography, Transesophageal; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D006937:Hypercholesterolemia / Q000453:epidemiology / Q000208:ethnology; D006973:Hypertension / Q000453:epidemiology / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D009519:New York City; D050177:Overweight / Q000453:epidemiology / Q000208:ethnology; D013223:Statistics as Topic; D016388:Tooth Loss / Q000453:epidemiology* / Q000208:ethnology; D017539:Tunica Intima / Q000000981:diagnostic imaging; D017540:Tunica Media / Q000000981:diagnostic imaging; D014505:Urban Population / Q000706:statistics & numerical data*; D044465:White People / Q000706:statistics & numerical data*
D002121:Calcium Channel Blockers