title: Erectile dysfunction might be associated with chronic periodontal disease: two ends of the cardiovascular spectrum.
abstract: BACKGROUND
  Both chronic periodontal disease (CPD) and erectile dysfunction (ED) are associated with cardiovascular disease and its risk factors, including smoking and diabetes mellitus. However, the association between ED and CPD has never been studied.
  
  
  OBJECTIVE
  To study the association between ED and CPD. MAIN OUTCOME MEASURES. Prevalence of ED, prevalence of CPD, ED severity.
  
  
  METHODS
  The study population consisted of 305 men who filled the Sexual Health Inventory for Men (SHIM) questionnaire in order to detect ED and assess its severity, and underwent a pair of standardized posterior dental bitewing radiographs in order to detect CPD. SHIM questionnaire scores 21 or less represented ED. Alveolar bone loss of >or=6 mm represented CPD.
  
  
  RESULTS
  The mean age of included men was 39.5 +/- 6.7 years. Overall, 70 (22.9%) men had ED and 13 (4.3%) had CPD. CPD was significantly more prevalent among men with mild ED (P = 0.004) and moderate to severe ED (P = 0.007) in comparison to men without ED.
  
  
  CONCLUSIONS
  ED might be associated with CPD. These preliminary findings are consistent with theories that associate these conditions with systemic inflammation, endothelial dysfunction, and atherosclerosis.
authors.affiliation: Center for Health Promotion and Preventive Medicine, Medical Corps, Israel Defense Forces, Zrifin, Israel;; Department of Oral Medicine, Hadassah School of Dental Medicine, Hebrew University, Jerusalem, Israel;. Electronic address: yzadik@gmail.com.
authors.forename: Yehuda
authors.initials: Y
authors.lastname: Zadik
authors.affiliation: Center for Health Promotion and Preventive Medicine, Medical Corps, Israel Defense Forces, Zrifin, Israel.
authors.forename: Ron
authors.initials: R
authors.lastname: Bechor
authors.affiliation: Center for Health Promotion and Preventive Medicine, Medical Corps, Israel Defense Forces, Zrifin, Israel.
authors.forename: Shay
authors.initials: S
authors.lastname: Galor
authors.affiliation: Center for Health Promotion and Preventive Medicine, Medical Corps, Israel Defense Forces, Zrifin, Israel.
authors.forename: Dan
authors.initials: D
authors.lastname: Justo
authors.affiliation: Center for Health Promotion and Preventive Medicine, Medical Corps, Israel Defense Forces, Zrifin, Israel;; Reuth Medical Center and Sackler Faculty of Medicine, Sexual Rehabilitation Clinic, Tel Aviv, Israel.
authors.forename: Rafi J
authors.initials: RJ
authors.lastname: Heruti
mesh_terms: D000328:Adult; D010520:Aggressive Periodontitis / Q000453:epidemiology*; D000539:Alveolar Process / Q000473:pathology; D001862:Bone Resorption / Q000453:epidemiology / Q000473:pathology; D002908:Chronic Disease; D003324:Coronary Artery Disease / Q000453:epidemiology; D007172:Erectile Dysfunction / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires