title: Is there a relationship between chronic periodontitis and erectile dysfunction?
abstract: BACKGROUND
  Chronic periodontitis (CP) is characterized with inflammation of the gingival tissues, which causes endothelial dysfunction in different organs.
  
  
  OBJECTIVE
  In this study, we investigated the association of CP with the erectile dysfunction (ED).
  
  
  METHODS
  The study group included 80 male patients with ED and 82 male patients without ED (control), aged between 30 and 40 years. The International Index of Erectile Function (IIEF) questionnaire was used to assess male sexual function, particularly the presence or absence of ED.
  
  
  METHODS
  The patients in the study and control groups were statistically compared according to their plaque index (PI), bleeding on probing (BoP), probing depth (PD), and clinical attachment level (CAL).
  
  
  RESULTS
  In the non-ED and the ED groups, the mean age was 35.7 ± 4.8 and 34.9 ± 4.9 years, respectively. Patients' characteristics including body mass index, household income, and education status were similar in both groups (P > 0.05). Nineteen patients (23%) had severe CP in the non-ED group; 42 patients (53%) had severe CP in the ED group. Logistic regression analysis showed a significantly high association between ED and the severity of CP (odds ratio: 3.29, 95% confidence interval: 1.36-9.55, P < 0.01). The mean values of PI, BoP, and the percentages of sites with PD >4 mm and sites with CAL >4 mm were significantly higher in the ED group than in the control group (P < 0.05). The mean values of PD and CAL were not significantly different in the two groups (P > 0.05). The decayed, missing, filled teeth scores were also significantly higher in the ED group than in the non-ED group (P < 0.05).
  
  
  CONCLUSIONS
  Our results have suggested that CP had a high association with ED in young adults at 30-40 years. We think that it will be of benefit to consider periodontal disease as a causative clinical condition of ED in such patients.
authors.affiliation: Department of Urology, Inonu University, Malatya, Turkey. drfoguz@gmail.com
authors.forename: Fatih
authors.initials: F
authors.lastname: Oğuz
authors.forename: Abubekir
authors.initials: A
authors.lastname: Eltas
authors.forename: Ali
authors.initials: A
authors.lastname: Beytur
authors.forename: Ender
authors.initials: E
authors.lastname: Akdemir
authors.forename: Mustafa Özay
authors.initials: MÖ
authors.lastname: Uslu
authors.forename: Ali
authors.initials: A
authors.lastname: Güneş
mesh_terms: D000328:Adult; D055113:Chronic Periodontitis / Q000150:complications*; D003731:Dental Caries / Q000150:complications; D003774:Dental Plaque Index; D007172:Erectile Dysfunction / Q000150:complications*; D006801:Humans; D016015:Logistic Models; D008297:Male; D012720:Severity of Illness Index; D016037:Single-Blind Method; D011795:Surveys and Questionnaires; D016388:Tooth Loss / Q000150:complications