title: Stroke and periodontal disease in Senegal: case-control study.
abstract: OBJECTIVE
  To determine the periodontal factors associated with stroke in melanodermic subjects in Senegal.
  
  
  METHODS
  Case-control study.
  
  
  METHODS
  One hundred and twenty cases and 120 controls were included in this study. Cases had been diagnosed with stroke by a neurologist, with the diagnosis confirmed by scanner. Controls had never had any type of stroke. Data were collected regarding sociodemographic characteristics, lifestyle behaviours, general history, type of stroke (ischaemic or haemorrhagic) and periodontal parameters [plaque index, papillary bleeding index, pocket depth, clinical attachment loss, Community Periodontal Index of Treatment Needs and periodontitis (defined by clinical attachment loss >2 mm and pocket depth >3 mm)]. Logistic regression analysis was performed using R software to isolate a final model after adjustment for the 5% threshold.
  
  
  RESULTS
  All periodontal characteristics were more common among cases than among controls. Periodontitis (odds ratio 1.58, 95% confidence interval 1.1-3.022) and periodontal parameters were significantly associated with stroke, adjusted for hypertension, sedentary lifestyle, and the interaction between periodontitis and age.
  
  
  CONCLUSIONS
  Periodontal disease is associated with stroke in the Senegalese population. Prospective longitudinal studies should be undertaken to improve understanding.
authors: UCAD, Dakar, Senegal. Electronic address: dioufmass78@yahoo.fr.
authors: M
authors: M
authors: Diouf
authors: Neurology Department, Dakar, Senegal.
authors: A
authors: A
authors: Basse
authors: Neurology Department, Dakar, Senegal.
authors: M
authors: M
authors: Ndiaye
authors: Medicine Pharmacy and Dentistry Faculty, Dakar, Senegal.
authors: D
authors: D
authors: Cisse
authors: Medicine Pharmacy and Dentistry Faculty, Dakar, Senegal.
authors: C M
authors: CM
authors: Lo
authors: Medicine Pharmacy and Dentistry Faculty, Dakar, Senegal.
authors: D
authors: D
authors: Faye
mesh_terms: D016022:Case-Control Studies; D006801:Humans; D010510:Periodontal Diseases / Q000453:epidemiology*; D012307:Risk Factors; D012675:Senegal / Q000453:epidemiology; D020521:Stroke / Q000453:epidemiology*
keywords: Melanodermic subject; Periodontal disease; Senegal; Stroke