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Periodontitis relat...
Periodontitis related to cardiovascular events and mortality : a long-time longitudinal study
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- Bengtsson, Viveca Wallin (author)
- Kristianstad University,University of Kristianstad, SWE
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- Persson, Gösta Rutger (author)
- Kristianstad University,University of Washington,University of Kristianstad, SWE
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- Sanmartin Berglund, Johan, Professor (author)
- Lunds universitet,Blekinge Tekniska Högskola,Institutionen för hälsa,Lund University, SWE,Blekinge Institute of Technology; Lund University,Blekinge Institute of Technology,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Renvert, Stefan (author)
- Kristianstad University,Blekinge Tekniska Högskola,Institutionen för hälsa,University of Kristianstad, SWE, Dublin Dental Hospital Trinity College, IRL, The University of Hong Kong, HKG,University of Kristianstad; Dublin Dental Hospital Trinity College, Ireland; The University of Hong Kong, China,Department of Oral Health,Oral Health - Public Health - Quality of Life (OHAL),Avdelningen för oral hälsa,Oral Hälsa - Allmänhälsa - Livskvalitet (OHAL),Blekinge Institute of Technology
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(creator_code:org_t)
- 2021-01-28
- 2021
- English.
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In: Clinical Oral Investigations. - : Springer Science and Business Media Deutschland GmbH. - 1432-6981 .- 1436-3771. ; 25:6, s. 4085-4095
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Abstract
Subject headings
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- Objective: The present study assessed if individuals ≥ 60 years of age with periodontitis are more likely to develop stroke or ischemic heart diseases, or at a higher risk of death for 17 years. Material and methods: At baseline individuals ≥ 60 received a dental examination including a panoramic radiograph. Periodontitis was defined as having ≥ 30% sites with ≥ 5-mm distance from the cementoenamel junction to the marginal bone level. Medical records were annually reviewed from 2001 to 2018. Findings from the medical records identifying an ICD-10 code of stroke and ischemic heart diseases or death were registered. Results: Associations between periodontitis and incidence of ischemic heart disease were found in this 17-year follow-up study in all individuals 60–93 years (HR: 1.5, CI: 1.1–2.1, p = 0.017), in women (HR: 2.1, CI: 1.3–3.4, p = 0.002), and in individuals 78–96 years (HR: 1.7, CI: 1.0–2.6, p = 0.033). Periodontitis was associated with mortality in all individuals (HR: 1.4, CI: 1.2–1.8, p = 0.002), specifically in men (HR: 1.5, CI: 1.1–1.9, p = 0.006) or in ages 60–72 years (HR: 2.2, CI: 1.5–3.2, p = 0.000). Periodontitis was more prevalent among men (OR: 1.8, CI: 1.3–2.4, p = 0.000). Conclusions: Individuals with periodontitis have an increased risk for future events of ischemic heart diseases and death. Clinical relevance: Improving periodontal health in older individuals may reduce overall mortality and ischemic heart diseases. Both dental and medical professionals should be aware of the associations and ultimately cooperate. © 2021, The Author(s).
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Keyword
- Epidemiology
- Ischemic heart disease
- Mortality
- Periodontitis
- Epidemiology
- Ischemic heart disease
- Mortality
- Periodontitis
Publication and Content Type
- ref (subject category)
- art (subject category)
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