Endodontic inflammatory disease: A risk indicator for a first myocardial infarction

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Endodontic inflammatory disease: A risk indicator for a first myocardial infarction

Sebring, Dan, 1986 (författare): Gothenburg University,Göteborgs universitet,Institutionen för odontologi, sektion 1,Institute of Odontology, Section 1

Buhlin, K. (författare): Karolinska Institutet

Norhammar, A. (författare): Karolinska Institutet

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Ryden, L. (författare): Karolinska Institutet

Jonasson, Peter (författare): Gothenburg University,Göteborgs universitet,Institutionen för odontologi, sektion 1,Institute of Odontology, Section 1

Lund, Henrik, 1975 (författare): Gothenburg University,Göteborgs universitet,Institutionen för odontologi, sektion 1,Institute of Odontology, Section 1

Kvist, Thomas, 1959 (författare): Gothenburg University,Göteborgs universitet,Institutionen för odontologi, sektion 1,Institute of Odontology, Section 1

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2021-10-11
2022
Engelska.
Ingår i: International Endodontic Journal. - : Wiley. - 0143-2885 .- 1365-2591. ; 55:1, s. 6-17

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Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

Aim To study the association between endodontic inflammatory disease and a first myocardial infarction (MI). Methodology The study comprised 805 patients with recent experience of a first MI, each gender, age and geographically matched with a control. Panoramic radiographs were available for 797 patients and 796 controls. Endodontic inflammatory disease was assessed radiographically. The sum of decayed, missing and filled teeth (DMFT) was calculated, and the number of root filled teeth and teeth with periapical lesions were recorded. The associated risk of a first MI was expressed as odds ratios (OR) with 95% confidence intervals (CI), unadjusted and adjusted for confounders (family history of cardiovascular disease, smoking habits, marital status, education and diabetes). Results Patients who had suffered a first MI had higher DMFT (mean 22.5 vs. 21.9, p = .013) and more missing teeth (mean 7.5 vs. 6.3; p < .0001) than the healthy controls. The number of missing teeth was associated with an increased risk of a first MI (adjusted OR 1.04; CI 1.02-1.06). Conversely, decay-free, filled teeth were associated with decreased risk (adjusted OR 0.98; CI 0.96-1.00). Analysis based on age disclosed the following variables to be associated with an increased risk of a first MI: number of decayed teeth (adjusted OR 1.18; CI 1.02-1.37, in patients <60 years), any primary periapical lesion (adjusted OR 1.57; CI 1.08-2.29, in patients <65 years) and the proportion of root filled teeth (adjusted OR 1.18; CI 1.03-1.36, in patients >= 65 years). Conclusions More missing teeth was independently associated with an increased risk of a first MI. In addition, endodontic inflammatory disease may contribute as an independent risk factor to cardiovascular disease since untreated caries, periapical lesions and root fillings, depending on age, were significantly associated with a first MI.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)

Nyckelord

apical periodontitis
dental caries
endodontics
inflammation
myocardial infarction
oral health
chronic apical periodontitis
root-canal treatment
cardiovascular-disease
heart-disease
association
therapy
lesions
health
teeth
Dentistry
Oral Surgery & Medicine

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Av författaren/redakt...: Sebring, Dan, 19 ...; Buhlin, K.; Norhammar, A.; Ryden, L.; Jonasson, Peter; Lund, Henrik, 19 ...; visa fler...; Kvist, Thomas, 1 ...; visa färre...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Odontologi

Artiklar i publikationen: International En ...

Av lärosätet: Göteborgs universitet; Karolinska Institutet

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