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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005452naa a2200541 4500
001oai:DiVA.org:umu-165744
003SwePub
008191210s2020 | |||||||||||000 ||eng|
009oai:DiVA.org:mau-6634
009oai:prod.swepub.kib.ki.se:142290759
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1657442 URI
0247 a https://doi.org/10.1177/00220345198853622 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-66342 URI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1422907592 URI
040 a (SwePub)umud (SwePub)maud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Gustafsson, Nilsu Umeå universitet,Institutionen för odontologi,Oral and Maxillofacial Radiology, Department of Odontology, Umeå University, Umeå, Sweden4 aut0 (Swepub:umu)nigu0013
2451 0a Associations among Periodontitis, Calcified Carotid Artery Atheromas, and Risk of Myocardial Infarction
264 c 2019-11-08
264 1b Sage Publications,c 2020
338 a print2 rdacarrier
520 a Cardiovascular disease is a common cause of morbidity and premature mortality. Cardiovascular disease can be prevented when risk factors are identified early. Calcified carotid artery atheromas (CCAAs), detected in panoramic radiographs, and periodontitis have both been associated with increased risk of cardiovascular disease. This case-control study aimed to 1) investigate associations between periodontitis and CCAA detected in panoramic radiographs and 2) determine the risk of future myocardial infarctions due to CCAA combined with periodontitis. We evaluated 1,482 participants (738 cases and 744 controls) with periodontitis and CCAAs recruited from the PAROKRANK study (Periodontitis and Its Relation to Coronary Artery Disease). Participants were examined with panoramic radiographs, including the carotid regions. Associations between myocardial infarction and periodontitis combined with CCAA were evaluated in 696 cases and 696 age-, sex-, and residential area-matched controls. Periodontitis was evaluated radiographically (as degree of bone loss) and with a clinical periodontal disease index score (from clinical and radiographic assessments). We found associations between CCAA and clinical periodontal disease index score among cases (odds ratio [OR], 1.51; 95% CI, 1.09 to 2.10; P = 0.02) and controls (OR, 1.70; 95% CI, 1.22 to 2.38; P < 0.01), although not between CCAA and the degree of bone loss. In a multivariable model, myocardial infarction was associated with CCAA combined with periodontitis, as assessed by degree of bone loss (OR, 1.75; 95% CI, 1.11 to 2.74; P = 0.01). When the cohort was stratified by sex, only men showed a significant association between myocardial infarction and CCAA combined with periodontitis. Participants with clinically diagnosed periodontitis exhibited CCAA in panoramic radiographs more often than those without periodontitis, irrespective of the presence of a recent myocardial infarction. Participants with combined periodontitis and CCAA had a higher risk of having had myocardial infarction as compared with participants with either condition alone. These findings implied that patients in dental care might benefit from dentists assessing panoramic radiographs for CCAA-particularly, patients with periodontitis who have not received any preventive measures for cardiovascular disease.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Odontologi0 (SwePub)302162 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Dentistry0 (SwePub)302162 hsv//eng
653 a carotid artery atherosclerosis
653 a cardiovascular disease(s)
653 a inflammation
653 a radiography
653 a risk factor(s)
653 a gender differences
7001 a Ahlqvist, Janu Umeå universitet,Institutionen för odontologi,Oral and Maxillofacial Radiology, Department of Odontology, Umeå University, Umeå, Sweden4 aut0 (Swepub:umu)jaah0001
7001 a Näslund, Ulfu Umeå universitet,Kardiologi,Heart Centre, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden4 aut0 (Swepub:umu)ulna0002
7001 a Buhlin, K.u Karolinska Institutet4 aut
7001 a Gustafsson, A.u Karolinska Institutet4 aut
7001 a Kjellström, B.4 aut
7001 a Klinge, Björnu Malmö universitet,Odontologiska fakulteten (OD),Periodontology, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden4 aut0 (Swepub:mau)ODBJKL
7001 a Rydén, L.u Karolinska Institutet4 aut
7001 a Levring Jäghagen, Eva,c DDS, PhDu Umeå universitet,Institutionen för odontologi,Oral and Maxillofacial Radiology, Department of Odontology, Umeå University, Umeå, Sweden4 aut0 (Swepub:umu)evalen81
7102 a Umeå universitetb Institutionen för odontologi4 org
7730 t Journal of Dental Researchd : Sage Publicationsg 99:1, s. 60-68q 99:1<60-68x 0022-0345x 1544-0591
8564 u https://journals.sagepub.com/doi/pdf/10.1177/0022034519885362
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-165744
8564 8u https://doi.org/10.1177/0022034519885362
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-6634
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:142290759

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