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Article: Analysis of periodontal risk profiles in adults with or without a history of myocardial infarction

TitleAnalysis of periodontal risk profiles in adults with or without a history of myocardial infarction
Authors
Issue Date2004
PublisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPE
Citation
Journal Of Clinical Periodontology, 2004, v. 31 n. 1, p. 19-24 How to Cite?
AbstractBackground: An association between periodontitis and cardiovascular diseases has been suggested. Aims: To study whether a combination of clinical variables in a functional risk diagram enhanced the ability to differentiate between subjects with or without an immediate history of acute myocardial infarction (AMI). Material and Methods: A functional periodontal pentagon risk diagram (PPRD) with five periodontal risk vectors was created. The surface of individual PPRDs was calculated using data from 88 subjects with recent AMI and 80 matched control subjects with no history of AMI. Results: Age, gender, number of remaining teeth (mean value: 21.1 versus 21.6 teeth), smoking status, and pocket probing depth (PPD) distribution did not differ by group. Gingival recession was greater in control subjects (mean difference: 5.7, SD: ± 1.9, p < 0.01, 95% CI: 1.8-9.6). Bone loss ≥ 4.0 mm was at all levels studied was significantly greater in subjects with AMI and bone loss ≥ 50% (≥4 mm) was the best individual predictor of AMI (β = 2.99, p < 0.000, 95% CI: 7.5-53.4). Only PPRD scores were associated with AMI status when factors not included in the PPRD were studied (β = 22.1, SE: 5.9, p < 0.0001, 95% CI: 10.3-33.7). The best association between AMI status and study variables was the combination of ≥ 4 mm of bone loss ≥ 50%, proportion of bleeding on probing (%BOP), %PPDs ≥ 6 mm, and tooth loss (Nagelkirke r 2 = 0.46). Conclusions: The combination of five periodontal parameters in a PPRD added predictive value, suggesting that comprehensive data should be used in studies of associations between periodontitis and heart diseases. Radiographic evidence of bone loss was the best individual parameter. © Blackwell Munksgaard, 2004.
Persistent Identifierhttp://hdl.handle.net/10722/154340
ISSN
2015 Impact Factor: 3.915
2015 SCImago Journal Rankings: 1.848
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorRenvert, Sen_US
dc.contributor.authorOhlsson, Oen_US
dc.contributor.authorPersson, Sen_US
dc.contributor.authorLang, NPen_US
dc.contributor.authorRutger Persson, Gen_US
dc.date.accessioned2012-08-08T08:24:42Z-
dc.date.available2012-08-08T08:24:42Z-
dc.date.issued2004en_US
dc.identifier.citationJournal Of Clinical Periodontology, 2004, v. 31 n. 1, p. 19-24en_US
dc.identifier.issn0303-6979en_US
dc.identifier.urihttp://hdl.handle.net/10722/154340-
dc.description.abstractBackground: An association between periodontitis and cardiovascular diseases has been suggested. Aims: To study whether a combination of clinical variables in a functional risk diagram enhanced the ability to differentiate between subjects with or without an immediate history of acute myocardial infarction (AMI). Material and Methods: A functional periodontal pentagon risk diagram (PPRD) with five periodontal risk vectors was created. The surface of individual PPRDs was calculated using data from 88 subjects with recent AMI and 80 matched control subjects with no history of AMI. Results: Age, gender, number of remaining teeth (mean value: 21.1 versus 21.6 teeth), smoking status, and pocket probing depth (PPD) distribution did not differ by group. Gingival recession was greater in control subjects (mean difference: 5.7, SD: ± 1.9, p < 0.01, 95% CI: 1.8-9.6). Bone loss ≥ 4.0 mm was at all levels studied was significantly greater in subjects with AMI and bone loss ≥ 50% (≥4 mm) was the best individual predictor of AMI (β = 2.99, p < 0.000, 95% CI: 7.5-53.4). Only PPRD scores were associated with AMI status when factors not included in the PPRD were studied (β = 22.1, SE: 5.9, p < 0.0001, 95% CI: 10.3-33.7). The best association between AMI status and study variables was the combination of ≥ 4 mm of bone loss ≥ 50%, proportion of bleeding on probing (%BOP), %PPDs ≥ 6 mm, and tooth loss (Nagelkirke r 2 = 0.46). Conclusions: The combination of five periodontal parameters in a PPRD added predictive value, suggesting that comprehensive data should be used in studies of associations between periodontitis and heart diseases. Radiographic evidence of bone loss was the best individual parameter. © Blackwell Munksgaard, 2004.en_US
dc.languageengen_US
dc.publisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPEen_US
dc.relation.ispartofJournal of Clinical Periodontologyen_US
dc.subject.meshAdulten_US
dc.subject.meshAge Factorsen_US
dc.subject.meshAlveolar Bone Loss - Classificationen_US
dc.subject.meshCase-Control Studiesen_US
dc.subject.meshDental Plaque Indexen_US
dc.subject.meshFemaleen_US
dc.subject.meshForecastingen_US
dc.subject.meshGingival Hemorrhage - Classificationen_US
dc.subject.meshGingival Recession - Classificationen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMyocardial Infarction - Complicationsen_US
dc.subject.meshPeriodontal Diseases - Complicationsen_US
dc.subject.meshPeriodontal Indexen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshSex Factorsen_US
dc.subject.meshSingle-Blind Methoden_US
dc.subject.meshSmokingen_US
dc.subject.meshTooth Loss - Classificationen_US
dc.titleAnalysis of periodontal risk profiles in adults with or without a history of myocardial infarctionen_US
dc.typeArticleen_US
dc.identifier.emailLang, NP:nplang@hkucc.hku.hken_US
dc.identifier.authorityLang, NP=rp00031en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.0303-6979.2004.00431.xen_US
dc.identifier.pmid15058370en_US
dc.identifier.scopuseid_2-s2.0-2142761054en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-2142761054&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume31en_US
dc.identifier.issue1en_US
dc.identifier.spage19en_US
dc.identifier.epage24en_US
dc.identifier.isiWOS:000187405000005-
dc.publisher.placeDenmarken_US
dc.identifier.scopusauthoridRenvert, S=7004228774en_US
dc.identifier.scopusauthoridOhlsson, O=7003827091en_US
dc.identifier.scopusauthoridPersson, S=7101885563en_US
dc.identifier.scopusauthoridLang, NP=7201577367en_US
dc.identifier.scopusauthoridRutger Persson, G=6507743898en_US

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