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Association between periodontal disease and ischemic heart disease among Swedish women. A cross-sectional study.

Journal article
Authors Ulrika Stenman
Anette Wennström
Margareta Ahlqwist
Calle Bengtsson
Cecilia Björkelund
Lauren Lissner
Magnus Hakeberg
Published in Acta odontologica Scandinavica
Pages 1-7
ISSN 1502-3850
Publication year 2009
Published at Institute of Odontology
Institute of Medicine, Department of Public Health and Community Medicine
Pages 1-7
Language en
Links dx.doi.org/10.1080/0001635090277671...
Subject categories Odontological behavioural science

Abstract

Objective. The aim of this cross-sectional study was to analyze the relationship between chronic periodontitis and ischemic heart disease (IHD). Material and Methods. A cross-section of women aged 38 to 84 years were examined in 1992-93 (analysis based on n=1056). Medical and dental examinations were included in the analysis specifically with regard to IHD and periodontitis. Other well-known risk factors for IHD were used as covariates in multivariable statistical analysis. Results. Among the dentate women in this study (n=847), 74 had IHD and 773 did not. There was no statistically significant difference between numbers of pathological gingival pockets between these groups (58.1% had one or more pathological pockets in the IHD group compared to 57.6% in the non-IHD group). Bivariate analysis of dentate individuals showed significant associations between IHD and number of missing teeth, age, body mass index, waist/hip ratio, life satisfaction, hypertension, and levels of cholesterol and triglycerides. However, in the final multivariable logistic regression model, with the exception of age, only number of teeth (<17 teeth) OR=2.13 (CI 1.20; 3.77) was found to be significantly associated with IHD. Moreover, edentulous women had an OR of 1.94 (CI 1.05; 3.60) in relation to IHD (age-adjusted model). Conclusions. In the present study, periodontitis did not seem to have a statistically significant relationship with IHD. The number of missing teeth showed a strong association with IHD, and this may act as a proxy variable tapping an array of different risk factors and behaviors.

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