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Periodontitis related to cardiovascular events and mortality : a long-time longitudinal study

Bengtsson, Viveca Wallin LU ; Persson, Gösta Rutger ; Berglund, Johan Sanmartin LU and Renvert, Stefan (2021) In Clinical Oral Investigations 25(6). p.4085-4095
Abstract

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... (More)

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.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Epidemiology, Ischemic heart disease, Mortality, Periodontitis
in
Clinical Oral Investigations
volume
25
issue
6
pages
11 pages
publisher
Springer
external identifiers
  • scopus:85099869347
  • pmid:33506429
ISSN
1432-6981
DOI
10.1007/s00784-020-03739-x
language
English
LU publication?
yes
id
5a5c2c2e-5248-4994-b8d5-80cc18fc2da7
date added to LUP
2021-12-16 15:24:05
date last changed
2024-06-17 01:30:07
@article{5a5c2c2e-5248-4994-b8d5-80cc18fc2da7,
  abstract     = {{<p>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.</p>}},
  author       = {{Bengtsson, Viveca Wallin and Persson, Gösta Rutger and Berglund, Johan Sanmartin and Renvert, Stefan}},
  issn         = {{1432-6981}},
  keywords     = {{Epidemiology; Ischemic heart disease; Mortality; Periodontitis}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{4085--4095}},
  publisher    = {{Springer}},
  series       = {{Clinical Oral Investigations}},
  title        = {{Periodontitis related to cardiovascular events and mortality : a long-time longitudinal study}},
  url          = {{http://dx.doi.org/10.1007/s00784-020-03739-x}},
  doi          = {{10.1007/s00784-020-03739-x}},
  volume       = {{25}},
  year         = {{2021}},
}