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Periodontal and coronary heart disease in patients undergoing coronary angiography

Robert Berent1, Johann Auer, Peter Schmid

  • 1Center for Cardiovascular Rehabilitation, Bad Schallerbach, Austria.

Metabolism: Clinical and Experimental
|January 26, 2010
PubMed

Insights

Periodontal disease (PD) is linked to coronary heart disease (CHD). Patients with PD had a higher likelihood of having CHD, suggesting PD may be a modifiable risk factor.

Area of Science:

  • Cardiology
  • Periodontology
  • Epidemiology

Background:

  • Periodontal inflammation is associated with atherosclerosis and coronary heart disease (CHD).
  • Few studies have explored the link between periodontal disease (PD) and coronary atherosclerosis assessed via coronary angiography (CA).

Purpose of the Study:

  • To investigate the association between coronary heart disease (CHD) and periodontal disease (PD).

Main Methods:

  • A prospective epidemiological study involving 466 patients undergoing coronary angiography (CA).
  • Patients received comprehensive physical, laboratory, cardiac, and dental examinations, including dental X-rays.
  • Periodontal disease (PD) and coronary angiograms were evaluated independently by a dentist and two cardiologists, respectively.

Main Results:

  • Coronary heart disease (CHD) was identified in 74.9% of patients.
  • Periodontal disease (PD) was more prevalent in patients with CHD (55.6%) compared to those without (41.9%).
  • After adjusting for risk factors, PD remained significantly associated with CHD (odds ratio = 1.9).

Conclusions:

  • Periodontal disease (PD) is associated with a higher likelihood of angiographically determined coronary heart disease (CHD).
  • CHD and PD may coexist within specific population groups.
  • PD is a potentially modifiable, preventable, and treatable risk factor for CHD.

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