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Robust Ligature-Induced Model of Murine Periodontitis for the Evaluation of Oral Neutrophils
Published on: January 21, 2020
Association of Relationship between Periodontal Disease and Cardiovascular Disease
N Johar1, S V Dhodapkar, R Kumar
1Dr Navdeep Johar, Assistant Professor, Department of Oral Medicine, CHL Hospital, Indore, Madhya Pradesh, India.
Insights
This study found no direct correlation between periodontal disease and cardiovascular disease. While C-reactive protein (CRP) was elevated in cardiac patients, lipid profiles showed no significant changes, suggesting other factors may be involved.
Area of Science:
- Periodontology
- Cardiology
- Biochemistry
Background:
- Previous research suggests a link between periodontal disease (PD) and cardiovascular disease (CVD).
- Understanding this relationship is crucial for public health and clinical practice.
Purpose of the Study:
- To investigate the correlation between periodontal disease and cardiovascular disease markers.
- To assess specific indicators of both conditions in a patient cohort.
Main Methods:
- 186 patients were divided into cardiac disease (n=100) and control (n=86) groups.
- Periodontal health was assessed using plaque index, calculus index, gingival and periodontal index (PDI).
- Cardiovascular disease markers included LDL, HDL, total cholesterol, and C-reactive protein (CRP).
Main Results:
- A significant increase in CRP levels was observed in cardiac patients with periodontal disease (Group A1) compared to controls.
- Cardiac groups showed significantly higher CRP levels overall compared to non-cardiac groups.
- No significant changes were found in lipid profile markers (LDL, HDL, total cholesterol).
- Periodontal Disease Index (PDI) was higher in Group A1 and overall in cardiac groups.
Conclusions:
- This study found no significant correlation between periodontal disease and cardiovascular disease.
- Elevated CRP in cardiac patients may be influenced by factors other than periodontal disease.
- The use of statins in some cardiac patients might have confounded the results regarding lipid profiles.
Abstract:
The present study was undertaken to determine the relationship between periodontal and cardiovascular disease. Previous studies have shown some co-relation between the two conditions. We included 186 patients divided into four groups. First two Groups (A1 & A2) were the patients with cardiac disease (100 in numbers) whilst Groups (B1 & B2) (86 in numbers) were treated as controls (without cardiac disease). Following markers of periodontal disease were assessed - plaque index, calculus index, gingival and periodontal index. Markers of cardiovascular disease included were LDL, HDL, total cholesterol and CRP. Ramfjords periodontal index was used to assess the extent of periodontal disease. In the present study there was a significant increase in CRP levels in Group A1 (CVD + PD) compared to controls and overall the two cardiac groups showed a significant increase in CRP compared to controls. There was a non-significant change in lipid profile markers (LDL, HDL and total cholesterol). Periodontal Disease Index (PDI) was also increased in Group A1 compared to other groups except Group B1 and overall in cardiac groups compared to non-cardiac (PD) groups. In this study no correlation between periodontal and cardiovascular disease was found. This may be due intake of statins by few patients in Group A with a confirmed diagnosis of cardiovascular disease.
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