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Invasive Dental Treatment and Risk for a First Myocardial Infarction.

E Nordendahl1, B Kjellström2, C M Fored2,3

  • 11 Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.

Journal of Dental Research
|April 11, 2018
PubMed
Summary
This summary is machine-generated.

Recent invasive dental treatments do not increase the risk of myocardial infarction (MI). This large Swedish study found no association between dental procedures and heart attack incidence within four weeks, debunking a common concern.

Keywords:
bacteriacardiovascular diseasedental public healthinflammationoral hygienerisk factor

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Area of Science:

  • Cardiology
  • Dental Medicine
  • Epidemiology

Background:

  • Invasive dental treatments are sometimes suspected to increase the risk of cardiovascular events.
  • Understanding the potential link between dental procedures and myocardial infarction (MI) is crucial for patient care and public health.

Purpose of the Study:

  • To investigate the hypothesis that invasive dental treatments increase the incidence of a first myocardial infarction (MI) within four weeks.
  • To quantify the association between recent invasive dental procedures and the risk of MI.

Main Methods:

  • A registry-based case-control study was conducted using nationwide Swedish health and population registries.
  • 51,880 individuals with a first MI (cases) were compared to 246,978 matched controls without prior MI.
  • Conditional logistic regression was used to analyze the association, adjusting for confounders like diabetes and previous cardiovascular disease (CVD).

Main Results:

  • No association was found between invasive dental treatments in the four weeks preceding the MI index date and the risk of MI (adjusted OR = 0.98; 95% CI, 0.91 to 1.06).
  • Case patients had significantly higher rates of previous CVD, diabetes, and CVD drug treatment compared to controls.
  • The study found no support for the hypothesis linking recent invasive dental treatments to an increased incidence of MI.

Conclusions:

  • This study suggests that recent invasive dental treatments are not associated with an increased risk of myocardial infarction.
  • The findings alleviate concerns about a potential acute cardiovascular risk following dental procedures.