ISSN:
1600-051X
Source:
Blackwell Publishing Journal Backfiles 1879-2005
Topics:
Medicine
Notes:
Objectives: The aim of this study was to assess the associations of different periodontal parameters with cerebral ischemia.Methods: In a case–control study, 303 consecutive patients with ischemic stroke or transient ischemic attack, and 300 representative population controls received a complete clinical and radiographic dental examination. Patients were examined on average 3 days after ischemia. The individual mean clinical attachment loss measured at four sites per tooth was used as indicator variable for periodontitis.Results: Patients had higher clinical attachment loss than population (p〈0.001). After adjustment for age, gender, number of teeth, vascular risk factors and diseases, childhood and adult socioeconomic conditions and lifestyle factors, a mean clinical attachment loss 〉6 mm had a 7.4 times (95% confidence interval 1.55–15.3) a gingival index 〉1.2 a 18.3 times (5.84–57.26) and a radiographic bone loss a 3.6 times (1.58–8.28) higher risk of cerebral ischemia than subjects without periodontitis or gingivitis, respectively.Conclusion: Periodontitis is an independent risk factor for cerebral ischemia and acute exacerbation of inflammatory processes in the periodontium might be a trigger for the event of cerebral ischemia.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1111/j.1600-051x.2004.00579.x
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