Full Text:

 

¿µ³²ÀÇ´ëÇмúÁö Vol.24_No.2 Suppl. P.S598-605, Dec. 2007

Original Article

½ÉÇ÷°üÁúȯȯÀÚÀÇ ±¸°­»óÅÂ

Oral Condition in Cardiovascular Disease Patients

È«¼ºÇ¥, ¹ÚÀº¿µ, ÀÌÈñ°æ
¿µ³²´ëÇб³ Àǰú´ëÇÐ Ä¡°úÇб³½Ç
Ã¥ÀÓÀúÀÚ£ºÀÌÈñ°æ, ´ë±¸±¤¿ª½Ã ³²±¸ ´ë¸íµ¿ 317-1, ¿µ³²´ëÇб³ Àǰú´ëÇÐ Ä¡°úÇб³½Ç
Tel: (053) 620-3282, Fax: (053) 629-1772
E-mail: acidic@hanmail.net

December 30, 2007

Abstract

The main purpose of this study was to provide primary informations for developing dental health program which must be necessary for cardiovascular disease patients. To conduct this study we analyses the oral health condition of cardiovascular disease patients through oral examination (DMFT index, periodontal index, oral hygiene status) and evaluate oral health behavior through questionnaires survey April 2006 to June 2006.
For patients group, we select 50 cardiovascular disease patients who have hypertension, hyperlipidemia, atherosclerosis or myocardial infarction by taking the health examination for the local insured which National Health Insurance Corporation carried out at Sungju area in Gyeongsangbuk-do. And for the controls, we select 50 persons who have normal healthy condition and match the age and sex to patients group.
This study showed that DMFT mean values in cardiovascular disease patients were significantly higher than that in controls (p<0.05). Decay teeth index and Filling teeth index did not differ statistically between two groups but the mean Missing teeth index was significantly higher in cardiovascular disease patients than that in controls (p<0.05). PI (Periodontal Index) mean values were significantly higher in cardiovascular disease patients than in the controls(p<0.01).
In the cardiovascular disease patients, the M component of the DMFT index was found to be higher as compared to the controls. Cardiovascular disease patients lose their teeth mainly due to periodontal disease, which is supported by the increased PI mean values.

Key Words: Cardiovascular disease, Oral health condition, Periodontal disease

References

1. Slavkin HC, Baum BJ. Relationship of dental and pathology to systemic illness. JAMA 2000; 284(10):1215-7.

2. Board of Trustees of the American Academy of Periodontology. Parameter on systemic conditions affected by periodontal disease. J Periodontol 2000;71:880-3.

3. Loesche WJ. Periodontal disease as a risk factor for heart disease. Compend Contin Educ Dent 1994;15(8):976-91.

4. Wakai K, Kawamur T, Umemura D, Hara Y, Machida J, Anno T, et al. Associations of medical status and physical fitness with periodontal disease. J Clin Periodontol 1999;26: 664-72.

5. ¼­ÀÏ, Áö¼±ÇÏ, ±èÀϼø. Çѱ¹¿¡¼­ÀÇ ½ÉÇ÷°ü°è ÁúȯÀÇ º¯Ãµ¾ç»ó. Çѱ¹¿ªÇÐȸÁö 1993;15(1):40-6.

6. º¸°Çº¹ÁöºÎ. ±¹¹Î±¸°­°Ç°­½ÇÅÂÁ¶»ç-2000. 2001;43-7.

7. Beck JD. Methods of assessing risk for period- ontitis and developing multifactorial models. J Periodontol 1994;65:468-78.

8. The World Health Report 1997. Conquering suffering, enriching humanity. World Health Forum 1997;18:248-60.

9. Umino M, Nagao M. Systemic disease in elderly dental patients. Int Dent J 1993;43(2): 213-8.

10. Lapointe HJ, Armtrong JE, Laroque B. Clinical criteria for the use of a dicision-making framework for the medically comprised patient; hypertension and diabetes mellitus. J Can Dent Assoc 1998; 64(10):704-9.

11. ÃÖ¼º¸². ±¸°­¾Ç¾È¸é¿Ü°ú¿¡ ¿øÇÑ Àü½ÅÁúȯÀ» µ¿¹ÝÇÑ È¯ÀÚµéÀÇ ¿¹ÈÄ¿¡ °üÇÑ ÈÄÇâÀû ¿¬±¸. ´ëÇѾǾȸ鼺ÇüÀç°Ç¿Ü°úÇÐȸÁö 2003;25(5):439-47.

12. Research Science and Therapy Committee of the American Academy of Periodontology. Periodontal disease as a potential risk factor for systemic disease. J Periodontol 1998;69: 841-50.

13. Beck JD, Garcia R, Heiss G, Vokonas PS, Offenbacher S. Periodontal disease and cardi- ovascular disease. J Periodontol 1996;67:1123-37.

14. Hamasha AA, Hand SA, Levy SM. Medical conditions associated with missing teeth and edentulism in the institutionalized elderly. Spec Care Dentist 1998;18(3):123-7.

15. Kweider M, Lowe GD, Murray GD, Kinane DF, McGowan DA. Dental disease, fibrinogen and white cell count: Links with mycardial infarction. Scott Med J 1993;38:73-4.

16. Mattila KJ. Dental infections as a risk factor for acute myocardial infarction. Eur Heart J 1993; 14:51-3.

17. Paunio K, TiecsoJ, Impivaara O, Maki J. Infectious complications and periodontal diseases in the elderly population. Aging and Infectious Diseases 1993;34(1):1215-23.

18. Mattila KJ, Valtonen VV, Nieminen M, Huttumen JK. Dental infection and the risk of new coronary events: Prospective study of patients with documented coronary artery disease. Clin Infect Dis 1995;20:588-92.

19. Joshipura KJ, Rimm BB, Douglass CW, Trichopoulos D, Ascherio A, Willett WC. Poor oral health and coronary heart disease. J Dent Res 1996;75(9):1631-6.