Title: Association of Periodontitis in patients with Coronary Artery Disease at Tertiary Care Centre of Central India

Authors: Dr Parul Jain, Dr Ashish Kumar Jain

 DOI: https://dx.doi.org/10.18535/jmscr/v7i1.120

Abstract

 

Background: The aim of this study was to evaluate the association of periodontitis & the extent & degree of coronary artery stenosis in a Tertiary Care Centre of Central India.

Methods: Patients (n = 350) with coronary artery stenosis confirmed by coronary angiography were eligible to take part in the study. Only subjects that were ≥60 years old, had ≥50% stenosis in at least one coronary artery, and did not have a history of smoking were included. After periodontal examination, probing depth calculus index, plaque index, including bleeding index and periodontal attachment loss, four groups were defined based on the severity of periodontitis: no periodontitis/gingivitis (M0, n = 68); mild periodontitis (M1, n = 84); moderate periodontitis (M2, n = 92); and severe periodontitis (M3, n = 106). Extent & and degree of coronary artery stenosis was calculated by Angiography.

Results: The Angiography Finding was significantly greater in the M3 group compared with the M0 group. Multiple linear regression analysis revealed that probing depth and plaque index were significantly correlated with each other.

Conclusions: The extent & severity of coronary artery stenosis in patients ≥60 years old is positively correlated with the severity of periodontitis.

Study Design: Retrospective Study. 

Keywords: Coronary artery disease, coronary artery stenosis, periodontitis, clinical attachment loss

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Corresponding Author

Dr Ashish Kumar Jain

Assoc. Prof., Dept. of Cardiology, Mahatma Gandhi Memorial Medical College, Indore, MP, India