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268 Impact of age on clinical periodontal parameters in patients with acute myocardial infarction
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文摘

Aim

To evaluate the periodontal status in patients with acute myocardial infarction (AMI) and to determine whether there was a specific profile according to age.

Methods

A total of 197 consecutive patients with AMI were included and the oral examination included the number of teeth, endodontically treated teeth, periodontal screening index (PSI), clinical attachment level, and radiographic apical lesions (radiography examination). Patients were classified according to tertiles of age.

Results

The table below summarizes the specific profile according to age. The study demonstrated that patients with AMI exhibited an unfavourable dental state of health. No relationship was found between C-reactive protein levels and periodontitis.

Conclusion

This work demonstrates specific profiles of dental status according to age. In younger patients, the dental status was poor, and although no relationship with CRP was shown, further studies are needed to include a more specific assessment of coronary lesions and their evolution in this context of poor dental health.

Tertile 1Tertile 2Tertile 3p
 N666665
 Mean age, y47.7 ¡À 0.459.5 ¡À 0.372.5 ¡À 0.4<0.001
 Men83 % 89 % 75 % 0.104
 CRP > 3 mg/L,52 % 41 % 54 % 0.205
 Current smoker72 % 63 % 47 % 0.017
 Periodontal status
Presence of caries50 % 28 % 45 % 0.037
Presence of Inflammation64 % 71 % 67 % 0.731
Teeth lost8 ¡À 810 ¡À 815 ¡À 80.019
Alteration of chewing24 % 34 % 67 % <0.001
Bone Loss55 % 71 % 86 % 0.001

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