Ahmad Haerian
1*, Solmaz Akbari
2, Meisam Ahmadzade
3, Fatemah Ezoddini Ardakani
4, Mahmood Sadr
5, Farzane Vaziri
51 Associate Professor, Department of Periodontics, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2 Assistant Professor, Department of Periodontics, Faculty of Dentistry, Shahed University, Tehran, Iran
3 Post-graduate Student, Department of Oral Medicine, Faculty of Dentistry, Mashhad University of Medical Science, Mashhad, Iran
4 Associate Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Shahid Sadoughi University of Medical Science, Yazd, Iran
5 Professor, Cardiovascular Research Center, Faculty of Medicine, Shahid Sadoughi University of Medical Science, Yazd, Iran
6 Post-graduate Student, Department of Periodontology, Faculty of Dentistry, Shahid Sadoughi University of Medical Science, Yazd, Iran
Abstract
Background and aims. Considering the importance and prevalence of cardiovascular disease and periodontal disease,
the aim of this study was to compare the amount of periodontal destruction in patients with coronary heart disease (CHD)
and healthy controls, using panoramic radiography.
Materials and methods. Fifty-four individuals (27 patients with CHD and 27 patients without CHD) participated in
this study; the subjects had undergone angiography procedures for the diagnosis of CHD during the previous year. After
patient consent was obtained, panoramic radiographs were taken; then the amount of alveolar bone loss and number of
missed teeth were evaluated.
Results. This study showed that the amount of average bone loss in patients with CHD and the average number of extracted
teeth were significantly higher than those in healthy subjects (P<0.001). The average amount of bone loss according
to the number of involved vessels was 4.71 mm in patients with 1 involved vessel, 4.63 mm in patients with 2 involved
vessels and 5.14 mm in patients with 3 involved vessels; however, these differences were not statistically significant
(P=0.333).
Conclusion. This study suggested an association between poor oral condition and CHD, and provided evidence that the
improvement of periodontal condition might influence the systemic, inflammatory and haemostatic situation