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Logo of bmcorhlBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Oral Health
 
BMC Oral Health. 2012; 12: 17.
Published online 2012 June 22. doi:  10.1186/1472-6831-12-17
PMCID: PMC3444382
Copyright ©2012 Ziebolz et al.;licensee BioMed Central Ltd.
Oral health status of patients with acute coronary syndrome – a case control study
Dirk Ziebolz,corresponding author1 Andrea Priegnitz,1 Gerd Hasenfuß,2 Hans-Joachim Helms,3 Else Hornecker,1 and Rainer F Mausberg1
1Department of Preventive Dentistry, Periodontology and Cariology, University Medical Centre Goettingen, Goettingen, Germany
2Department of Cardiology and Pneumology, University Medical Centre Goettingen, Goettingen, Germany
3Department of Medical Statistics, University Medical Centre Goettingen, Goettingen, Germany
corresponding authorCorresponding author.
Dirk Ziebolz: dirk.ziebolz/at/med.uni-goettingen.de; Andrea Priegnitz: apriegi/at/web.de; Gerd Hasenfuß: rfaber/at/med.uni-goettingen.de; Hans-Joachim Helms: hans-joachim.helms/at/med.uni-goettingen.de; Else Hornecker: hornecker/at/med.uni-goettingen.de; Rainer F Mausberg: rainer.mausberg/at/med.uni-goettingen.de
Received August 17, 2011; Accepted June 22, 2012.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background
The aim of this investigation was to assess the state of oral health of patients with acute coronary syndrome (ACS) and to compare this with that of a provably healthy control group (H).
Methods
33 patients who were receiving treatment as inpatients following acute myocardial infarction or unstable angina pectoris took part in the study (ACS-group). A healthy control group (H-group) made up of blood donors, was formed following matching for age, gender, and smoking habit with the study patient group.
The dental investigation consisted of the dental status (DMF-T), a plaque-Index (PI), an assessment of gingival inflammation (GI) and periodontal situation (Periodontal Screening Index: PSR®/PSI), and attachment loss (AL). Statistical evaluation: t-test, Mann–Whitney-test and chi- squared test (level of significance p < 0.05).
Results
The mean DMF-T of the ACS-group (18.7 ± 6.8) and the H-group (19.4 ± 5.1) showed no difference (p = 0.7). Although, in the ACS-group the average loss of teeth (M-T: 8.4 ± 5.2) was higher than in the H-group (M-T: 5.8 ± 6.6) the difference was not significant (p = 0.2). Whereas with the PI no difference between the two groups was found (p = 0.9), the ACS-group showed significantly more signs of inflammation (GI) than the H-group (p = 0.045). In the case of PSR®/PSI, there was no difference between the two groups (p = 0.7). With regard to AL, no difference was revealed between ACS- and H-group (p = 0.2).
Conclusion
Although, the state of oral health of the ACS-group differed only insignificantly from that of control, patients with ACS showed more signs of gingival inflammation and a higher loss of teeth.
Keywords: Oral health, Oral hygiene, Gingival inflammation, Periodontitis, Acute coronary syndrome, Acute myocardial infarction, Unstable angina pectoris
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