Dental and Medical Problems

Dent Med Probl
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ISSN 2300-9020 (online)
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Dental and Medical Problems

2017, vol. 54, nr 1, January-March, p. 41–47

doi: 10.17219/dmp/67265

Publication type: original article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Evaluation of non-surgical periodontal treatment in patients with a past history of myocardial infarction

Ocena niechirurgicznego leczenia periodontologicznego u pacjentów z przebytym zawałem mięśnia sercowego

Magdalena Sulewska1,B,C,D, Jan Pietruski2,C,D, Agnieszka Tycińska3,B, Włodzimierz Musiał3,E,F, Ewa Duraj1,B, Małgorzata Pietruska1,A,E,F

1 Departmant of Periodontal and Oral Mucosa Diseases, Medical University of Bialystok, Białystok, Poland

2 Private Dental Practice, Białystok, Poland

3 Department of Cardiology, Medical University of Bialystok, Białystok, Poland

Abstract

Background. The cohort study revealed a relationship between chronic periodontitis and the risk of developing coronary heart disease (CHD) and myocardial infarction.
Objectives. The aim of the study was to evaluate the influence of periodontal treatment on periodontal status in patients with past history of acute myocardial infarction.
Material and Methods. The study comprised 45 patients with chronic periodontitis hospitalized due to acute myocardial infarction treated with coronary angioplasty. The patients were randomized to the group of non-surgical periodontal treatment (group 1; 25 individuals) or the group of periodontal prophylactics (group 2; 20 individuals). The following aspects were evaluated in clinical study: plaque index (PI), approximal plaque index (API), bleeding on probing (BOP), probing depth (PD) and clinical attachment level (CAL). The study was carried out 1–2 weeks following discharge from hospital and 6, 7 and 12 months after the initial examination.
Results. High values of PI, API and BOP were observed in both groups, which indicated poor oral hygiene and a considerable percentage of inflamed pockets. Those values significantly decreased with further control examinations, yet the obtained values were still very high. No significant changes in time were observed in PD and CAL in both groups. A significant PD reduction in the examinations performed 7 and 12 moths from the baseline was detected only in the group of younger patients who underwent non-surgical periodontal treatment.
Conclusion. The patients with past history of acute myocardial infarction show an abnormal periodontal status which does not significantly change due to constant hygienic negligence despite prophylactic-therapeutic intervention.

Key words

periodontitis, cardiovascular disease, non-surgical periodontal treatment

Słowa kluczowe

zapalenie przyzębia, choroby układu sercowo-naczyniowego, niechirurgiczne leczenie periodontologiczne

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