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Effects of periodontal treatment on carotid intima-media thickness in patients with lifestyle-related diseases: Japanese prospective multicentre observational study

Atherosclerosis, a chronic inflammatory disease in arterial blood vessels, is one of the major causes of death in worldwide. Meanwhile, periodontal disease is a chronic inflammatory disease caused by infection with periodontal pathogens such as P. gingivalis ( Porphyromonas gingivalis ). Several stu...

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Published in:Odontology 2018-07, Vol.106 (3), p.316-327
Main Authors: Kudo, Chieko, Shin, Wee Soo, Sasaki, Nobuhiro, Harai, Kazuo, Kato, Kai, Seino, Hiroaki, Goke, Eiji, Fujino, Takemasa, Kuribayashi, Nobuichi, Pearce, Youko Onuki, Taira, Masato, Matsushima, Ryoji, Minabe, Masato, Takashiba, Shogo
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cited_by cdi_FETCH-LOGICAL-c396t-d42b12ee42221d1f38825bf13165228db98fcdeb864efda30353e26b6afd51e63
cites cdi_FETCH-LOGICAL-c396t-d42b12ee42221d1f38825bf13165228db98fcdeb864efda30353e26b6afd51e63
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container_title Odontology
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creator Kudo, Chieko
Shin, Wee Soo
Sasaki, Nobuhiro
Harai, Kazuo
Kato, Kai
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Goke, Eiji
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Pearce, Youko Onuki
Taira, Masato
Matsushima, Ryoji
Minabe, Masato
Takashiba, Shogo
description Atherosclerosis, a chronic inflammatory disease in arterial blood vessels, is one of the major causes of death in worldwide. Meanwhile, periodontal disease is a chronic inflammatory disease caused by infection with periodontal pathogens such as P. gingivalis ( Porphyromonas gingivalis ). Several studies have reported association between periodontal infection and atherosclerosis, but direct investigation about the effects of periodontal treatment on atherosclerosis has not been reported. We have planned Japanese local clinics to determine the relationship between periodontal disease and atherosclerosis under collaborative with medical and dental care. A prospective, multicentre, observational study was conducted including 38 medical patients with lifestyle-related diseases in the stable period under consultation at participating medical clinics and 92 periodontal patients not undergoing medical treatment but who were consulting at participating dental clinics. Systemic and periodontal examinations were performed before and after periodontal treatment. At baseline, LDL-C (low-density lipoprotein cholesterol) levels and percentage (%) of mobile teeth were positively related to plasma IgG (immunoglobulin) antibody titer against P. gingivalis with multivariate analysis. Corresponding to improvements in periodontal clinical parameters after treatment, right and left max IMT (maximum intima-media thickness) levels were decreased significantly after treatment (SPT-S: start of supportive periodontal therapy, SPT-1y: at 1 year under SPT, and SPT-3y: at 3 years under SPT). The present study has clarified our previous univariate analysis results, wherein P. gingivalis infection was positively associated with progression of atherosclerosis. Thus, routine screening using plasma IgG antibody titer against P. gingivalis and periodontal treatment under collaborative with medical and dental care may prevent cardiovascular accidents caused by atherosclerosis.
doi_str_mv 10.1007/s10266-017-0331-4
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Meanwhile, periodontal disease is a chronic inflammatory disease caused by infection with periodontal pathogens such as P. gingivalis ( Porphyromonas gingivalis ). Several studies have reported association between periodontal infection and atherosclerosis, but direct investigation about the effects of periodontal treatment on atherosclerosis has not been reported. We have planned Japanese local clinics to determine the relationship between periodontal disease and atherosclerosis under collaborative with medical and dental care. A prospective, multicentre, observational study was conducted including 38 medical patients with lifestyle-related diseases in the stable period under consultation at participating medical clinics and 92 periodontal patients not undergoing medical treatment but who were consulting at participating dental clinics. Systemic and periodontal examinations were performed before and after periodontal treatment. At baseline, LDL-C (low-density lipoprotein cholesterol) levels and percentage (%) of mobile teeth were positively related to plasma IgG (immunoglobulin) antibody titer against P. gingivalis with multivariate analysis. Corresponding to improvements in periodontal clinical parameters after treatment, right and left max IMT (maximum intima-media thickness) levels were decreased significantly after treatment (SPT-S: start of supportive periodontal therapy, SPT-1y: at 1 year under SPT, and SPT-3y: at 3 years under SPT). The present study has clarified our previous univariate analysis results, wherein P. gingivalis infection was positively associated with progression of atherosclerosis. 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Meanwhile, periodontal disease is a chronic inflammatory disease caused by infection with periodontal pathogens such as P. gingivalis ( Porphyromonas gingivalis ). Several studies have reported association between periodontal infection and atherosclerosis, but direct investigation about the effects of periodontal treatment on atherosclerosis has not been reported. We have planned Japanese local clinics to determine the relationship between periodontal disease and atherosclerosis under collaborative with medical and dental care. A prospective, multicentre, observational study was conducted including 38 medical patients with lifestyle-related diseases in the stable period under consultation at participating medical clinics and 92 periodontal patients not undergoing medical treatment but who were consulting at participating dental clinics. Systemic and periodontal examinations were performed before and after periodontal treatment. At baseline, LDL-C (low-density lipoprotein cholesterol) levels and percentage (%) of mobile teeth were positively related to plasma IgG (immunoglobulin) antibody titer against P. gingivalis with multivariate analysis. Corresponding to improvements in periodontal clinical parameters after treatment, right and left max IMT (maximum intima-media thickness) levels were decreased significantly after treatment (SPT-S: start of supportive periodontal therapy, SPT-1y: at 1 year under SPT, and SPT-3y: at 3 years under SPT). The present study has clarified our previous univariate analysis results, wherein P. gingivalis infection was positively associated with progression of atherosclerosis. 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subjects Arteriosclerosis
Atherosclerosis
Atherosclerosis - diagnosis
Atherosclerosis - microbiology
Biomarkers - analysis
Blood vessels
Carotid Intima-Media Thickness
Cholesterol
Chronic infection
Dental care
Dentistry
Diagnostic Imaging
Disease Progression
Female
Gum disease
Humans
Immunoglobulin G
Infections
Inflammatory diseases
Japan
Life Style
Low density lipoprotein
Male
Medicine
Middle Aged
Multivariate analysis
Observational studies
Oral and Maxillofacial Surgery
Original Article
Patients
Periodontal Diseases - diagnosis
Periodontal Diseases - microbiology
Periodontal Diseases - therapy
Periodontics
Porphyromonas gingivalis - pathogenicity
Prospective Studies
Teeth
title Effects of periodontal treatment on carotid intima-media thickness in patients with lifestyle-related diseases: Japanese prospective multicentre observational study
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