The association of gingivitis and periodontitis with ischemic stroke

Objectives: The aim of this study was to assess the associations of different periodontal parameters with cerebral ischemia. Methods: In a case–control study, 303 consecutive patients with ischemic stroke or transient ischemic attack, and 300 representative population controls received a complete cl...

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Bibliographic Details
Published in:Journal of clinical periodontology 2004-05, Vol.31 (5), p.396-401
Main Authors: Dörfer, Christof E., Becher, Heiko, Ziegler, Christoph M., Kaiser, Claudia, Lutz, Rainer, Jörß, Daniela, Lichy, Christoph, Buggle, Florian, Bültmann, Stefan, Preusch, Michael, Grau, Armin J.
Format: Article
Language:English
Subjects:
acute inflammation
Adolescent
Adult
Age Factors
Aged
Alveolar Bone Loss - complications
Brain Ischemia - complications
Case-Control Studies
case-control study
chronic inflammation
Confidence Intervals
Dentistry
Female
gingivitis
Gingivitis - complications
Humans
infection
Ischemic Attack, Transient - complications
ischemic stroke
Life Style
Male
Middle Aged
Periodontal Attachment Loss - complications
Periodontal Pocket - complications
periodontitis
Periodontitis - complications
Sex Factors
Social Class
Stroke - complications
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Summary:Objectives: The aim of this study was to assess the associations of different periodontal parameters with cerebral ischemia. Methods: In a case–control study, 303 consecutive patients with ischemic stroke or transient ischemic attack, and 300 representative population controls received a complete clinical and radiographic dental examination. Patients were examined on average 3 days after ischemia. The individual mean clinical attachment loss measured at four sites per tooth was used as indicator variable for periodontitis. Results: Patients had higher clinical attachment loss than population (p6 mm had a 7.4 times (95% confidence interval 1.55–15.3) a gingival index >1.2 a 18.3 times (5.84–57.26) and a radiographic bone loss a 3.6 times (1.58–8.28) higher risk of cerebral ischemia than subjects without periodontitis or gingivitis, respectively. Conclusion: Periodontitis is an independent risk factor for cerebral ischemia and acute exacerbation of inflammatory processes in the periodontium might be a trigger for the event of cerebral ischemia.
ISSN:0303-6979
1600-051X
DOI:10.1111/j.1600-051x.2004.00579.x