Gołebiewska M, Taraszkiewicz-Sulik K, Kuklińska A, Musiał W J
Department of Prosthodontics, Medical University of Białystok, Poland.
Adv Med Sci. 2006;51 Suppl 1:69-72.
The cardiovascular system diseases constitute a serious problem for modern medicine.
To investigate the potential risk and the connection of periodontal diseases and cardiovascular disorders.
The examination was performed in the group of 104 patients of both sexes, aged 50-90 years. The patients were divided into two groups: group I--patients with hypertension (47 subjects), group II--patients with fresh myocardial infarction, treated with primary coronary angioplasty (57 subjects).
The OHI index, according to Greene and Vermillion, was used to assess the oral hygiene and periodontal clinical conditions were evaluated according to Russell's PI index, modified by Davies. CPI index was used to estimate the state of periodontium. Teeth loss was classified according to the Eichner's classification.
The value of OHI index differs in both groups. Highest value was registered at 5 patients in the I group vs 2 in the II group. Lowest value was recorded in 11 patients in the I group and 4 in the II group. The value 0.0-0.2 PI was recorded at 14 persons in the I group and 11 in the II group. The value 1.6-3.8 of PI index was registered at 2 in the I group and 6 in the II group. Healthy periodontium was stated in 10 patients with hypertension and only 2 with myocardial infarction. The CPI = 2 was shown in 12 patients with hypertension and 11 with myocardial infarction, CPI = 3 was shown in 23 patients with myocardial infarction.
The studies revealed bad condition of the oral cavities of patients with hypertension, and specifically with fresh myocardial infarction.
心血管系统疾病是现代医学面临的一个严重问题。
研究牙周疾病与心血管疾病的潜在风险及关联。
对104名年龄在50至90岁的男女患者进行了检查。患者被分为两组：第一组——高血压患者（47名受试者），第二组——接受原发性冠状动脉成形术治疗的急性心肌梗死患者（57名受试者）。
根据格林和朱利安的方法，使用OHI指数评估口腔卫生状况，并根据戴维斯修改后的拉塞尔PI指数评估牙周临床状况。使用CPI指数评估牙周状况。牙齿缺失根据艾希纳分类法进行分类。
两组的OHI指数值不同。第一组中5名患者的OHI指数值最高，第二组为2名。第一组中11名患者和第二组中4名患者的OHI指数值最低。第一组中有14人、第二组中有11人的PI值为0.0 - 0.2。第一组中有2人、第二组中有6人的PI指数值为1.6 - 3.8。10名高血压患者和仅2名心肌梗死患者的牙周健康。12名高血压患者和11名心肌梗死患者的CPI = 2，23名心肌梗死患者的CPI = 3。
研究表明高血压患者，尤其是急性心肌梗死患者的口腔状况较差。
