Department of Cariology, Institute of Odontology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
J Periodontol. 2011 Sep;82(9):1295-303. doi: 10.1902/jop.2011.100655. Epub 2011 Feb 2.
There is considerable variation in studies on the oral health of patients with coronary artery disease (CAD). The aims of this investigation are to study the caries risk profile using the Cariogram computer program and the periodontal disease severity in patients with CAD.
A total of 127 participants (54 test and 73 control) were included. Participants were asked about their general health and daily habits. Clinical examinations, radiographs, and salivary sampling were performed. Cariologic data were entered into the computer program for risk-profile illustration. The onset of CAD conditions was also documented.
Compared with controls, participants with CAD consumed less sugar, used fluoride toothpaste less frequently, and had significantly less favorable periodontal parameters (P <0.005). Generally, differences in cariologic parameters between the two groups were not significant. Significantly more participants with CAD exhibited low salivary-secretion rates than controls. The actual chance (percentage) of avoiding new cavities according to the Cariogram was low in the test and control groups (31% and 40%, respectively; P <0.05). Only gingival recession was correlated with the onset of CAD.
Test and control groups had a relatively high caries risk. More severe periodontal disease was observed in participants with CAD.
关于冠心病患者的口腔健康状况，研究结果差异较大。本研究旨在利用 Cariogram 计算机程序评估龋齿风险状况，并评估冠心病患者的牙周病严重程度。
共纳入 127 名参与者（54 名试验组和 73 名对照组）。询问参与者的一般健康状况和日常习惯。进行临床检查、拍摄 X 光片和唾液取样。将龋病数据输入计算机程序以展示风险状况。还记录了冠心病发病情况。
与对照组相比，冠心病患者的糖分摄入量较少，使用含氟牙膏的频率较低，牙周参数明显较差（P<0.005）。两组间的龋病参数总体差异无统计学意义。冠心病患者的唾液分泌率显著低于对照组。根据 Cariogram 避免新龋齿的实际机会（百分比）在试验组和对照组中均较低（分别为 31%和 40%；P<0.05）。仅牙龈退缩与冠心病的发生相关。
试验组和对照组的龋齿风险相对较高。冠心病患者的牙周病更严重。
