Bokhari Syed Akhtar Hussain, Khan Ayyaz Ali, Khalil Mohammad, Abubakar Mohammad Mohammad, Azhar Mohammad
Department of Dentistry, The University of Lahore, Lahore, Pakistan.
J Indian Soc Periodontol. 2011 Jan;15(1):51-4. doi: 10.4103/0972-124X.82273.
Evidence on association of oral health and coronary heart diseases (CHD) is mounting in the literature. This study was designed to observe an association between status of oral health and cardiac diseases in Pakistani adults.
A case-control study was conducted on CHD and non-CHD adults aged >30 years. Age-gender matched individuals without CHD, fulfilling the inclusion criteria as for CHD patients were selected for comparison. Bleeding on probing (BOP), periodontal pocket depth (PPD) and tooth loss were noted as oral health parameters.
45 CHD patients and 35 non-CHD individuals were examined. 53.75% were males and 46.25% females, 37.5% subjects were uneducated, 65% belonged to lower income group, 58.75% subjects were ≥obese and 88.75% were non-smokers. Mean of percent sites of BOP (P =0.007), PPD (P =0.031) and tooth loss (P =0.021) were significantly higher in study group. In stepwise logistic regression analysis, BOP and tooth loss showed a significant positive association with CHD; however, association of PPD was not significant.
Oral health parameters were significantly higher in CHD patients. Bleeding on probing and tooth loss was positively associated with CHD after adjusting for other socio-demographic variables.
文献中关于口腔健康与冠心病（CHD）关联的证据越来越多。本研究旨在观察巴基斯坦成年人的口腔健康状况与心脏病之间的关联。
对年龄大于30岁的冠心病患者和非冠心病成年患者进行病例对照研究。选择符合冠心病患者纳入标准的无冠心病且年龄性别匹配的个体进行比较。将探诊出血（BOP）、牙周袋深度（PPD）和牙齿缺失作为口腔健康参数进行记录。
检查了45例冠心病患者和35例非冠心病个体。男性占53.75%，女性占46.25%；37.5%的受试者未受过教育，65%属于低收入群体，58.75%的受试者超重及以上，88.75%为非吸烟者。研究组的探诊出血百分比部位（P =0.007）、牙周袋深度（P =0.031）和牙齿缺失（P =0.021）的平均值显著更高。在逐步逻辑回归分析中，探诊出血和牙齿缺失与冠心病呈显著正相关；然而，牙周袋深度的相关性不显著。
冠心病患者的口腔健康参数显著更高。在调整其他社会人口学变量后，探诊出血和牙齿缺失与冠心病呈正相关。
