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Gingivitis and periodontitis as a risk factor for stroke: A case-control study in the Iranian population

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TLDR
Investigation of the gingivitis and periodontitis as a risk factor for stroke in Iranian population shows that there is a significant relation between stroke andperiodontal index; however, there isn’t any significant relationBetween stroke and gingival index.
Abstract
Background: Periodontitis and gingivitis are one of the most infectious diseases in human. Several studies have been carried out on dependence of periodontitis and stroke. The aim of this study was to investigate the gingivitis and periodontitis as a risk factor for stroke in Iranian population. Materials and Methods: A case-control study was conducted on 100 patients suffering from stroke as case group, and 100 hospitalized patients as control group. The case group included 42 males and 58 females, and in control group there were 44 males and 56 females. Using a University of North Carolina-15 manual probe, the clinical attachment level, the distance between the cemento-enamel junction and the probed base of the periodontal pocket, were recorded by gingival and periodontal indexes. The data were analyzed by multiple logistic regressions, Chi-square test, Fisher’s test, t-test, Man Whitney, and SPSS11.5 software program. P < 0.05 was considered as significant. Results: The case group included 42 males and 58 females, and in control group 44 males and 56 females were included. In this investigation, the average of gingival index in men and women of case group was 1.22 ± 0.55 and 1.31 ± 0.55, respectively. This study showed that the average of gingival index in case group was more than control group. Periodontal index in both groups in men was more than women. The moderate and severe periodontitis in case group were more than that of control group ( P = 0.003, P = 0.001). Conclusion: The result of this study shows that there is a significant relation between stroke and periodontal index; however, there isn’t any significant relation between stroke and gingival index. Key Words: Gingivitis, periodontitis, risk factors, stroke

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TL;DR: A positive association between both disorders and increased risk for stroke among cohort studies and for ischemic stroke events in case–control studies indicates periodontitis may represent a risk factor for stroke.
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Dental treatment procedures for periodontal disease and the subsequent risk of ischaemic stroke: A retrospective population-based cohort study.

TL;DR: After integrative dental care, both dental scaling and intensive treatment for periodontal disease are associated with a lower risk of further ischaemic stroke events, and showed that periodontitis is a risk factor for ischaemia stroke.
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A cross-sectional survey to study the relationship of periodontal disease with cardiovascular disease, respiratory disease, and diabetes mellitus.

TL;DR: It can be concluded that diabetes mellitus, CVD, and respiratory disease are associated with a higher severity of periodontal disease.
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Oral health in patients with stroke: a meta-analysis of comparative studies.

TL;DR: Stroke patients had poorer overall oral health status compared to controls and further research on screening for oral health problems after stroke should be conducted and effective management strategies should be devised and implemented.
References
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Journal ArticleDOI

Periodontal Disease and Cardiovascular Disease

TL;DR: It is suggested that periodontal disease, once established, provides a biological burden of endotoxin (lipopolysaccharide) and inflammatory cytokines (especially TxA2, IL-1β, PGE2, and TNF-α) which serve to initiate and exacerbate atherogenesis' and thromboembolic events.
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Carranza's Clinical Periodontology

TL;DR: Carranza's clinical periodontology is studied in detail in the context of periodontal disease and its role in human evolution.
Journal ArticleDOI

Periodontal Infections Contribute to Elevated Systemic C-Reactive Protein Level

TL;DR: The extent of increase in CRP levels in periodontitis patients depends on the severity of the disease after adjusting for age, smoking, body mass index, triglycerides, and cholesterol, which were found to be significant covariates.
Book

Burket's Oral Medicine

Michael Glick
TL;DR: The importance of knowing the carrier and removal status of canine coronavirus is stressed in the diagnosis of oral cancer and in the treatment of other oral diseases.
Journal ArticleDOI

Periodontal disease and risk of cerebrovascular disease: the first national health and nutrition examination survey and its follow-up study.

TL;DR: Increased relative risks for total CVA and nonhemorrhagic stroke associated with periodontitis were also seen in white men, white women, and African Americans.
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