Gingival Inflammation Associates with Stroke--A Role for Oral Health Personnel in Prevention: A Database Study.
Gingival inflammation is the physiological response to poor oral hygiene. If gingivitis is not resolved the response will become an established lesion.We studied whether gingivitis associates with elevated risk for stroke. The hypothesis was based on the periodontitis-atherosclerosis paradigm.In our...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Public Library of Science (PLoS)
2015-01-01
|
Series: | PLoS ONE |
Online Access: | http://europepmc.org/articles/PMC4583452?pdf=render |
id |
doaj-4f3ab313178c4d45b968186ff94dcc9e |
---|---|
record_format |
Article |
spelling |
doaj-4f3ab313178c4d45b968186ff94dcc9e2020-11-25T00:49:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01109e013714210.1371/journal.pone.0137142Gingival Inflammation Associates with Stroke--A Role for Oral Health Personnel in Prevention: A Database Study.Birgitta SöderJukka H MeurmanPer-Östen SöderGingival inflammation is the physiological response to poor oral hygiene. If gingivitis is not resolved the response will become an established lesion.We studied whether gingivitis associates with elevated risk for stroke. The hypothesis was based on the periodontitis-atherosclerosis paradigm.In our prospective cohort study from Sweden 1676 randomly selected subjects were followed up from 1985 to 2012. All subjects underwent clinical oral examination and answered a questionnaire assessing background variables such as socio-economic status and pack-years of smoking. Cases with stroke were recorded from the Center of Epidemiology, Swedish National Board of Health and Welfare, Sweden, and classified according to the WHO International Classification of Diseases. Unpaired t-test, chi-square tests, and multiple logistic regression analyses were used.Of the 1676 participants, 39 subjects (2.3%) had been diagnosed with stroke. There were significant differences between the patients with stroke and subjects without in pack-years of smoking (p = 0.01), prevalence of gingival inflammation (GI) (p = 0.03), and dental calculus (p = 0.017). In a multiple regression analysis the association between GI, confounders and stroke, GI showed odds ratio 2.20 (95% confidence interval 1.02-4.74) for stroke.Our present findings showed that gingival inflammation clearly associated with stroke in this 26-year cohort study. The results emphasize the role of oral health personnel in prevention.http://europepmc.org/articles/PMC4583452?pdf=render |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Birgitta Söder Jukka H Meurman Per-Östen Söder |
spellingShingle |
Birgitta Söder Jukka H Meurman Per-Östen Söder Gingival Inflammation Associates with Stroke--A Role for Oral Health Personnel in Prevention: A Database Study. PLoS ONE |
author_facet |
Birgitta Söder Jukka H Meurman Per-Östen Söder |
author_sort |
Birgitta Söder |
title |
Gingival Inflammation Associates with Stroke--A Role for Oral Health Personnel in Prevention: A Database Study. |
title_short |
Gingival Inflammation Associates with Stroke--A Role for Oral Health Personnel in Prevention: A Database Study. |
title_full |
Gingival Inflammation Associates with Stroke--A Role for Oral Health Personnel in Prevention: A Database Study. |
title_fullStr |
Gingival Inflammation Associates with Stroke--A Role for Oral Health Personnel in Prevention: A Database Study. |
title_full_unstemmed |
Gingival Inflammation Associates with Stroke--A Role for Oral Health Personnel in Prevention: A Database Study. |
title_sort |
gingival inflammation associates with stroke--a role for oral health personnel in prevention: a database study. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2015-01-01 |
description |
Gingival inflammation is the physiological response to poor oral hygiene. If gingivitis is not resolved the response will become an established lesion.We studied whether gingivitis associates with elevated risk for stroke. The hypothesis was based on the periodontitis-atherosclerosis paradigm.In our prospective cohort study from Sweden 1676 randomly selected subjects were followed up from 1985 to 2012. All subjects underwent clinical oral examination and answered a questionnaire assessing background variables such as socio-economic status and pack-years of smoking. Cases with stroke were recorded from the Center of Epidemiology, Swedish National Board of Health and Welfare, Sweden, and classified according to the WHO International Classification of Diseases. Unpaired t-test, chi-square tests, and multiple logistic regression analyses were used.Of the 1676 participants, 39 subjects (2.3%) had been diagnosed with stroke. There were significant differences between the patients with stroke and subjects without in pack-years of smoking (p = 0.01), prevalence of gingival inflammation (GI) (p = 0.03), and dental calculus (p = 0.017). In a multiple regression analysis the association between GI, confounders and stroke, GI showed odds ratio 2.20 (95% confidence interval 1.02-4.74) for stroke.Our present findings showed that gingival inflammation clearly associated with stroke in this 26-year cohort study. The results emphasize the role of oral health personnel in prevention. |
url |
http://europepmc.org/articles/PMC4583452?pdf=render |
work_keys_str_mv |
AT birgittasoder gingivalinflammationassociateswithstrokearolefororalhealthpersonnelinpreventionadatabasestudy AT jukkahmeurman gingivalinflammationassociateswithstrokearolefororalhealthpersonnelinpreventionadatabasestudy AT perostensoder gingivalinflammationassociateswithstrokearolefororalhealthpersonnelinpreventionadatabasestudy |
_version_ |
1725252288427065344 |