The Relationship Between the Severity of Atherosclerosis and Periodontal Disease Index in Diabetic Patients
Arda Güler1
, Emre Yılmaz2, Ali Rıza Demir1, Neşe Bayıroğlu3, Ali Kemal Kalkan1, Fatih Uzun1, Mehmet Ertürk1
1Clinic of Cardiology, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
2Department of Cardiology, Giresun University Faculty of Medicine, Giresun, Türkiye
3Department of Dentistry, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
Keywords: Coronary artery disease; SYNTAX score; periodontal disease; diabetes mellitus
Abstract
Introduction: Although the link between coronary artery disease (CAD) and periodontal disease has previously been demonstrated, there is insufficient research on how the severity of both diseases impact each other. This study aimed to investigate the relationship between the severity of periodontal disease and the diffuseness of CAD in diabetic patients.
Patients and Methods: A total of 127 diabetic patients with CAD were included in this study. The SYNTAX score determined the diffuseness of CAD, and the patients were divided into two groups as the SYNTAX score ≤22 and >22. The plaque index and periodontal disease index were used in the dental evaluation. The relationship of these indexes to the diffuseness of coronary artery disease has been investigated.
Results: In this study, the plaque index and periodontal disease index correlate significantly with the high SYNTAX score in diabetic patients. In univariate logistic regression analysis, PDI was a predictive variable for the SYNTAX score above 22 in diabetic patients. According to the ROC curve analysis, it was shown that the periodontal disease index of 4.3 could predict a high SYNTAX score.
Conclusion: To sum up, we found a significant relationship between periodontal disease severity and coronary artery disease diffuseness. PDI was found to be a predictor of a high SYNTAX score.
Cite this article as: Güler A, Yılmaz E, Demir AR, Bayıroğlu N, Kalkan AK, Uzun F, et al. The relationship between the severity of atherosclerosis and periodontal disease index in diabetic patients. Koşuyolu Heart J 2022;25(2):149-156.
The approval for this study was obtained from, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Ethics Committee (Decision no: 2018-17, Date: 13.11.2018).
This is retrospective study, we could not obtain written informed consent from the participants.
Externally peer-reviewed.
Concept/Design - FU; Analysis/Interpretation - EY; Data Collection - AG, NB; Writing - AG; Critical Revision - AKK; Final Approval - ME; Statistical Analysis - ARD; Overall Responsibility - AG.
The authors declared that there was no conflict of interest during the preparation and publication of this article.
The authors declared that this study has received no financial support.