1887
3 - Second Mustansiriyah International Dental Conference (MIDC 2023)
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Dental caries and acute coronary syndrome (ACS) are prevalent chronic multifactorial disorders with several etiopathological risk factors. This study aims to assess the association between carious teeth and the number of coronary arteries identified by angiography among ACS patients.

118 patients with ACS were evaluated clinically by cardiologists. Participants’ dental hygiene was assessed using the DMFT index. Before having their coronary angiography evaluated, all individuals had their urea, creatinine, and troponin serum levels checked. Echocardiography was also done. The relationship between the DMFT scoring index and echocardiographic and angiographic data was examined.

All subjects studied had poor dental health overall (13.7±9.8), and their mean ages were 57.2±10.2 years. There were 118 participants in this study, and males made up 77.1% of the group. The majority of ACS (60.7%) had a high DMFT score (DMFT > 9), which in most cases indicated a significant number of missing teeth (10.9±8.9). Around half of the patients had poor carious status (DMFT > 10). The DMFT index and LVEF% measurements had non-significant positive relationships. According to the ROC curve, DMFT and its components lacked the diagnostic capacity to distinguish participants with one occluded coronary artery from ACS patients affected by multiple coronary arteries.

Although it cannot be used to predict the severity of the ACS, oral hygiene regarding dental status is related to the number of stenosed coronary arteries (but not LVEF%).

Loading

Article metrics loading...

/content/journals/10.5339/jemtac.2023.midc.8
2023-07-31
2024-07-17
Loading full text...

Full text loading...

/deliver/fulltext/jemtac/2023/3/jemtac.2023.midc.8.html?itemId=/content/journals/10.5339/jemtac.2023.midc.8&mimeType=html&fmt=ahah

References

  1. Amal Talib Al Sa’ady ZAA, Ali Fadhil Obaid, Hayder AA, Amir S. Al-Mumin Prevalence of adverse effects from COVID-19 vaccine among Iraqi adults: A retrospective cross-sectional study. Journal of Emergency Medicine, Trauma Acute Care. 2022; 3:(6):1-9.
    [Google Scholar]
  2. Abdul-Amir M., Jaafar M., HO Hashim. BCG Vaccine in preventing the COVID-19 epidemic had to be reviewed: correlation does not imply causation. Australian Journal of Basic and Applied Sciences. 2021; 14:(11):58-63.
    [Google Scholar]
  3. Hajir K. Karim A., Mustafa Karim, Hayder M. Al-Hindy. The Liver Function Abnormalities in COVID-19 Patients and Their Association with Age and Sex: A Cross-Sectional Study. Archives of Razi Institute. 2022; 77:(5).
    [Google Scholar]
  4. Costa CA, Vilela ACS, Oliveira SA, Gomes TD, Andrade AAC, Leles CR, et al. Poor oral health status and adverse COVID-19 outcomes: A preliminary study in hospitalized patients. 2022; 93:(12):1889-901.
    [Google Scholar]
  5. Angelopoulou MV, Seremidi K, Papaioannou W, Gizani S. Impact of the COVID-19 lockdown on the oral health status of paediatric dental patients in Greece. Int J Paediatr Dent. 2023; 33:(3):246-53.
    [Google Scholar]
  6. Qin X, Zhao Y, Guo Y. Periodontal disease and myocardial infarction risk: A meta-analysis of cohort studies. The American Journal of Emergency Medicine. 2021; 48::103-9.
    [Google Scholar]
  7. Dhulfiqar Ali, Raad J, Hayder Makki, Ammar Waheeb. Cystatin-C in patients with acute coronary syndrome: Correlation with ventricular dysfunction, and affected coronary vessels. Journal of Contemporary Medical Sciences. 2020; 6:(1):226–31.
    [Google Scholar]
  8. Yesar MH. Al-Shamma Ahmad Ajresh, Al-Hindy H. Caries Burden is associated with serum uric acid and CRP in Patients Treated for Acute Coronary Syndrome. HIV Nursing. 2023; 23:(2):050–6.
    [Google Scholar]
  9. Al-Mumin A, Abdul-Amir M. Hyperuricemia has a deleterious role in patients with acute coronary syndrome presented with poor oral hygiene. International Journal of Pharmaceutical Research. 2020; 12::1196-202.
    [Google Scholar]
  10. Lee JM, Choi KH, Song YB, Lee JY, Lee SJ, Lee SY, et al. Intravascular Imaging-Guided or Angiography-Guided Complex PCI. N Engl J Med. 2023.
    [Google Scholar]
  11. Omeh DJ SE. Angiography. [Updated 2023 Feb 5]. In: StatPearls [Internet] Treasure Island (FL): StatPearls Publishing; 2023 Jan- Available from: https://wwwncbinlmnihgov/books/NBK557477/.2023.
    [Google Scholar]
  12. Al-Saad R, Shaker, AK, Dleikh, FS, Al-Hindy H. Is there any association between highly sensitive C-reactive protein and dental status in ischemic heart diseases Comparative-study Biochem Cell Arch. 2020; 20:(2):6069-75.
    [Google Scholar]
  13. Al-Hindi HA-AM, Al-Saad SF, Basim BMZ, Jaber TAA-KJA-KUJfB. Relationship of Salivary & Plasma Troponin Levels of Patients with AMI in Merjan medical city of Babylon Province: Cross-Sectional Clinical Study. 2016; 8:(3).
    [Google Scholar]
  14. Ahmed MA, Jouhar R, Faheemuddin M, AlJafar A, Alabawi H, Alhumaidi B, et al. Assessment of Oral Health Knowledge, Attitude, Practice and DMFT Scores among Patients at King Faisal University, Al-Ahsa. 2023; 59:(4):688.
    [Google Scholar]
  15. Maki Al-hindy, S. Al Mumin A, Mh Zwain B. Decayed, Missed, Filled Teeth Scores in Iraqi Patients with Acute Myocardial Infarction. Al-Kufa University Journal for Biology. 2016; 8:(3).
    [Google Scholar]
  16. Kamberi B, Koçani F, Begzati A, Kelmendi J, Ilijazi D, Berisha N, et al. Prevalence of dental caries in Kosovar adult population. 2016; 2016:.
    [Google Scholar]
  17. HA-AM, Ramadan GM, Chabuk MI, Al Sa’ady AT, Jihad S, Hafidh SJvd. Brush Up Your Teeth to Brush Up Your Heart: A Clinical Review on the Association of Oral Hygiene with Cardiovascular Diseases. 2::24.
    [Google Scholar]
  18. Patel RN, Eaton KA, Pitts N, Schulte A, Pieper K, White S. Variation in methods used to determine national mean DMFT scores for 12-year-old children in European countries. Community dental health. 2016; 33::286-91.
    [Google Scholar]
  19. WHO. World Health Organization, oral health survey: basic methods. Third Edition ed: Geneva; 1987.
    [Google Scholar]
  20. Abdul-Amir Maki, ASAM, Basim MH Zwain. Decayed, Missed, Filled Teeth Scores in Iraqi Patients with Acute Myocardial Infarctio. Al-Kufa University Journal for Biology. 2016; 8:(3):7.
    [Google Scholar]
  21. Shirazi U-e-R, Naz F, Yousuf M. DMFT INDEX Among Dental Undergraduates Of Lahore Medical And Dental College In Different Professional Years Of Dentistry. Pakistan Oral and Dental Journal. 2013; 33::156-9.
    [Google Scholar]
  22. Mentzer G, Hsich EM. Heart Failure with Reduced Ejection Fraction in Women: Epidemiology, Outcomes, and Treatment. Heart failure clinics. 2019; 15:(1):19-27.
    [Google Scholar]
  23. Moradi G, Bolbanabad AM, Moinafshar A, Adabi H, Sharafi M, Zareie BJIjoph. Evaluation of Oral health status based on the decayed, missing, and filled teeth (DMFT) index. 2019; 48:(11):2050.
    [Google Scholar]
  24. Thomas Schillinger WK, Markus Exner et al. Dental and Periodontal Status and Risk for Progression of Carotid Atherosclerosis. Stroke. 2007; 37:(9):2271-6.
    [Google Scholar]
  25. Ahn DG, Shin HJ, Kim MH, Lee S, Kim HS, Myoung J, et al. Current Status of Epidemiology, Diagnosis, Therapeutics, and Vaccines for Novel Coronavirus Disease 2019 (COVID-19). J Microb. Biotech. 2020; 30:(3):313-24.
    [Google Scholar]
  26. Sampson V, Kamona N, Sampson A. Could there be a link between oral hygiene and the severity of SARS-CoV-2 infections? Br Dent J. 2020; 228:(12):971-5.
    [Google Scholar]
  27. Soheila Dabiran BKM, Farahnaz Khajehnasiri. Risk Factors of First Acute Myocardial Infarction: Comparison of Elderly and Non-Elderly: A 24-Year Stud Advances in Aging Research 2015; 4::13-7.
    [Google Scholar]
  28. Qayssar Joudah Fadheel RTN, Hayder Al-Hindy. Evaluation Of Practice of Prescribing and Monitoring Anticoagulants Among Hospitalized Iraqi Patients. HIV Nursing. 2022; 22:(1):71-6.
    [Google Scholar]
  29. Mohammed SM, Hasan, Aliaa Sameer, Al-Hindy, Hayder Abdul Amir Makki, Mousa, Mazin J. C-Reactive protein is associated with the severity of periodontal disease? An observational study among acute myocardial infarction patients. Systematic Reviews in Pharmacy. 2020; 11:(10):252-7.
    [Google Scholar]
  30. Abdul Husseein HK, Dleikh, Fouad Sharif, Al-Aaraji, Ameera Jasim. Biochemical causal-effect of circulatory uric acid, HSCRP and their diagnostic correlation in admitted patients with ischemic heart diseases. Journal of Cardiovascular Disease Research. 2020; 11:(2):25-31.
    [Google Scholar]
  31. Alhind HA-AM, Mousa, Mazin Jaafar, Al-kashwan, Thekra Abid Jaber, Sudan, Ahmed, Abdul-Razzaq, Saja Ahmed. On admission levels of high sensitive C-Reactive protein as A biomarker in acute myocardial infarction: A case-control study. Indian Journal of Public Health. 2019; 10:(4):1481.
    [Google Scholar]
  32. Nicolosi LN, Lewin PG, González N, Jara L, Rubio Mdel C. Association between oral health and acute coronary syndrome in elderly people. Acta Odontol Latinoam. 2011; 24:(3):229-34.
    [Google Scholar]
  33. Wożakowska-Kapłon B, Włosowicz M, Gorczyca-Michta I, Górska R. Oral health status and the occurrence and clinical course of myocardial infarction in hospital phase: a case-control study. Cardiology journal. 2013; 20:(4):370-7.
    [Google Scholar]
  34. Seoane T, Bullon B, Fernandez-Riejos P, Garcia-Rubira JC, Garcia-Gonzalez N, Villar-Calle P, et al. Periodontitis and Other Risk Factors Related to Myocardial Infarction and Its Follow-Up. Journal of clinical medicine. 2022; 11:(9).
    [Google Scholar]
  35. Asseel K. Shaker RA-S, Raad Jasim, Hayder Al-Hindy. Biochemical Significance of Cystatin-C and High Sensitive CRP in Patients with Acute Coronary Syndrome; any Clinical Correlation with Diagnosis and Ejection Fraction. Systematic Reviews in Pharmacy. 2020; 11:(3):301-8.
    [Google Scholar]
  36. Azher Nema Mohammed Al-Agam AWO, Mahir Abdulkadhum Khudhair Alzughaibi, Hayder M., Amer Fadhil Alhaider. The Association of Depressive Symptoms With Plasma C-Reactive Protein in Patients With Major Depressive Disorder Under Treatment. Iranian Rehabilitation Journal. 2021; 19:(4):425-32.
    [Google Scholar]
  37. Beck JD, Eke P, Heiss G, Madianos P, Couper D, Lin D, et al. Periodontal disease and coronary heart disease: a reappraisal of the exposure. Circulation. 2005; 112:(1):19-24.
    [Google Scholar]
/content/journals/10.5339/jemtac.2023.midc.8
Loading
/content/journals/10.5339/jemtac.2023.midc.8
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error