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   <record>
      <language>eng</language>
      <journalTitle>Journal of Medical Biomedical and Applied Sciences</journalTitle>
      <eissn>2589-8779</eissn>
      <publicationDate/>
      <volume>03</volume>
      <startPage/>
      <doi>10.15520/jcmro.v3i05.285</doi>
      <publisherRecordId/>
      <documentType>article</documentType>
      <title language="eng">
          Is There a Relationship between Dental and/or Periodontal Pathology and Values of C - reactive protein, Homocysteine and Lipoprotein (A) in Patients with Cardiovascular Disease? 
          A Case Control Study
        </title>
      <authors/>
      <affiliationsList/>
      <abstract language="eng">
          Background:
        

Dental pathology [dental caries (DC) and apical periodontitis (AP)] and/or periodontal pathology (PD) could influence the onset of cardiovascular disease (CVD). The relationship between conventional CVD risk factors and dento-periodontal pathology has been well demonstrated; however, there is less evidence of the relationship between these pathologies and emerging or unconventional CVD risk factors, including C-reactive protein (CRP), Homocysteine ​​(Hcy) and Lipoprotein a (Lp (a).


          Methods:
        

This case-control study included 99 patients with CVD and 50 healthy controls. All participants underwent a detailed medical history, an intraoral examination, an orthopantomography and a blood test. All the analyses were performed on the data set, using all available information with intention to treat criteria.


          Results:
        

A greater number of patients in the study group presented PD (p &lt;0.001) and AP (p &lt;0.001) compared to the control group. However, we did not find significant differences in the prevalence of caries between both groups (p &lt;0.287). Moreover, none of oral variables was significantly related to concentrations of CRP, Hcy or Lp(a).


          Conclusions:
        

Patients with CVD present more PD and a greater number of AP, suggesting an association between dento-periodontal pathology and cardiovascular pathology. The concentrations of CRP, homocysteine and Lp(a) are not related to the degree of dento-periodontal pathology, so we believe that more studies are necessary to assess this possible association.


          Abbreviations and Acronyms: 
        

PD periodontal disease

DC dental caries

AP apical periodontitis

CVD cardiovascular disease

c-LDL low density lipoprotein cholesterol

CRP C-reactive protein

Hcy homocysteine

Lp(a) lipoprotein a

Apo A1 apolipoprotein A1

SG study group

CG control group

OPG orthopantomography

CPITN community periodontal index of treatment needs

DMFT decay, missing, filling teeth index

Apo B apolipoprotein B

c-HDL high density lipoprotein cholesterol

HbA1c glycosylated hemoglobin

 

</abstract>
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      <keywords language="eng"/>
   </record>
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