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Arterial Stiffness and Pulse Wave Reflection Are Increased in Patients Suffering from Severe Periodontitis
Authors:Yvonne Jockel-Schneider  Inga Harks  Imme Haubitz  Stefan Fickl  Martin Eigenthaler  Ulrich Schlagenhauf  Johannes Baulmann
Institution:1. Department of Periodontology, University Hospital Wuerzburg, Wuerzburg, Germany.; 2. Department of Periodontology, University Hospital Muenster, Muenster, Germany.; 3. Clinic of Internal Medicine II, University Hospital Schleswig-Holstein, Luebeck, Germany.; University of Perugia, Italy,
Abstract:

Aim

This single blind cross-sectional study compared the vascular health of subjects suffering from severe chronic periodontitis, severe aggressive periodontitis and periodontal healthy controls by evaluating pulse wave velocity (PWV), augmentation index (AIx) and pulse pressure amplification (PPA).

Material and Methods

In a total of 158 subjects, 92 suffering from severe periodontitis and 66 matched periodontal healthy controls, PWV, AIx, central and peripheral blood pressure were recorded using an oscillometric device (Arteriograph).

Results

Subjects suffering from severe chronic or aggressive periodontitis exhibited significantly higher PWV (p = 0.00004), higher AIx (p = 0.0049) and lower PPA (p = 0.028) than matched periodontal healthy controls.

Conclusions

The results of this study confirm the association between periodontal inflammation and increased cardiovascular risk shown by impaired vascular health in case of severe periodontitis. As impaired vascular health is a common finding in patients suffering from severe periodontal disease a concomitant routine cardiovascular evaluation may be advised.
Keywords:
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