Study of the prevalence of periodontal changes in patients affected by ischemic brain vascular accident
DOI:
https://doi.org/10.33448/rsd-v10i5.15153Keywords:
Stroke; Periodontal Disease; Brain ischemia.Abstract
Periodontal disease is a chronic inflammatory disease caused by colonization of pathogens that affects the tissues that support and support the teeth. The contribution of periodontitis to the occurrence of ischemic stroke can be indirectly related through inflammatory mechanisms. The aim of this study was to verify the prevalence of periodontal changes in patients affected by ischemic stroke. This is a cross-sectional, observational study in which periodontal disease was evaluated by means of periodontal probing and the diagnosis of periodontal disease in 20 volunteers who joined the Fundação de Beneficência Hospital de Cirurgia in 2020. As a result we have that of the evaluated 10 were female, with an average age of 68.2 (± 10.2). Of these, 95% had a stroke less than 1 year ago, 60% was the first history of the disease, 90% were hypertensive and 60% diabetic, 95% did not take hyperplasic drugs, 45% had the first degree of study and 70% had been to the dentist for over 1 year. Regarding periodontal disease, 80% were diagnosed with generalized periodontal disease, 35% in stage IV and 65% in grade B. It was concluded that periodontal disease proved to be prevalent among those evaluated, which may be characteristic of processes associated with stroke.
References
Ameijeira, P., Leira, Y., Blanco, J., & Leira, R. (2017). Periodontal disease as a potential factor of migraine chronification. Medical Hypotheses, 102, 94-98.
Asahi, Y., Omichi, S., & Ono, T. (2015). Orodental status and medical problems of stroke in patients undergoing rehabilitation at a rehabilitation hospital in Japan. Gerodontology, 32, 237-240.
Beck, J. D., Garcia, R., Heiss, G., Vokonas, P. S., & Offenbacher, S. (October 1996). Periodontal Disease and Cardiovascular Disease. J Periodontol, (Supplement), 1123-1137.
Beck, J. D., & Offenbacher. S. (2001). The association Between Periodontal Diseases and Cardiovascular Deseases: A State of the Science Review. Ann Periodontol, 6(1), 9-5.
Caton, J. G., Armitage, G., Berglundh, T., Chapple, I. L. C., Jepsen, S., Kornmank, S., Mealey, B. L., Papapanou, P. N., Sanz, M., & Tonetti, M. S. (2018). A new classification scheme for periodontal and peri‐implant diseases and conditions - Introduction and key changes from the 1999 classification. Journal of Clinical Periodontology, 45(45) (Suppl 20), S1-S8.
Cheng, F., Zhang, M., Wang, Q., Xu, Q., Dong, X., Gao, Z., Chen, J., Wei, Y., & Qin, F. (2018). Tooth loss and risk of cardiovascular disease and stroke: A dose-response meta-analysis of prospective cohort studies. Plos One, 1-14.
Chi, L., Cheng, X., He X, Sun, J., Liang, F., Pei, Z., & Teng W. (2019 Apr 10). Increased cortical infarction and neuroinflammation in ischemic stroke mice with experimental periodontitis. Neuroreport, 30(6), 428-433.
Choe, H., Kim, Y. H., Park, J. W., Kim, S. Y., Lee, S. Y., & Jee, S. H. (2009). Tooth loss, hypertension and risk for stroke in a Korean population. Atherosclerosis, 203, 550-556.
Dai, R., Lam, O. L. T., Lo, E. C. M., Lil, S. W., & Mcgrath, C. (2017). A randomized clinical trial of oral hygiene care programmes during stroke rehabilitation. Journal of Dentistry, 1-24.
Díaz, M. E. G., & Aguiar, D. R. M. (2016). Periodontal disease, is it one more risk factor for atherothrombotic ischemic stroke? Revista Cubana de Medicina General Integral, 32(1), 107-112.
Diouf, M., Basse, A., Ndiaye, M., Cisse, D., Lo, C. M., & Faye, D. (2015). Stroke and periodontal disease in Senegal: case control study. Public Health, 1-5.
Estrela, C. (Org.). (2018). Metodologia científica: ciência, ensino, pesquisa. (Scientific methodology: science, teaching research) (3rd Edition). Porto Alegre: Artes Médicas.
Euzébio, C. J. V., & Rabinovich, E. P. (2006). Compreendendo o cuidador familiar do paciente com sequela de Acidente Vascular Encefálico. Temas psicol, Ribeirão Preto, 14(1).
Ghizoni, J. S., Taveira, L. A., Garlet, G. P., Ghizoni, M. F., Pereira, J. R., Dionísio, T. J., Brozoski, D. T., Santos, C. F., & Sant’ana, A. C. (2012). Author information. Increased levels of Porphyromonas gingivalis are associated with ischemic and hemorrhagic cerebrovascular disease in humans: an in vivo study. J Appl Oral Sci, 20(1), 104-112.
Lamonte, M. J., Genco, R. J., Hovey, K. M., Wallace, R. B., Freudenheim, J. L., Michaud, D. S., Mai, X., Tinker, L. F., Salazar, C. R., Andrews, C. A., Li, W., Eaton, C. B., Martin, L. W., & Wactawski-Wende, J. (2017). History of Periodontitis Diagnosis and Edentulism as Predictors of Cardiovascular Disease, Stroke, and Mortality in Postmenopausal Women. Journal of the American Heart Association, 6, 1-12.
Leira, Y., Dequidt, I. L., Arias, S., Yáñez, M. R., Leira, R., Sobrino, T., Campos, F., Blanco, M., Blanco, J., & Castillo, J. (2016). Chronic periodontitis is associated with lacunar infarct: a case-control study. European Journal of Neurology, 23(10), 1572-1579.
Leira, Y., Seoane, J., Blanco, M., Rodríguez-Yáñez, M., Takkouche, B., Blanco, J., & Castillo, J. (2016). Association between periodontitis and ischemic stroke: a systematic review and meta-analysis. Eur J Epidemiol.
Lin, H. W., Chen, C. M., Yeh, Y. C., Chen, Y. Y., Guo, R. Y., Lin, Y. P., & Li, Y. C. (2019). Dental treatment procedures for periodontal disease and the subsequent risk of ischaemic stroke: A retrospective population-based cohort study. J Clin Periodontol, 46(6), 642-649.
O’Boyle, C., Haley, M. J., Lemarchand, E., Smith, C. J., Allan, S. M., Konkel, J. E., & Lawrence, C. B. (2020). Ligature-induced periodontitis induces systemic inflammation but does not alter acute outcome after stroke in mice. Int J Stroke, 15(2), 175-187.
Palm, F., Pussinen, P. J., Aigner, A., Becher, H., Buggle, F., Bauer, M. F., Grond-Ginsbach, C., Safer, A., Urbanek, C., & Grau, A. J. (2016). Association between infectious burden, socioeconomic status, and ischemic stroke. Atherosclerosis, 254, 117-123.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Scientific research methodology (1rd Edition). Santa Maria, RS: UFSM, NTE.
Pihlstrom, B. L., Michalowicz, B. S., & Johnson, N. W. (2005). Periodontal diseases. The Lancet, 366, 18091820.
Saba-Chujfi, E., Pereira, S. A. S., & Dias, L. Z. S. (2007). Interrelationship of periodontal diseases with cardiovascular and cerebrovascular ischemic diseases. R. Periodontia, 17(2), 22-31.
Santos, A. M. A., Jacinto, P. A., & Tejada, C. A. (Apr./June 2012). O. Causalidade entre renda e saúde: uma análise através da abordagem de dados em painel com os estados do Brasil. Estud. Econ, 42(2).
Scannapieco, F. A., Bush, R. B., & Paju, S. (2003). Assosiation Between Periodontal Diseases and Risk for Atherosclerosis, Cardiovascular Diseases and Stroke. A Systematic Review. Ann Periodontol, 8(1), 38-53.
Sen, S., Chung, M., Duda, V., Giamberardino, L., Hinderliter, A., & Offenbacher, S. (2017). Periodontal Disease Associated with Aortic Arch Atheroma in Patients with Stroke or Transient Ischemic Attack. Journal of Stroke and Cerebrovascular Diseases, 26(10), 2137-2144.
Sen, S., & Mascari, R. (2020). Exploring the periodontal disease-ischemic stroke link. J Periodontol, 91 (Suppl 1), S35-S39.
Sen, S., Giamberardino, L. D., Moss, K., Morelli, T., Rosamond, W. D., Gottesmanr, F., Beck, J., & Offenbacher, S. (2018). Periodontal Disease, Regular Dental Care Use, and Incident Ischemic Stroke. American Heart Association Journal, 1-18.
Silva, P. L. N. dos, Santos, L. S. dos, Ribeiro, D. D. D., Guimarães, H. D. G., Esteves, K. A. F., Alves, E. C. S., & Marinho, H. V. R. (2018). Análise da prevalência de acidente vascular encefálico em pacientes assistidos por uma instituição hospitalar. J Manag Prim Health Care.
Söder, B., Meurman, J. H., & Söder, P. (2015). Gingival Inflammation Associates with Stroke – A Role for Oral Health Personnel in Prevention: A Database Study. Plos One, 1-7.
Toneli, M. J. F., Souza, M. G. C., & Müller, R. C. F. (2010). Masculinidades e práticas de saúde: retratos da experiência de pesquisa em Florianópolis/SC. Physis Revista de Saúde Coletiva, 20(30), 973-994.
Williams, R. C. (1990). Periodontal Disease. The New England Journal of Medicine, 322(6), 373-382.
Yoshida, M., Murakami, T., Yoshimura, O., & Akagawa, Y. (2012). The evaluation of oral health in stroke patients. Gerodontology, 29, e489-e493.
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Copyright (c) 2021 Mônica Christine Alves Cabral Cardoso; Álvaro Bezerra Cardoso; Graziane Ribeiro Couto; Yasmin Alves do Nascimento; Helga Lucy Santos Feitosa de Melo; Regiane Cristina do Amaral; José Augusto Santos da Silva; Ismário Silva de Meneses
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