Periodontitis deteriorates peripheral arterial disease in Japanese population via enhanced systemic inflammation

Norio Aoyama, Jun ichi Suzuki, Naho Kobayashi, Tomoya Hanatani, Norihiko Ashigaki, Asuka Yoshida, Yuka Shiheido, Hiroki Sato, Hidetoshi Kumagai, Yuichi Ikeda, Hiroshi Akazawa, Issei Komuro, Yuichi Izumi, Mitsuaki Isobe

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Peripheral arterial disease (PAD) is a common manifestation of arterial stenosis of the extremity that reduces arterial flow. While patients with periodontitis are at a high risk of PAD, little causal information has been provided to date. To clarify the relationship, we conducted this cross-sectional study. The oral condition of patients with or without PAD, who attended Tokyo Medical and Dental University Hospital, was evaluated. Blood examinations and dental clinical measurements, including number of teeth, probing pocket depth (PPD), bleeding on probing (BOP) and clinical attachment level (CAL) were performed. Chi-square test was performed to compare gender, smoker rate, prevalence of DM, hypertension and dyslipidemia and edentulous rate. Wilcoxon test was used to compare bacterial counts and anti-bacterial antibodies and Student’s t test was used to compare the other numerical values. The subjects were patients with (n = 34) or without (n = 956) PAD. We revealed that the PAD patients had more missing teeth (17.5 ± 11.0), a higher rate of edentulism (18%), and higher serum inflammatory factor levels than non-PAD patients (10.9 ± 8.7, 5%, respectively). On the other hand, there was no significant difference between hypertension, dyslipidemia, smoking status, HbA1c, bacterial antibody titers, and bacterial counts between the groups. In conclusion, we clarified that PAD patients had decreased tooth number and worsened oral and periodontal condition with enhanced systemic inflammation.

Original languageEnglish (US)
Pages (from-to)1314-1319
Number of pages6
JournalHeart and Vessels
Volume32
Issue number11
DOIs
StatePublished - Nov 1 2017

Keywords

  • Inflammation
  • Periodontal disease
  • Peripheral artery disease

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Aoyama, N., Suzuki, J. I., Kobayashi, N., Hanatani, T., Ashigaki, N., Yoshida, A., Shiheido, Y., Sato, H., Kumagai, H., Ikeda, Y., Akazawa, H., Komuro, I., Izumi, Y., & Isobe, M. (2017). Periodontitis deteriorates peripheral arterial disease in Japanese population via enhanced systemic inflammation. Heart and Vessels, 32(11), 1314-1319. https://doi.org/10.1007/s00380-017-1003-6