Stan jamy ustnej u pacjentów z zawałem serca oraz ze stabilną dławicą piersiową

© Borgis - Nowa Stomatologia 2/2012, s. 75-79

Monika Włosowicz¹, Beata Wożakowska-Kapłon^{1, 3}, *Renata Górska²

Summary
Introduction: Poor oral health, especially severeperiodontitis (SP) can significantly influence inflammatory reactivity of the organism and intensify advancement of arteriosclerosis. Inflammatory process of periodontium can cause destabilization of arteriosclerotic plaque, the process which is the main cause of ACS (Acute Coronary Syndrom) and MI (Myocardial Infarction).
Aim of the study: The aim of the study was to evaluate oral health status with a special consideration of SP in post MI patients, age ≤ 60.
Material and methods: Case group consisted of 112 hospital patients with acute ST elevation MI (STEMI) and acute non-ST-elevation MI (NSTEMI), age <60. Control group constituted of 67 patients with stable angina pectoris (SAP), in the age similar to the case. To asses the state of oral health periodontal examination was conducted. Markers such as: API, CAL, PD, SBI, the appearance of tooth decay, and the number and mobility of teeth were evaluated.
Results and conclusions: In the group of patients with acute MI in comparison to the control group poor oral health and significantly elevated SP appeared. Poor oral health and frequent occurrence of SP can influence the frequency of MI. Oral prophylactic procedures and periodontal treatment should be the essential element of ACS and MI prevention.

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