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Relationship between Tooth Loss and Electrocardiographic Abnormalities in Octogenarians
Y. Takata
Department of Internal Medicine, yutaka{at}kyu-dent.ac.jp
T. Ansai
Department of Preventive Dentistry, Kyushu Dental College, Manazuru 2-6-1, Kokurakita-ku, Kitakyushu City, 803-8580, Japan
K. Matsumura
Department of Internal Medicine
S. Awano
Department of Preventive Dentistry, Kyushu Dental College, Manazuru 2-6-1, Kokurakita-ku, Kitakyushu City, 803-8580, Japan
T. Hamasaki
Department of Preventive Dentistry, Kyushu Dental College, Manazuru 2-6-1, Kokurakita-ku, Kitakyushu City, 803-8580, Japan
K. Sonoki
Department of Internal Medicine
A. Kusaba
Department of Preventive Dentistry, Kyushu Dental College, Manazuru 2-6-1, Kokurakita-ku, Kitakyushu City, 803-8580, Japan
S. Akifusa
Department of Preventive Dentistry, Kyushu Dental College, Manazuru 2-6-1, Kokurakita-ku, Kitakyushu City, 803-8580, Japan
T. Takehara
Department of Preventive Dentistry, Kyushu Dental College, Manazuru 2-6-1, Kokurakita-ku, Kitakyushu City, 803-8580, Japan
Recent reports have suggested that periodontal disease is a risk factor for coronary heart disease (CHD). However, little is known about the relationship between periodontal disease and CHD in the very elderly. Therefore, we evaluated the association between tooth loss and abnormal ECG findings in octogenarians. Of the 1282 octogenarians in Fukuoka Prefecture, Japan, 697 participated. Oral examinations-including a tooth count and an assessment of the Community Periodontal Index-and a 12-lead ECG were performed. Logistic regression analysis revealed that individuals with < 20 teeth had increased prevalence of ST segment depression, and T-wave abnormalities, after we adjusted for gender, smoking, serum cholesterol and glucose, blood pressure, and body mass index. Compared with individuals with  20 teeth, edentulous individuals had an increased prevalence of T-wave abnormalities and arrhythmias after adjustment for coronary risk factors. We conclude that tooth loss may be an independent predictor of abnormal ECG findings in octogenarians.
Key Words: ECG • tooth loss • dental • CHD • elderly.
REFERENCES
- Abdalla IS, Prineas RJ, Neaton JD, Jacobs DR Jr, Crow RS ( 1987). Relation between ventricular premature complexes and sudden cardiac death in apparently healthy men. Am J Cardiol 60:1036-1042.[CrossRef][Medline]
[Order article via Infotrieve]
- Ansai T., Hamasaki T., Awano S., Akifusa S., Katoh Y., Arimoto T., et al. (2000). Relationship between oral health and exercise function of elderly persons 80 years old in Fukuoka Prefecture. J Dent Hlth 50:783-789.
- Arbes SJ Jr, Slade GD, Beck JD ( 1999). Association between extent of periodontal attachment loss and self-reported history of heart attack: an analysis ofNHANES III data. J Dent Res 78:1777-1782.
- Beck JD, Garcia R., Heiss G., Vokonas PS, Offenbacher S. (1996). Periodontal disease and cardiovascular disease. J Periodontol 67:1123-1137.[Medline]
[Order article via Infotrieve]
- Beck JD, Slade GD (1996). Epidemiology of periodontal diseases. Curr Opin Periodontol 3:3-9.[Medline]
[Order article via Infotrieve]
- Beck JD, Offenbacher S., Williams R., Gibbs P., Garcia R. (1998). Periodontitis: a risk factor for coronary heart disease? Ann Periodontol 3:127-141.[Medline]
[Order article via Infotrieve]
- Beck JD, Pankow J., Tyroler HA, Offenbacher S. (1999). Dental infections and atherosclerosis. Am Heart J 138:S528-533.[CrossRef][Medline]
[Order article via Infotrieve]
- Darout IA, Albandar JM, Skaug N. (2000). Periodontal status of adult Sudanese habitual users of miswak chewing sticks or toothbrushes. Acta Odontol Scand 58:25-30.[Medline]
[Order article via Infotrieve]
- De Bacquer D., De Backer G., Komitzer M., Blackburn H. (1998). Prognostic value of ECG findings for total, cardiovascular disease, and coronary heart disease death in men and women. Heart 80:570-577.[Abstract/Free Full Text]
- DeStefano F., Anda RF, Kahn HS, Williamson DF, Russell CM (1993). Dental disease and risk of coronary heart disease and mortality. Br Med J 306:688-691.[Abstract/Free Full Text]
- Fukuda H., Shinsho F., Nakajima K., Takahashi S., Tatara K. (1997). Oral health habits and the number of teeth present in Japanese aged 50-80 years. Community Dent Health 14:248-252.[Medline]
[Order article via Infotrieve]
- Hujoel PP, Drangsholt M., Spiekerman C., DeRouen TA (2000). Periodontal disease and coronary heart disease risk. JAm Med Assoc 284:1406-1410.[Abstract/Free Full Text]
- Joshipura KJ, Rimm EB, Douglass CW, Trichopoulos D., Ascherio A., Willett WC (1996). Poor oral health and coronary heart disease. JDent Res 75:1631-1636.
- Joshipura KJ, Douglass CW, Willett WC (1998). Possible explanations for the tooth loss and cardiovascular disease relationship. Ann Periodontol 3:175-183.[Medline]
[Order article via Infotrieve]
- Kinane DF (1998). Periodontal diseases' contributions to cardiovascular disease: an overview of potential mechanisms. Ann Periodontol 3:142-150.[Medline]
[Order article via Infotrieve]
- Kwok JM, Miller TD, Christian TF, Hodge DO, Gibbons RJ (1999). Prognostic value of a treadmill exercise score in symptomatic patients with nonspecific ST-T abnormalities on resting ECG. JAm Med Assoc 282:1047-1053.[Abstract/Free Full Text]
- Liao Y., Liu K., Dyer A., Schoenberger JA, Shekelle RB, Collette P., et al. (1987). Sex differential in the relationship of electrocardiographic ST-T abnormalities to risk of coronary death: 11.5 year follow-up findings of the Chicago Heart Association Detection Project in Industry. Circulation 75:347-352.[Abstract/Free Full Text]
- Loesche WJ, Schork A., Terpenning MS, Chen YM, Dominguez BL, Grossman N. (1998). Assessing the relationship between dental disease and coronary heart disease in elderly US veterans. J Am Dent Assoc 129:301-311.[Abstract/Free Full Text]
- Mattila KJ (1993). Dental infections as a risk factor for acute myocardial infarction. Eur Heart J 14(Suppl K):51-53.[Medline]
[Order article via Infotrieve]
- Mattila KJ, Valle MS, Nieminen MS, Valtonen VV, Hietaniemi KL (1993). Dental infections and coronary atherosclerosis. Atherosclerosis 103:205-211.[Medline]
[Order article via Infotrieve]
- Mattila KJ, Valtonen VV, Nieminen M., Huttunen JK (1995). Dental infection and the risk of new coronary events: prospective study of patients with documented coronary artery disease. Clin Infect Dis 20:588-592.[Medline]
[Order article via Infotrieve]
- Mattila KJ, Asikainen S., Wolf J., Jousimies-Somer H., Valtonen V., Nieminen M. (2000). Age, dental infections, and coronary heart disease. J Dent Res 79:756-760.
- Menotti A., Seccareccia F. (1997). Electrocardiographic Minnesota code findings predicting short-term mortality in asymptomatic subjects. The Italian RIFLE Pooling Project (Risk Factors and Life Expectancy). G Ital Cardiol 27:40-49.[Medline]
[Order article via Infotrieve]
- Morrison HI, Ellison LF, Taylor GW (1999). Periodontal disease and risk of fatal coronary heart and cerebrovascular diseases. J Cardiovasc Risk 6:7-11.[Medline]
[Order article via Infotrieve]
- Ong G. (1996). Periodontal reasons for tooth loss in an Asian population. J Clin Periodontol 23:307-309.[Medline]
[Order article via Infotrieve]
- Ong G. (1998). Periodontal diseases and tooth loss. Int Dent J 48(Suppl 1):233-238.[Medline]
[Order article via Infotrieve]
- Seymour RA, Steele JG (1998). Is there a link between periodontal disease and coronary heart disease? Br Dent J 184:33-38.[CrossRef][Medline]
[Order article via Infotrieve]
- Shimazaki Y., Soh I., Saito T., Yamashita Y., Koga T., Miyazaki H., et al. (2001). Influence of dentition status on physical disability, mental impairment, and mortality in institutionalized elderly people. J Dent Res 80:340-345.
- Shinsho F. (1992). Dental health services for adults-a guide for 8020 movement by community health services and dental clinics. Tokyo: Ishiyaku Publishers, Inc.
- Stabholz A., Babayof I., Mersel A., Mann J. ( 1997). The reasons for tooth loss in geriatric patients attending two surgical clinics in Jerusalem, Israel. Gerontology 14:83-88.
- Tervahauta M., Pekkanen J., Punsar S., Nissinen A. (1996). Resting electrocardiographic abnormalities as predictors of coronary events and total mortality among elderly men. Am J Med 100:641-645.[CrossRef][Medline]
[Order article via Infotrieve]
Journal of Dental Research, Vol. 80, No. 7,
1648-1652 (2001)
DOI: 10.1177/00220345010800071001
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