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Periodontitis in coronary heart disease patients: strong association between bleeding on probing and systemic biomarkers
Author(s) -
Bokhari Syed Akhtar H.,
Khan Ayyaz A.,
Butt Arshad K.,
Hanif Mohammad,
Izhar Mateen,
Tatakis Dimitris N.,
Ashfaq Mohammad
Publication year - 2014
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12284
Subject(s) - systemic inflammation , medicine , periodontitis , bleeding on probing , fibrinogen , systemic disease , stepwise regression , c reactive protein , gastroenterology , inflammation , chronic periodontitis , cardiology , disease
Aim Few studies have examined the relationship of individual periodontal parameters with individual systemic biomarkers. This study assessed the possible association between specific clinical parameters of periodontitis and systemic biomarkers of coronary heart disease risk in coronary heart disease patients with periodontitis. Materials and Methods Angiographically proven coronary heart disease patients with periodontitis ( n = 317), aged >30 years and without other systemic illness were examined. Periodontal clinical parameters of bleeding on probing ( BOP ), probing depth ( PD ), and clinical attachment level ( CAL ) and systemic levels of high‐sensitivity C‐reactive protein ( CRP ), fibrinogen ( FIB ) and white blood cells ( WBC ) were noted and analyzed to identify associations through linear and stepwise multiple regression analyses. Results Unadjusted linear regression showed significant associations between periodontal and systemic parameters; the strongest association ( r = 0.629; p < 0.001) was found between BOP and CRP levels, the periodontal and systemic inflammation marker, respectively. Stepwise regression analysis models revealed that BOP was a predictor of systemic CRP levels ( p < 0.0001). BOP was the only periodontal parameter significantly associated with each systemic parameter ( CRP , FIB , and WBC ). Conclusion In coronary heart disease patients with periodontitis, BOP is strongly associated with systemic CRP levels; this association possibly reflects the potential significance of the local periodontal inflammatory burden for systemic inflammation.