Atherosclerosis, Periodontal Disease
Conditions
Keywords
Periodontal disease, Atherosclerosis, Oral Pathogens, Native Americans, Inflammatory cytokines, Microbial metagenomics
Brief summary
We propose to examine a population of Native Americans who have had little or no dental care, and to determine if periodontal disease is associated with early signs of vascular dysfunction or systemic inflammation. We then propose to treat the periodontitis and re-evaluate vascular function. We will determine if gingivitis or mild/moderate periodontitis is associated with detectable vascular dysfunction. Microbial metagenomics will be correlated with vascular function.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* American Indian/Alaskan Natives seeking health care at the Indian Health Council, Inc. * Males and females aged 21-40 years.
Exclusion criteria
* Recent (within 6 months) periodontal treatment * History of high blood pressure or existing heart disease * Xerostomia * Currently receiving treatment for cancer * Currently taking anti-inflammatory medications (except H2 blockers, statins, or medications that can affect periodontal status * Immunosuppressed due to medication or HIV infection, or presence of active infection such as hepatitis or tuberculosis * Fewer than 20 teeth in functional dentition, excluding third molars, or other gross oral pathology
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Determination of bacterial populations in periodontal samples before and after standard periodontal treatment, stratified by severity of gum disease, using microbial metagenomics analysis. | Time of enrollment and at 6 week follow up visit | The study will assess if periodontal bacterial flora differ in patients with healthy gums, mild, or severe periodontal disease. |
Countries
United States