Atheroma, Cardiovascular Diseases, Coronary Artery Disease
Conditions
Keywords
Coronary artery disease, C reactive protein, Periodontitis, Periodontal therapy, Flow-mediated dilation
Brief summary
Gingival inflammation has been associated with cardiovascular diseases, including heart attack and stroke, because of elevation of blood risk markers such as cholesterol, glucose and C reactive protein. The treatment of gingival diseases decreases the concentration of these risk factors in the blood of cardiovascular patients.
Interventions
Oral hygiene instruction and motivation will be provided altogether with scaling and root planing of all teeth affected by periodontitis under local anesthesia
One session of supraginigval calculus removal
Sponsors
Study design
Eligibility
Inclusion criteria
* 35 years and older * coronary artery disease * more than 10 teeth * chronic periodontitis defined as 2 non-adjacent teeth with probing depth 5+mm and periodontal attachment loss 4+mm
Exclusion criteria
* use of antibiotics in the last 6 months * periodontal therapy in the last 12 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in C reactive protein | Baseline, 3, 6 and 12 months |
| Changes in flow-mediated dilation | Baseline, 1, 3 and 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Changes in Interleukin 8 | Baseline, 3, 6, 12 months |
| Changes in Interleukin 6 | Baseline, 3, 6, 12 months |
| Changes in Cholesterol | Baseline, 3, 6, 12 months |
| Changes in Interleukin 1B concentrations | Baseline, 3, 6, 12 months |
| Changes in LDL/HDL | Baseline, 3, 6, 12 months |
| Changes in Fibrinogen | Baseline, 3, 6, 12 months |
| Changes in Glycated hemoglobin | Baseline, 3, 6, 12 months |
| Changes in TNF alpha | Baseline, 3, 6, 12 months |
Countries
Brazil