In Patients with Coronary Heart Disease: Does Oral Hygiene Matter? A Case-Control Study Among Iraqis

Abstract

Iraqis Muntathar Muhsen Abusanna, Ali Falah Hassan, Amal Oleiwi Hassan, Nawres Bahaa Muhammed

and distress all over the world. Current data have shown that viral and bacterial infections may also contribute to acute atherothrombotic events in susceptible people. Oral illnesses constitute a vital health burden for several countries. Both dental health and periodontal disease (POD) sharing multifactorial etiopathology with CHD. The objective of this work was to inspect the likely association between OHg in patients with CHD among Iraqis and match it to that of healthy subjects.
Material and methods: This are a case-control study, including 118 subjects who had selected from those attending Merjan teaching hospital in Babylon, and the control group included 50 healthy subjects matching the patients as regards sex and age group and had no cardiac problems. The study subjects have examined for their oral hygiene (OHg) in terms of dental caries and periodontal health. The data had analyzed using a computerized SPSS/25 IBM program. A P-value of less than 5% had measured as significant. The means and percentages had calculated for the main risk factors. The ''Student's t-test'' had applied to measure the changes between any 2-groups. Meanwhile, the ANOVA-test had been used to observe the variations among the groups.
Results: The CHD patients were significantly older than the controls (p-0.05). The males were predominant in this study. The risk factors in terms of hypertension, DM, and smoking history were more among the patients' group (p<0.05). All the DMFT-parameters and its breakdown, other than filling teeth, are higher among patients (p<0.05). Both grades and stages of POD were significantly worse among the patients compared to healthy subjects (p<0.05). There was no significant gender variation among the studied participants regarding all study of OHg parameters. With increasing age, there was a statistically significant worsening of OHg. The subjects who had a positive history of risk factors had a significant worse OHg(p<0.05).
Conclusion: Poor OHg in terms of dental caries and periodontal status is significantly more in patients with CHD compared to the control group.