Association between severe chronic periodontitis and cutaneous microvascular reactivity in hypertensive patients
Published 2020-07-03
Keywords
- Hypertension,
- Obesity,
- Periodontal disease,
- Bioimpedance,
- Laser Speckle
How to Cite
Copyright (c) 2020 Brazilian Journal of Health and Biomedical Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Abstract
Introduction: Periodontitis (PD) is characterized as a destructive disease that affects the tissues that support the teeth, reaching gums, periodontal ligaments, cement and alveolar bone. Objectives: In the present study, 49 patients were examined to evaluate a possible association between severe chronic periodontitis on cutaneous microvascular reactivity in hypertensive patients. Secondarily, the relationship between body adiposity and periodontitis was also evaluated. Materials and Methods: The periodontal evaluation included measurements of plaque index and bleeding on probing, probing pocket depth and clinical attachment loss. Cutaneous microvascular reactivity was analyzed by means of the Laser Speckle Contrast Imaging (LSCI), while the body fatness was examined through Electric Bioimpedance (BIA). Results: The results showed no significant difference in cutaneous microvascular reactivity in patients with severe chronic periodontitis as compared with periodontally healthy patients. The were no significant differences between hypertensive and normotensive individuals. In relation to body adiposity, periodontitis did not influence the results, but hypertensive patients showed higher fat mass indexes as compared to non-hypertensive patients. Conclusion: In conclusion, severe chronic periodontitis did not influence cutaneous microvascular reactivity and hypertensive individuals had higher body adiposity.
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References
- Temple LK, McLeod RS, Gallinger S, et al. Essays on science and society: Defning disease in the genomics era. Science. 2001;293:807-8.
- Kolemberg PE. Oral microbial communities: bioflms, interactions, and genetic systems. Ann Rev Microbiol. 2000;54:423-37.
- Page RC. Oral health status in the United States: Prevalence of infammatory periodontal diseases. J Dent Edu. 1985;49:354-64.
- Oliver RC, Brown LJ, Loe H. Periodontal diseases in the United States population. J Periodontol. 1998;69:269-78.
- Page RC, Ofenbacher S, Schroeder HE, et al. Advances in the pathogenesis of periodontitis: Summary of developments, clinical implications and future directions. Periodontol. 2000;1997(14):216-48.
- Darveau RP, Tanner A, Page RC. The microbial challenge in periodontitis. Periodontol. 2000;1997(14):12-32.
- Humphrey LL, Fu R, Buckley DI, et al. Periodontal disease and coronary heart disease incidence: a systematic review and meta-analysis. J Gen Int Med. 2008;23(12):2079-2086.
- Desvarieux M, Demmer RT, Jacobs DR Jr, et al. Periodontal bacteria and hypertension: the oral infections and vascular disease epidemiology study (INVEST). J Hypertens. 2010;28:1413-21.
- Tsakos G, Sabbah W, Hingorani AD, et al. Is periodontal infammation associated with raised blood pressure? Evidence from a National US survey. J Hypertens. 2010;28:2386-93.
- Vidal F, Cordovil I, Figueredo CM, et al. Non-Surgical periodontal treatment reduces cardiovascular risk in refractory hypertensive patients: a pilot study. J Clin Periodontol. 2013;40:681-687.
- Widlansky M, Gokce N, Keaney JF Jr, et al. The clinical implications of endothelial dysfunction. J Am Coll Cardiol. 2003;42:1149-60.
- Libby P, Theroux P. Pathophysiology of coronary artery disease. Circulation. 2005;111:3481-88.
- Teles R, Wang C-Y. Mechanisms involved in the association between periodontal diseases and cardiovascular disease. Oral Dis. 2011;17:450-61.
- Lira- Júnior R, Figueredo CM, Bouskela E, et al. Severe chronic periodontitis is associated with endothelial and microvascular dysfunctions: a pilot study. J Periodontol. 2014;85(12):1648-57.
- Hujoel PP, Drangsholt M, Spiekerman C, et al. Periodontal disease and coronary heart disease risk. JAMA. 2000;284:1406-10.
- Paizan MLM, Vilela-Martin JF. Is There an Association between Periodontitis and Hypertension? Current Cardiol Rev. 2014;10:355-361.
- Bahia L, Aguiar LGK, Villela NR, et al. Endotélio e aterosclerose. Revista da SOCERJ. 2004;17(1):26-32.
- Oliver JJ, Webb DJ. Noninvasive assessment of arterial stifness and risk of atherosclerotic events. Arterioscler Vasc Biol. 2003;23:554-66.
- Cracowski JL, Roustit M. Current methods to assess human cutaneous blood fow. An updated focus on laser based-techniques. Microcirculation. 2016;23:337–344.
- Hujoel PP. Dietary carbohydrates and dental - systemic diseases. J Dent Res. 2009;88: 490-502.
- Chapple ILC, Bouchard P, Cagetti MG, et al. Interaction of lifestyle, behaviour or systemic diseases with dental caries and periodontal diseases: consensus report of group 2 of the joint EFP/ ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol. 2017;44(Suppl. 18):S39–S51.
- Baumgartner RN, Chumlea WC, Roche AF. Bioelectric impedance phase angle and body composition. Am J Clin Nutr. 1988;48(1):16-23.
- Moynihan P, Petersen PE. Diet, nutrition and the prevention of dental diseases. Public Health Nutrition. 2004;7:201-26.
- Östberg AL, Nyholm M, Gullberg B, et al. Tooth loss and obesity in a defned Swedish population. Scand J Public Health. 2009;37:427-33.
- Lutoslawska G, Malara M, Tomaszewski P, et al. Relationship between the percentage of body fat and surrogate indices of fatness in male and female Polish active and sedentary students. J Physiol Anthropol. 2014;33(1):10.
- Souza EG, De Lorenzo A, Huguenin G, et al. Impairment of systemic microvascular endothelial and smooth muscle function in individuals with early-onset coronary artery disease: studies with laser speckle contrast imaging. Coronary Art Dis. 2014;25(1):23-8.
- Eickemberg M, Oliveira CC, Roriz AKC, et al. Bioelectric impedance analysis and its use for nutritional assessments. Rev Nutr. 2011;24(6):883-893.
- Roustit M, Millet C, Blaise S, et al. Excellent reproducibility of laser speckle contrast imaging to assess skin microvascular reactivity. Microvasc Res. 2010;80(3):505-11.
- Rosseau P, Mahé G, Haj-Yassin F, et al. Increasing the “region of interest” and “time of interest”, both reduce the variability of blood fow measurements using laser speckle contrast imaging. Microvasc Res. 2011;82:88-91.
- Kyle UG, Bosaeus I, De Lorenzo AD, et al. Bioelectrical impedance analysis - part I: review of principles and methods. Clin Nutr. 2004;23:1226-46.
- Cômodo ARO, Dias ACF, Tomaz BA, et al. Utilização da Bioimpedância para Avaliação da Massa Corpórea. Autoria: Associação Brasileira de Nutrologia Sociedade Brasileira de Nutrição Parenteral e Enteral. 2009. Disponível em http://www.projetodiretrizes.org.br/8_volume/39- Utilizacao.pdf. Acesso em: 20 de agosto de 17.
- Briers D, Duncan DD, Hirst E, et al. Laser speckle contrast imaging: theoretical and practical limitations. J Biomed Opt. 2013;18(6):066018.
- Demarco VG, Aroor AR, Sowers JR. The pathophysiology of hypertension in patients with obesity. Nat Rev Endocrinol. 2014;10(6):364-376.
- Cavalcante JL, Lima JA, Redheuil A, et al. Aortic stifness: current understanding and future directions. J Am Coll Cardiol. 2011;57:1511-1522.
- Chafee BW, Weston SJ. Association between chronic periodontal disease and obesity: a systematic review and meta-analysis. J Periodontol. 2010;81:1708-1724.
- Pires JR, Dos Santos IP, de Camargo LF, et al. Framingham cardiovascular risk in patients with obesity and periodontitis. J Indian Soc Periodontol. 2014;18:14-8.
- Slotwinska SM, Slotwinska R. Host response, obesity, and oral health. Central European J Immunol. 2015;40(2):201-5.
- Shrestha S, Shrestha RM. Correlation between oral health and body mass index among Nepalese teachers. Kathmandu Univ Med J (KUMJ). 2016;14(55):231-34.
- Lee JH, Oh JY, Youk TM, et al. Association between periodontal disease and non-communicable diseases. 12-year longitudinal health-examinee cohort study in South Korea. Medicine. 2017;96:26.
- Park J-B, Nam GE, Han K, et al. Obesity in relation to oral health behaviors: An analysis of the Korea National Health and Nutrition Examination Survey 2008-2010. Exp Therap Med. 2016;12:3093-3100.