DOENÇA PERIODONTAL COMO POSSÍVEL FATOR DE RISCO PARA ATEROSCLEROSE CORONARIANA PERIODONTAL DISEASE AS A POSSIBLE FACTOR OF RISK FOR CORONARY ATHEROSCLEROSIS

Several scientifi c works showed a signifi cant association between periodontal parameters and cardiovascular problems. The aim of this research went to evaluate to oral health and the periodontal disease in humans verifying if these conditions potentially could be correlated as possible risk factors for coronary atherosclerotic disease. Eighty patients were submitted the coronary angiography and divided in two groups: patients with coronary atherosclerotic disease (n=59) and patients without coronary atherosclerotic disease (n=21). The analyzed variables were age, gender, smoking, alcoholic using, hypertension, diabetes, total cholesterol, LDL, HDL, triglycerides and obesity; reactive C-protein. The periodontal exam and of the condition of health and oral hygiene consisted of the following parameters: tongue biofi lm presence, number of periodontal pockets with clinical depth ≥5mm; number of sites with loss of clinical insert ≥ 6mm; gingival index, plaque index, number of patients and sites with exudates, dental loss. The results showed the parameters of oral hygiene (p=0.0237) and the periodontal condition presented values signifi cantly different when compared the groups (p<0.0001), indicating that patients with periodontal disease have larger probability of having coronary problems (Odds Ratio= 3.913; 95% IC= 1.326 – 11.550; p=0.0125). The conclusion of this study suggests that periodontal disease may to represent an important role with systemic impact and could be considered as a possible risk factor for coronary atherosclerosis, justifi ed by clinical parameters evaluated.