Table of Contents
Journal of Oral Diseases
Volume 2013, Article ID 243736, 9 pages
Clinical Study

Clinically Classified Periodontitis and Its Association in Patients with Preexisting Coronary Heart Disease

1Maxillofacial and Oral Surgery, 401-General Military Hospital of Athens 138, Mesogeion Avenue & Katehaki, 115 25 Athens, Greece
2Department of Pathological Anatomy, Medical School, University of Athens, 75 M. Asias Street, 115 27 Athens, Greece
3417-General Military Hospital of Athens-NIMTS, 10-12 M. Petraki Street, 115 21 Athens, Greece

Received 21 March 2013; Accepted 27 May 2013

Academic Editor: Atsushi Saito

Copyright © 2013 Nikolaos A. Chrysanthakopoulos and Panagiotis A. Chrysanthakopoulos. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The aim of this retrospective study was to investigate possible associations between clinically classified periodontitis as determined by assessing its severity and diagnosed coronary heart disease in outpatients referred to a specialist clinic for neurosurgery treatment. A total of 2,912 individuals were clinically examined for periodontal disease experience by using probing pocket depth (PPD) and clinical attachment loss (CAL). Socioeconomic, oral health behaviour, and general health related information was collected by using a self-administered questionnaire. Statistical analysis of the questionnaire items was performed by using multivariate logistic regression analysis model. The results showed that the occurrence of hypertension ( , 95% CI = 1.52–3.84), smoking ( , 95% CI = 1.25–3.11), classified periodontitis ( , 95% CI = 1.15–2.77), and the high level of serum C-reactive protein ( , 95% CI = 1.05–2.89) were significantly associated with the presence of coronary heart disease. These observations strengthen the role of some of the traditional causative risk factors for coronary heart disease while a significant association was recorded between diagnosed coronary heart disease and clinically classified periodontitis which is considered as a risk factor for coronary heart disease.