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P 90<br />

Title<br />

ASSOCIATIONS bETWEEN PERIODONTAL DISEASE AND TRANSIENT ISCHEMIC ATTACK<br />

Authors<br />

E. DRAGAN 1 , O. LADuNCA 1 , A. NEMTOI 1 , D. HAbA 1 , D HODOROG 1<br />

Affiliations<br />

1 UMPh ‚Gr.T.Popa‘‘, I<strong>as</strong>i, ROMANIA<br />

Body<br />

Objectives: Associations between systemic dise<strong>as</strong>es and periodontal dise<strong>as</strong>es are documented<br />

for a long time now through epidemiological studies. Periodontitis h<strong>as</strong> been shown to incre<strong>as</strong>e<br />

the systemic inflammatory response, which h<strong>as</strong> been implicated in atherosclerosis and cerebrov<strong>as</strong>cular<br />

events. One focus of interest is atherosclerosis, the underlying event of cerebrov<strong>as</strong>ular<br />

dise<strong>as</strong>es due to its serious health impact. The aim of this study w<strong>as</strong> to analyze the link<br />

between periodontitis and transient ischemic attack using Dental CT.<br />

Material and methods: 37 patients, 29 to 59 old with recent history of transient ischemic<br />

attack were selected by a neurologist. Three dentists, phD students, <strong>as</strong>sessed the odontal<br />

status of each patient on the Dental CT. We analyzed periapical lesions, interradicular lesions,<br />

number of missing teeth and loss of periodontal bone.<br />

Results:.After adjustment for age, gender, number of teeth, v<strong>as</strong>cular risk factors and dise<strong>as</strong>es,<br />

adult socioeconomic conditions and lifestyle factors a radiographic bone loss 3.6 times (1.58-<br />

8.28) higher risk of cerebral ischemia than subjects without periodontitis. 21% of the patients<br />

presented more than 6mm bone loss from the enamel-cement junction<br />

The study group analyzed by Dental CT presented high number of missing teeth, periapical<br />

lesions and interradicular lesions.<br />

Conclusions: Periodontitis is an independent risk factor for cerebral ischemia and acute exacerbation<br />

of inflammatory processes in the periodontium might be a trigger for the event of cerebral<br />

ischemia.This study confirms the existence of correlations between periodontal infections<br />

an transient ischemic attack.<br />

Keywords<br />

transient ischemic attack, periodontal bone loss, Dental CT<br />

POSTerS<br />

205

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