Executive Summary - Fss.aero

Both the American Academy of Periodontology and the ROC Academy of
Periodontology had formal documents describing that statistically the direct
relationships
between periodontal infection and cardiac diseases or strokes. They also
pointed out that the risk factor of people who had periodontal infection to have
systemic diseases and cardiac strokes was more than double as compared to people
who did not have periodontal infections. (Reference: “Periodontal Disease As A
Potential Factor for Systemic
Diseases,” Journal of Period ontology, Vol. 69, p. 841-
850
1998.) Furthermore, based on the categorization of periodontal diseases, the
traditional categories were: 1. Gum diseases, 2. Early periodontitis, 3. Mid-level
periodontitis, 4. Serious periodontitis, 5. Recurring periodontitis. If based on the 1989
World Period ontology Congress, there would be eight categories, namely: 1. Gum
diseases, 2. Chronic periodontitis, 3. Invasive periodontitis, 4. Disease
related
periodontitis,
5. Periodontonecrosis, 6. Pus swelling of periodontal structure, 7.
Pathological changes in periodontal make-up, 8. Congenital or acquired periodontal-
related irregularity. (Reference: “Screening and Categorization of Periodonts” Journal
of ROC Academy
of Period ontology, Vol. 3, p. 168 September 2000) This issue
stated
that periodontal infections should not be limited to acute periodontal infections.
Inasmuch as the deceased pilot was diagnosed as having periodontitis in November 8,
1999, the Aviation Medical Center did not have related recommendations. When the
pilot, in the process of the examination, told the center of his periodontal medical
history, the center’s diagnostic result was “non-acute periodontitis, needs to be
pursued further.” The whole thing was based on judgment, without the benefit of
screening or diagnosis; therefore the pilot was not informed that his risk of heart
diseases or cardiac strokes had just gone up.
According
to the final judgment of the cardio-vascular specialist, the high white blood
cell count did not bear any direct relationship to the coronary occlusion.
2.2.4 Impact of high blood fat on the cause of death
Article 22 of Chapter 2 of the “Civil Aviators’ Physical Examination Handbook”
stated very clearly the procedures for examination of high blood fat level, with
cholesterol value in excess of 6 as a threshold level, where, on a case-by-case basis, a
person may be asked to cut down smoking, lose weight, exercise, and go on a low-fat
diet. When cholesterol level exceeded 240, dietary treatment should be recommend by
a dietician.
The doctor of Aviation Medical Center wrote the suggestions for the pilot to watch his
dietary intake as well as having a regular exercise regimen. However, there was no
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