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Patients with good periodontal health had a better systolic BP profile when treated with antihypertensives than those with poor periodontal health, according to a study published in the US. Hypertension.
"Physicians should pay particular attention to the oral health of patients, especially those receiving treatment for hypertension, and encourage those with signs of periodontal disease to seek treatment", Davide Pietropaoli, DDS, PhD, member of the Department of Life Sciences, Health and Environment of the University of L'Aquila in Italy, said in the press release. "Similarly, dental health professionals must be aware that oral health is vital to overall physiological health, including cardiovascular fitness."
The researchers analyzed data from 3,626 patients in the National Health and Nutrition Survey examined from 2009 to 2014, over the age of 30 and treated for hypertension.
Periodontal examinations were performed and the patients were classified by periodontitis severity: none (47.8%, mean age, 63 years, 40% men), mild (2.9%, average age, 57 years). years, 46% of men), moderate (37.8%, average 64 years (51% of men) and severe (11.5%, average age 63 years, 62% of men Measurements of arterial BP were also taken during the study.
Patients with periodontitis treated for hypertension had an unadjusted mean raw systolic BP greater than about 2.3 mmHg compared to patients without periodontitis (133.43 mmHg versus 131.17 mmHg; P <0.001). The difference between the two groups increased to about 3 mmHg after adjustment (P <0.001).
Compared with patients without periodontitis, patients had an increased risk of 20% failure of antihypertensive therapy (OR = 1.2, 95% CI, 1.03-1.39) except when C-reactive protein was included in the model (OR = 1.19). ; 95% CI, 0.91-1.54).
Patients with moderate to severe periodontitis had lower blood pressure control than those with mild periodontitis.
"Along with lifestyle measures, periodontal therapy can help reduce blood pressure to some extent, potentially limiting the need for additional medications," wrote Pietropaoli and colleagues. – by Darlene Dobkowski
Disclosures: The authors do not report any relevant financial information.
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