cardiovascular-agents and Dental-Caries

Topics: Acute Coronary Syndrome; Anti-Bacterial Agents; Cardiobacterium; Cardiovascular Agents; Coronary Angiography; Dental Caries; Echocardiography, Transesophageal; Embolism; Endocarditis, Bacterial; Gram-Negative Bacterial Infections; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Mitral Valve Insufficiency; Treatment Outcome

Cardiovascular diseases are the leading cause of death in the United States and most other Western countries. In the United States alone, more than 1 million annual deaths and as many as three times that number of serious consequences can be attributed to these conditions. To provide care to patients with cardiovascular disease, oral health care providers must understand the disease, its treatment, and its impact on the patient's ability to undergo and respond to dental care.

Topics: Cardiovascular Agents; Cardiovascular Diseases; Dental Care for Chronically Ill; Dental Caries; Gingival Hyperplasia; Gingivitis; Humans; Lichen Planus; Pacemaker, Artificial; Periodontal Diseases; Risk Assessment; Xerostomia

Our aim was to compare two groups of 88- and 92-year-olds (n = 92 and n = 40), respectively, with regard to teeth, caries, and salivary and microbial conditions. Oral variables were analyzed in relation to functional capacity and use of cardiovascular agents and psychoactive drugs. Untreated root caries, plaque score, and counts of lactobacilli increased between the ages of 88 and 92 years (P < 0.01). Nine of the 24 longitudinally followed up subjects had lost 1-5 teeth over 4 years, and 17 subjects had developed new caries (DFS). The mean caries increment over 4 years was 1.3 coronal and 3.6 root surfaces, and new DFS per 100 surfaces at risk was 4.3 coronal and 17.5 root surfaces. Plaque score and final pH of buffer capacity increased (P < 0.05 and 0.01, respectively), whereas saliva flow, independent of gender, was unchanged. Use of cardiovascular agents and psychoactive drugs was associated with a deteriorated dental status.

Topics: Activities of Daily Living; Aged; Aged, 80 and over; Aging; Buffers; Cardiovascular Agents; Colony Count, Microbial; Cross-Sectional Studies; Dental Caries; Dental Plaque Index; DMF Index; Female; Humans; Hydrogen-Ion Concentration; Lactobacillus; Longitudinal Studies; Male; Mouth; Psychotropic Drugs; Root Caries; Saliva; Secretory Rate; Streptococcus mutans; Streptococcus sobrinus; Sweden; Tooth Loss