Does Oral Hygiene Trigger Carotid Artery Intima-Media Thickness?


  • Ihsan Sami Uyar
  • Veysel Sahin
  • Mehmet Besir Akpinar
  • Feyzi Abacilar
  • Faik Fevzi Okur
  • Ugur Ozdemir
  • Mehmet Ates
  • Elif Filiz Yasa



Background and Purpose: The aim of this study was to evaluate whether poor oral hygiene is associated with the intima-media thickness of the carotid arteries, which is one of the predictors of future progression of subclinical atherosclerosis.

Methods: We selected 108 patients during periodontal examinations according to their oral hygiene. The patients had no history of atherosclerotic disease. The results of carotid artery B-mode ultrasonography examinations were analyzed at baseline and after a mean of 7.8 months. Patients were scored on the DMFT index for the number of decayed (D), missing (M), and filled (F) teeth (T). We also used the Silness-Loe plaque index (SLI) to evaluate oral hygiene and dental plaque. The patients were divided into 2 groups according to DMFT and SLI criteria. Group I had a DMFT index of 0 to 3 and an SLI score of 0 or 1; group II had a DMFT index of 4 to 28 and an SLI score of 2 or 3.

Results: Dental status and oral hygiene were significantly associated with carotid artery intima-media thickness. Patients with increasing DMFT and SLI indices were correlated with intima-media thickness of the carotid artery.

Conclusions: Chronic poor oral hygiene and tooth loss are related to subclinical atherosclerotic changes in the carotid arteries and might be indicative of future progression of atherosclerosis.


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How to Cite

Uyar, I. S., Sahin, V., Akpinar, M. B., Abacilar, F., Okur, F. F., Ozdemir, U., Ates, M., & Yasa, E. F. (2013). Does Oral Hygiene Trigger Carotid Artery Intima-Media Thickness?. The Heart Surgery Forum, 16(4), E232-E236.




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