Wj. Loesche et al., ASSESSING THE RELATIONSHIP BETWEEN DENTAL DISEASE AND CORONARY HEART-DISEASE IN ELDERLY US VETERANS, The Journal of the American Dental Association, 129(3), 1998, pp. 301-311
Several recent studies have shown a link between dental disease and co
ronary heart disease. The authors studied 320 U.S. veterans in a conve
nience sample to assess the relationship between oral health and syste
mic diseases among older people. They present cross-sectional data con
firming that a statistically significant association exists between a
diagnosis of coronary heart disease and certain oral health parameters
, such as the number of missing teeth, plaque benzoyl-DL-arginine-naph
thylamide test scores, salivary levels of Streptococcus sanguis and co
mplaints of xerostomia. The oral parameters in these subjects were ind
ependent of and more strongly associated with coronary heart disease t
han were recognized risk factors, such as serum cholesterol levels, bo
dy mass index, diabetes and smoking status. However, because of the co
nvenience sample studied, these findings cannot be generalized to othe
r populations.