2012, Number 43
Oral 2012; 13 (43)
Association of periodontal disease with ischemic stroke
Leyva LD, Guerrero ÁF, Pérez GLE, Ramírez LR, Sánchez MJ, Cruz LC, Benítez MJM, Tellez JH, Oliver PR
Language: Spanish
References: 0
Page: 914-918
PDF size: 103.81 Kb.
ABSTRACT
Objetive: identify the extent or presence of periodontal disease presenting patients hospitalized with diagnosis established by TAC of ischemic stroke within the first seven days of evolution. Introduction: ischemic attack or cerebral ischemia is damage to the brain due to reduced blood supply, oxygen and nutrients when vessels responsible for this task are clogged. In this case the nerve cells in the affected area may die within minutes. This damage can cause impairments in body functions such as speech, memory and / or movement depending on the brain area affected. When this obstruction is greater than 24 hours is established ischemic cerebrovascular event, but when this is shorter than the time range is called a transient ischemic attack. The pathogenesis of periodontal disease is complex because it is a combination of the initiation and maintenance of chronic inflammation by diverse flora and microbial products plaque. Subsequent host response to this infection is mediated by a pattern of tissue destruction. Periodontitis is associated with elevated markers of inflammation that are considered themselves as risk for ischemic stroke, and there is evidence that these bacteria are found in carotid plaques, although their role in atherogenesis is not welld defined. Materials and methods: we included patients hospitalized for four health institutions with confirmed diagnosis of ischemic stroke associated with periodontal disease, previous valuation Critical Medicine and then are evaluated periodontally. PS.NI were evaluated, was included in laboratory studies BH, QS and examinations of the CT cabinet. Results: the results show that patients with a diagnosis of ischemic stroke periodontal disease had moderate to severe against hospital controls and population groups, this allows the two entities associated pathologies in order to make prevention and treatment of various patient groups. Conclusions: in this study it was determined that 100% of patients with periodontal indices showed ACI characteristic moderate and advanced chronic EP, as well as the need for specialized dental care for patients in hospitals of intensive, where inability exists that patients have good control of oral hygiene.