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Aquilino Hurle Gonzalez

Hospital General de Alicante, Spain

Title: Sex role on degenerative cardiovascular disease on gingivitis

Abstract

Background: The prevalence of periodontitis on adult population is about 90%. When it progresses getting worse it becomes gingivitis. The prevalence of gingivitis is around 45% when periodontitis is present. Surgical degenerative cardiovascular disease is more frequent in men. Gingivitis is frequently associated with this disease and some authors believe that this may be the cause of surgical degenerative cardiovascular disease due to bacterial spread of dental plaque and gingival mucosa. In the adult population of our mediun gingivitis is more frequent in male. However, among patients with surgical degenerative cardiovascular disease prevalence of etiologic risk between the two sexes is different than in the adult population without surgical degenerative cardiovascular disease.  Surgical degenerative cardiovascular disease has the same ethiologic factors than periodontitis (smoking, alcohol abuse, diabetes, blood hypertension, inadequate diet, obesity, sedentary lifestyle, hypercholesterolemia). The objective is to study the prevalence of gingivitis among patients with surgical degenerative cardiovascular disease depending on their sex. 

Methods: From January first to december 31 on 2022, 231 interventions were carried out in surgical degenerative cardiovascular disease (97 coronary by-pass surgery, valvular aortic stenosis surgery in 96, and on 38 with both surgery). There are 100 women (Group A) and 131 male (Group B). To study the severity of gingivitis we use the index of Loe and Silness reduced (IG-r), which was used to assess the degree of gingivitis. The informed consent was explained and signed by the patient. The hospital ethics committee was informed. Continuous variables are expressed as mean value ± SD. Comparisons between continuous variables were performed using a two-tailed unpaired Student t-test. Dichotomous variables were compared using contingency table and chi-square analysis. A p value of < 0.05 was taken as statistically significant. The statistical study was done using SPSS 18 system.  

Results: There were no significant differences between groups A and B in the presence of comorbidities (renal failure, pulmonary pathology, neurological deficits, peripheral vascular pathology and arterial hypertension), except in the incidence of diabetes (significantly higher in women). Gingivitis prevalence was similar in both sexes (100 % in both groups), but the severity was different: The IG-r was 2.12 ± 0.8 (inflammation severe) in women and 1.73 ± 0.3 (moderate inflammation) in the male (p<0.05).  

Conclusions: Gingivitis prevalence was similar in both genders (100% in both groups), but the severity was different: inflammation is more severe in women and moderate in the male, in a paradoxical way, given that in the normal adult population, the male has significantly more prevalence of gingivitis.

Biography

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