Original Research Article
Year: 2020 | Month: April | Volume: 7 | Issue: 4 | Pages: 358-362
Correlation between Pulpal Inflammation (Using RCT as a Surrogate) and Coronary Heart Disease (CHD) Cases
Maria Manhas1, Alia Manhas2, Deepanshu Sharma3
1MDS, Senior Lecturer, Department of Pedodontics and Preventive Dentistry, Himachal Dental College, Sundernagar, HP.
2BDS, Himachal Dental College, Private Consultant (J & K)
3JR3, Department of Prosthodontics, Crown & Bridge, Subharti University, Meerut
Corresponding Author: Deepanshu Sharma
ABSTRACT
Background: Coronary artery disease (CAD) has been recorded as the leading cause of morbidity and mortality worldwide. Primarily caused by coronary caries, pulpal inflammation contributes to root canal therapy (RCT). Chronic inflammation has been related to a variety of cardiovascular diseases. This research assesses the correlation between pulpal inflammation (using RCT as a surrogate) and coronary heart disease (CHD) cases.
Material and method: The present follow up study was conducted in the department of dentistry. The study population comprised of Health Professionals’ (HP’s). Of the 12,289 participants who replied to the questionnaire, we had 11,158 participants who answered questions from the RCT and from caries. We recorded 382 CHD cases among eligible men who were CVD-free at baseline in 2001, when the research started. The relation between RCT and the resulting CHD accident was measured.
Results: When we evaluated RCT as a risk factor for subsequent CHD, the association was not significant in the analysis adjusting for age, smoking, and family history of MI (RR=1.41), and remained insignificant in the multivariate analyses too (RR=1.34).The association between RCT and incident CHD was limited to dentists.
Conclusion: Dental caries was not associated with CHD. The results suggest a possible modest association between pulpal inflammation and CHD.
Keywords: Cardiovascular disease, caries, epidemiology, inflammation, root canals
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