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RESEARCH PRODUCT

Periodontal Alteration of the Microcirculation and Hypercholesterolemia: A Possible Correlation?

Giuseppe Alessandro ScardinaAntonino CacioppoTeresa PisanoPietro Messina

subject

AdultMalePeriodontiummedicine.medical_specialtyHypercholesterolemiamicrocirtulation HypercholesterolemiaGastroenterologyStatistics NonparametricMicrocirculationCorrelationSettore MED/28 - Malattie OdontostomatologicheAfferentStatistical significanceInternal medicineFrenulumHumansMedicineIn patientAgedbusiness.industryMicrocirculationMouth MucosaGeneral MedicineMiddle AgedCapillariesPeripheralLipoproteins LDLFemalebusinessLipoprotein

description

OBJECTIVE: We evaluated the morphological and parametric characteristics of the periodontal microcirculation in patients diagnosed as having hypercholesterolemia and high levels of low-density lipoprotein (LDL). METHODS: Forty patients were recruited, 20 of whom were affected by hypercholesterolemia and 20 of whom were considered healthy. A videocapillaroscopic examination was carried out on the periodontal mucosa in the proximity of the frenulum (II, V sextant). RESULTS: The difference between the parameters of the hypercholesterolemia group and the control group was evaluated with the Mann-Whitney U-test for non-parametric ordinal data; the level of significance being P < 0.05. The videocapillaroscopy documented extremely significant differences between the two groups, regarding the following parameters: total diameter of the loop (P = 0.0017), diameter of the afferent loops (P = 0.0004), diameter of the efferent loops (P = 0.00008) and periodontal density (P = 0.0001). CONCLUSIONS: The capillaroscopic examination revealed a morphological alteration of the periodontal microcirculation in patients with hypercholesterolemia, which is an expression of peripheral vascular phlogosis.

https://doi.org/10.1097/smj.0b013e318205ddf1