Ricerc@Sapienza

Oral diseases have been adversely associated with cardiovascular diseases (CVD), which are also the most frequent
cause of death in older population. The aim of this study was to investigate the association among oral status indexes and
CVD in patients aged more than 65 years attending in the Oral department of a public hospital Policlinico Umberto 1 of
Rome. The study population consisted of 533 patients. Dental status was detected measuring the Decayed, Missing, and
Filled Teeth (DMFT) and Community Periodontal Index (CPI) indexes. The chi-square test with a 95% confidence level
was used to assess qualitative variables. Odds ratios (ORs) and stepwise logistic regression were used to calculate risk
estimates; the independent variables: age, gender, DMFT, CPI index, Geriatric Oral Health Assessment Index (GOHAI)
score, and tooth loss were included in the statistical model. P value <0.05 was considered a statistically significant cut-off.
No differences were found between females and males for DMFT and CPI. GOHAI data were worst for females. Patients
with CVD had less education and oral care (P < 0.05), and higher CPI index and number of missing teeth (P < 0.05). Data
show that patients with more than 18 missing teeth have 2.5 times greater risk of CVD. CVDs are associated with type
2 diabetes mellitus, underweight, and obesity (P < 0.05). From the findings of this study, it can be confirmed a significant
link between CVD and oral health. A cooperation among geriatrician, cardiologist, and dentist is suitable to counteract
the development of CVD and to early identify patients at risk of CVD.