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Hyperuricemia Has a Deleterious Role in Patients with Acute Coronary Syndrome Presented with Poor Oral Hygiene
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| Author:
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AMIR AL-MUMIN, HAYDER ABDUL-AMIR MAKKI AL-HINDY
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| Abstract:
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Acute coronary syndrome (ACS) is a principal reason for death and incapacity universally. Oral hygiene (OHg) in terms of gum diseases (GD) and/or dental caries (DCr) has been exposed to be consociated with increased risk of ACS. Nevertheless, this does not indicate a causal association. Both ACS and OHg are multifactorial disorders and sharing several etiopathogeneses. One of the shared risk factors is hyperuricemia. This study aims to evaluate the relationship of high SUA with OHg in patients with ACS. This was a cross-sectional study, aimed to evaluate and correlate SUA values with OHg in both ACS (118 patients) and control (50 subjects) groups. Evaluation of DCr was according to DMF-T-index. Grading of GD was applied based upon ''new classification outline for periodontal diseases 1999-classification''. The severity of GD estimated by using specific uniform prob to calculate ''clinical-attachment-loss'' (CAL) between the gum and the alveolar edge in millimeters. Subjects were classified according to SUA levels into normouricemic and hyperuricemic. ANOVA-test was practiced to correlate SUA with groups of DMF-T scores, GD severity, and stages. The variation and correlation among variables were significant once p-value =0.05. Outcomes are presented as mean±SD. The statistical data was treated and investigated using SPSS 25 IBM. There were no significant differences in SUA levels between ACS patients and healthy subjects. Around 2/3rd of the subjects was normouricemic. The total caring index of whole participants was poor (11.7±10.4), worsen more significantly among patients 14.6±10.8 vis 5.0±5.0. Likewise, DMF-T scores and other carious indices (DT, MT, and FT) were inferior among control comparing to patients. Around 3/4th patients, vis 20% of the controls were complaining generalized GD. Whereas 14% vis 12% suffered a localized GD and the remaining 9% vis 2/3rd had normal gum hygiene consequently. Concerning the staging of GD, 41% of patients' vis 28% control had mild, 28% vis 4% had moderate, and 21% vis 0% had a severe form of GD consequently. The residual 10% of patients' vis 68% control had normal gum. All parameters of OHg worsening with incremental levels of SUA among all studied participants indicate the deleterious effect of hyperuricemia on OHg. There was a nonsignificant increase risk of developing poor OHg in ACS patients with hyperuricemia. Poor OHg in terms of both DCr and GD is associated with incremental levels of SUA. Hyperuricemia has a deleterious role in OHg in ACS patients. There was no statistically significant impact of gender on the incidence of all OHg parameters among ACS patients.
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| Keyword:
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oral hygiene, dental caries, gum diseases, acute coronary syndrome.
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2020.SP1.193
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| Download:
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