Stroke and periodontal Disease in Senegal: A case-control study
Objectives: The aim of this study was to determine the periodontal factors associated with the occurrence of stroke in melanodermic subjects in Senegal.
Study design: This was a case-control study.
Method: It had 120 cases and 120 controls. The cases group was made up of patients with a diagnosis of stroke established by a neurologist and confirmed by scanner. The controls had never had any type of stroke. Information collected was related socio-demographic characteristics, lifestyle, general history, information on stroke (ischemic or hemorrhagic) and periodontal parameters, plaque index, papillary bleeding index, pocket depth, clinical attachment loss, CPITN and periodontitis, defined by a clinical attachment loss > 2 mm and pocket depth > 3 mm. Logistic regression analysis with R software was used to isolate a final model after adjustment for the 5% threshold.
Results: Periodontal characteristics were globally more important among cases than among controls. Periodontitis (OR = 1.58 [1.1-3.022]) and periodontal parameters were significantly associated with the occurrence of stroke, adjusted for hypertension, sedentary lifestyle and interaction periodontitis*age.
Conclusions: Periodontal disease is involved in the occurrence of stroke in the Senegalese context. Prospective longitudinal studies should be envisaged to understand better and to highlight any association between stroke and periodontal disease.
Key words: stroke, periodontal disease, melanodermic subject, Senegal
Auteur(s) : Diouf M., Basse A., Ndiaye M., Cissé D., Lo CMM., Faye D.
Année de publication : 2015
Revue : public health
N° de volume : sous presse
Type : Article
Mise en ligne par : DIOUF Massamba