OBSERVATIONAL STUDY ABOUT EFFECTS OF PERIODONTAL SURGICAL THERAPY ON BLOOD PRESSURE
Journal Title: INTERNATIONAL JOURNAL OF PURE MEDICAL RESEARCH - Year 2018, Vol 3, Issue 11
Abstract
AIM: The aim of the study is veried if, in periodontal patients who need surgical treatment, surgery is or is not able to change pressure prole, both in normotensive and in hypertensive persons, even if they are in pharmacological treatment. MATERIAL AND METHODS: 60 patients were monitoring, all with periodontal disease, 30 of them did not suffer from arterial hypertension and 30 were hypertensive. All patients needed a periodontal surgical treatment. The protocol used for this studio is: Ÿ Anamnesis, detection of blood pressure and anthropometric parameters at time 0; Ÿ Detection of periodontal indices; Ÿ Causal therapy and detection of blood pressure at the end of the cycle; Ÿ Periodontal surgery; Ÿ Detection of blood pressure after 4 months;\ Ÿ Revaluation and detection of blood pressure after 8 months. RESULTS: Hypertensive patients with generalized or localized aggressive periodontitis, showed an improvement of blood pressure levels, especially the systolic pressure that lowered by 10/20 mmHg at 4 months; this value has been also maintained at 8 months. Normotensive patients with aggressive periodontitis didn't showed important modication during pressure controls. Hypertensive patients with chronic periodontitis, showed an improvement of blood pressure by 10/20 mmHg, but for 14 patients, after review of 8 months, 6 of them had the same blood values they had before periodontal surgical treatment. Normotensive patients with chronic periodontitis didn't showed modication during pressure controls. CONCLUSION: We can affirm that periodontal surgery, performed after a casual therapy, improves the blood pressure in hypertensive patients, especially in patients with aggressive periodontitis. This data must be considered with caution because this observational studio has limited sample and follow up time.
Authors and Affiliations
Michele M. Figliuzzi, Amerigo Giudice, Leonzio Fortunato
Keywords
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