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PERIODONTAL HEALTH IN PATIENTS ACUTELY ADMITTED FOR MYOCARDIAL INFARCTION: A CASE CONTROL STUDY

This research wants to understand if there is a link between gum disease and heart attacks. It's known that things like genetics, lifestyle, and other health issues can increase your risk of a heart attack. However, scientists are also exploring if long-lasting inflammation in the body, like from untreated gum disease, could play a role. When gum disease is left untreated, inflammation can spread from the gums into the bloodstream, potentially affecting other parts of the body. In this study, scientists will carefully compare the gum health of people who have recently had a heart attack with that of people who have never had heart problems, making sure to consider other known risk factors. The results will help design future studies to see if treating gum disease could reduce the risk of heart attacks and inform new prevention strategies.

At a glance

Status
Recruiting
Sponsor
University of Aberdeen
Enrolment target
320
Start
16 Feb 2018
Estimated completion
14 Mar 2027

What is this study about?

Heart attacks continue to be a big health concern, especially here in Scotland. We know that many things can increase a person's risk, such as their family history, existing health conditions, and lifestyle choices like smoking. However, researchers are also looking at other possible factors. One area of interest is long-lasting inflammation in the body, which is the body's reaction to infection or injury. Scientists believe that this type of inflammation, even if it's not directly in the heart, could contribute to heart problems.

One specific condition that causes ongoing inflammation is gum disease (also known as periodontal disease). If gum disease is not treated, the inflammation in the gums can spread throughout the body. Tiny inflammatory substances can travel from the gums into your bloodstream, potentially affecting various organs and body systems. This study aims to investigate if gum disease might be a hidden risk factor for heart attacks.

To do this, the research team will carefully compare the gum health of two groups of people: those who have recently experienced a heart attack and those who have never had heart problems. They will make sure that other well-known risk factors for heart attacks, like age, gender, and conditions like high blood pressure or diabetes, are similar between the groups. By doing this, they hope to get a clear picture of whether gum disease plays a role. The information gathered from this study will be really important for planning future research, including studies that will look at whether treating gum disease can actually lower the risk of having a heart attack, and how cost-effective such treatments might be. Ultimately, this research could lead to new ways of preventing heart attacks and improving public health.

Key takeaways

  • The study explores a possible link between gum disease and heart attacks.
  • It compares gum health in people who've had a heart attack to those who haven't.
  • This research aims to find new ways to prevent heart attacks.
  • Participation involves a detailed gum health check-up.
  • The study does not involve medication or treatment.
  • Your willingness to participate helps advance medical understanding.

Who may be eligible?

This study is looking for people aged between 20 and 90 years old.

They are particularly interested in two groups: first, people who have recently been admitted to hospital because they've had a heart attack. Second, they are looking for people who go to the dentist regularly and have never had a heart attack. For this second group, they'll try to match them closely in terms of age, gender, and other risk factors for heart disease like high blood pressure, obesity, diabetes, smoking, and high cholesterol.

You wouldn't be able to join the study if you have severe long-term illnesses, can't give your clear permission to take part, or if you are pregnant. Also, people with certain other inflammatory illnesses, those who have taken specific antibiotics or other medications in the last three years, people with weakened immune systems, or those with cancer would not be suitable for this particular study.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you between 20 and 90 years old?
  2. Have you recently been admitted to hospital for a heart attack, OR do you attend the dentist regularly and have no history of heart problems?
  3. Are you able to provide your own clear consent to take part?
  4. Are you not pregnant, and do you not have other severe inflammatory conditions or cancers?
  5. Have you not taken certain antibiotics or specific medications in the last three years (they can confirm which ones)?
  6. Do you not have a weakened immune system?
Answer every question to see your result.

What does participation involve?

If you decide to take part in this study, the main part of your involvement will be a detailed check-up of your gum health. This will be done using a special computerised probe called a Florida probe, which helps to accurately measure your gums. This examination is a common dental procedure and will involve carefully checking all your teeth and gums. There are no medications to take as part of this study, and there will be no follow-up visits specifically for this study beyond the initial examination. The entire process, including providing your consent and having the gum examination, will likely take a single visit of up to an hour or two.

Potential risks and benefits

Taking part in this study may offer a small benefit by providing you with a detailed assessment of your gum health. The risks involved are minimal, similar to a routine dental check-up. The computerised gum examination is safe, though it might cause some very mild, temporary discomfort, similar to standard probing during a dental check. You are free to withdraw from the study at any time, for any reason, without it affecting your medical care.

Locations (1)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Dr Karolin Hijazi
    Verified postcode
    Aberdeen, United Kingdom· Recruiting

Common questions

What is gum disease?

Gum disease is an ongoing infection and inflammation of the tissues that support your teeth. If left untreated, it can damage your gums and the bone around your teeth.

What is a heart attack?

A heart attack happens when the blood flow to a part of the heart is blocked, usually by a blood clot. This can damage your heart muscle.

How can gum disease affect my overall health?

When you have untreated gum disease, the inflammation can spread from your gums into your bloodstream, potentially affecting other parts of your body. Research is looking into potential links with conditions like heart disease.

Will this study treat my gum disease?

No, this study is observing and collecting information about gum health. It is not designed to provide treatment for gum disease. If you have gum disease, you should discuss treatment options with your dentist.

Is the gum examination painful?

The gum examination is similar to what your dentist does during a check-up. It might cause a little mild and temporary discomfort, but it should not be painful.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

Interested in taking part?

Register your interest

Share your details and the research team for "PERIODONTAL HEALTH IN PATIENTS ACUTELY ADMITTED FOR MYOCARDI…" will contact you if you may be eligible. Always speak to your GP before agreeing to take part.

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