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nderstanding the link between gum disease and heart attacks

Not Applicable
Completed
Conditions
nderstanding the link between gum disease and heart attacks
Oral Health
Registration Number
ISRCTN10537092
Lead Sponsor
niversity of Bristol
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
274
Inclusion Criteria

People with periodontitis:
1. All people over the age of 18 years
2. Capacity to consent
3. Attending a scheduled dental appointment at the University of Bristol Dental Hospital
4. People with unstable severe periodontitis or a high susceptibility to periodontitis ( as defined by the British Society of Periodontology 2019 implementation of the 2017 World Workshop Classification of periodontal and peri-implant diseases and conditions: Stage III/IV and Grade C. )
5. At least 18 erupted teeth

Healthy volunteers:
6. All people over the age of 18 years
7. Capacity to consent
8. Attending a scheduled dental appointment
9. People with no evidence of periodontitis
10. At least 18 erupted teeth

Exclusion Criteria

Exclusion criteria for people with periodontitis:
1. All people under the age of 18 years
2. Those who lack capacity to consent
3. History of cardiovascular disease such as hypertension, angina, previous myocardial infarction, heart failure, aortic disease, arrhythmia, heart valve disease.
4. History of autoimmune/autoinflammatory diseases such as Sjogren's syndrome, rheumatoid arthritis, inflammatory bowel disease, systemic lupus erythematosus, or systemic sclerosis
5. History of endocrine disease including diabetes mellitus types 1 and 2
6. Currently taking antibiotics or has had antibiotics in the preceding 6 months
7. People taking statins, non-steroidal anti-inflammatory medications, immunosuppressive medications or corticosteroids.
8. Smokers of tobacco (including Vaping/e-cigarettes)
9. History of salivary gland disease or oral mucosa disease

Exclusion criteria for healthy volunteers:
10. All people under the age of 18 years
11. Those who lack capacity to consent
12. History of cardiovascular disease such as hypertension, angina, previous myocardial infarction, heart failure, aortic disease, arrhythmia, heart valve disease
13. History of autoimmune/autoinflammatory diseases such as Sjogren's syndrome, rheumatoid arthritis, inflammatory bowel disease, systemic lupus erythematosus, or systemic sclerosis
14. History of endocrine disease including diabetes mellitus types 1 and 2
15. Currently taking antibiotics or has had antibiotics in the preceding 6 months
16. People taking statins, non-steroidal anti-inflammatory medications, immunosuppressive medications or corticosteroids.
17. Smokers of tobacco (including Vaping/e-cigarettes)
18. History of salivary gland disease or oral mucosa disease

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Behaviour of inflammatory blood cells (monocytes) will be measured using standard laboratory techniques including western blotting, specific enzyme-linked immunosorbent assays (ELISA), immunocytochemistry, fluorometry, and quantitative polymerase chain reaction at a single time point
Secondary Outcome Measures
NameTimeMethod
1. Biomarkers to assess a person’s risk for developing heart disease from saliva and blood samples measured using standard laboratory techniques including ELISA and western blotting.<br>2. Biomarker change following treatment of their gum disease measured using ELISA and other standard laboratory techniques assessing bloods/saliva before periodontal treatment (baseline) and following treatment (typically 6 months later)
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