Abstract
Aim: The aim of the study is to study the tooth loss pattern in patients with chronic periodontitis and hypertension.
 Study Design: Retrospective cohort study.
 Materials and Methods: The case sheet records (DIAS data) of tooth loss pattern in hypertensive patients with chronic periodontitis were extracted. A total of 1318 case sheets were analysed for the study. Age, gender and tooth loss pattern with respect to the region were collected and statistically analysed. Descriptive statistics (Percentage, Mean, Standard deviation) and Inferential test (Chi- square test) were performed to determine the association between age, gender and tooth loss pattern in patients with chronic periodontitis and hypertension.
 Results: The results showed that that females were affected more with tooth loss with hypertension with chronic periodontitis when compared to males. According to age, patients between 50 to 70 years with chronic periodontitis and hypertension were more affected by tooth loss (p value = 0.001 (p<0.05; Statistically significant)).
 Conclusion: The present study highlighted a possible relationship between hypertension and tooth loss due to chronic periodontitis. Loss of mandibular posterior teeth were more common and females were more prone to tooth loss than males with hypertension due to chronic periodontitis. However, the underlying mechanism has to be further investigated in a different study design, thus more conclusive findings would be elucidated.
Highlights
IntroductionA beautiful smile is due to the harmonious relationship between the components of the oral cavity such as lips, teeth, and gingiva for all Individuals
The present study highlighted a possible relationship between hypertension and tooth loss due to chronic periodontitis
The underlying mechanism has to be further investigated in a different study design, more conclusive findings would be elucidated
Summary
A beautiful smile is due to the harmonious relationship between the components of the oral cavity such as lips, teeth, and gingiva for all Individuals. Factors hindering this smile among the population is generally tooth loss. Tooth loss is a multifactorial process involving dental caries, periodontal disease, a variety of socio environmental factors, educational levels, access to care and insurance status and general health status. Periodontal disease is a group of chronic inflammatory diseases involving soft tissues and bone surrounding the teeth, known as periodontium. It is characterized by inflammation of tooth supporting tissues caused by bacterial infection [2]. Gingivitis is a reversible condition manifested as redness, gum swelling and may progress to periodontitis if left untreated [3]
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