Charles F. Spiekerman

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PURPOSE Periodontitis has been linked to the occurrence of various systemic diseases. The goal of this study was to explore the periodontitis-cancer association in the NHANES I Epidemiologic Follow-up Study. METHODS Data were available on 11,328 adults, age 25 to 74 years, who were diagnosed as dentate individuals with either periodontitis (n = 2092),(More)
CONTEXT Research has suggested a relationship between periodontal disease and coronary heart disease (CHD), but data on the association between these 2 common conditions are inconclusive due to the possibility of confounding. OBJECTIVE To evaluate the risk of CHD in persons with periodontitis, gingivitis, or no periodontal disease. DESIGN Prospective(More)
INTRODUCTION As part of the baseline examination in the Cardiovascular Health Study, sleep disturbance symptoms including snoring and daytime sleepiness, were assessed as potential risk factors or precipitants of cardiovascular disease (CVD). Because of the association of sleep disturbance with poorer health and the possible associations of sleep apnea with(More)
INTRODUCTION White spot lesions are a common sequela of orthodontic therapy. In this parallel-group randomized trial, we assessed the effectiveness of 2 agents commonly used to ameliorate white spot lesions compared with a normal home-care regimen. METHODS Patients aged 12 to 20 years were recruited from the offices of orthodontists and dentists who(More)
PURPOSE The purpose of this study was to assess the efficacy of antimicrobial therapy in the prevention of early childhood caries (ECC). METHODS The study population consisted of 83 subjects (age: 12 to 19 months (x= 15.6); gender: 40 females and 43 males). Inclusion criteria included: (1) unremarkable medical history; (2) presence of 4 maxillary primary(More)
OBJECTIVE Clinical cardiovascular disease (CVD) is highly prevalent among people with diabetes. However, there is little information regarding the prevalence of subclinical CVD and its relation to clinical CVD in diabetes and in the glucose disorders that precede diabetes. RESEARCH DESIGN AND METHODS Participants in the Cardiovascular Health Study, aged >(More)
BACKGROUND The new fasting American Diabetes Association (ADA) criteria for the diagnosis of diabetes mellitus rely mainly on fasting blood glucose concentrations and use a lower cut-off value for diagnosis than the WHO criteria. We aimed to assess the sensitivity of these criteria for the detection of cardiovascular disease, the main complication of(More)
BACKGROUND While it has been suggested that periodontal disease may be associated with coronary heart disease, or CHD, there are no data to suggest that the elimination of chronic dental infections actually lowers the risk of developing chronic CHD. The goal of this study was to determine whether people with a definitive elimination of all potential dental(More)
STATEMENT OF PROBLEM Surgical guides may interfere with effective use of surgical instrumentation during implant placement in the posterior segments where interocclusal distance may be limited. PURPOSE The purpose of this study was to measure and compare the accuracy of posterior implant placement using 3 precision surgical guides with varying(More)
STATEMENT OF PROBLEM Heat-pressed ceramics to metal alloys and zirconia have been available for some time. However, information regarding their shear bond strengths is limited. PURPOSE The purpose of this study was to evaluate the shear bond strengths of heat-pressed and layered ceramics with regard to their corresponding high-noble alloy and zirconia(More)