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Cardiovascular disease and periodontitis: an update on the associations and risk
University of Bern, Bern, Switzerland & University of Washington, Seattle, WA, USA.ORCID iD: 0000-0002-3620-5978
University of Bern, Bern, Switzerland & University of Washington, Seattle, WA, USA.
2008 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 35, no 8 Suppl, 362-379 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Associations between periodontitis and cardiovascular diseases have been recognized.

MATERIAL AND METHODS: New literature since the last European Workshop on Periodontology has been reviewed.

RESULTS: The lack of reliable epidemiological data on disease prevalence makes an assessment of the associations and risks between periodontitis and cardiovascular diseases difficult. Two recent meta-analysis reports have identified associations between periodontitis and cardiovascular diseases (odds ratios: 1.1-2.2). Different surrogate markers for both disease entities, including serum biomarkers, have been investigated. Brachial artery flow-mediated dilatation, and carotid intima media thickness have in some studies been linked to periodontitis. Studies are needed to confirm early results of improvements of such surrogate markers following periodontal therapy. While intensive periodontal therapy may enhance inflammatory responses and impair vascular functions, studies are needed to assess the outcome of periodontal therapies in subjects with confirmed cardiovascular conditions. Tooth eradication may also reduce the systemic inflammatory burden of individuals with severe periodontitis. The role of confounders remain unclear.

CONCLUSIONS: Periodontitis may contribute to cardiovascular disease and stroke in susceptible subjects. Properly powered longitudinal case-control and intervention trials are needed to identify how periodontitis and periodontal interventions may have an impact on cardiovascular diseases.

Place, publisher, year, edition, pages
2008. Vol. 35, no 8 Suppl, 362-379 p.
National Category
Dentistry Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:hkr:diva-12856DOI: 10.1111/j.1600-051X.2008.01281.xISI: 000258734000028 lPubMedID: 18724863OAI: oai:DiVA.org:hkr-12856DiVA: diva2:744979
Available from: 2014-09-09 Created: 2014-09-09 Last updated: 2014-09-18Bibliographically approved

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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • harvard1
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  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
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  • de-DE
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  • nn-NO
  • nn-NB
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  • Other locale
More languages
Output format
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