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Periodontitis as a Risk Factor for Cardiovascular Diseases- Hype or a Fact?

机译:牙周炎是心血管疾病的危险因素-炒作还是事实?

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Background: The relationship between periodontitis and cardiovascular diseases has been a debatable topic since over a century, yet the debate is still ongoing. Periodontitis and coronary artery disease are both immuno- inflammatory in origin with many confounding risk factors associated with each other. Various epidemiological and interventional studies have been carried out to prove its biologic plausibility. There is however deficient literature on the exact pathophysiology of the spread of periodontal disease to cardiovascular disease. Objective: This review article aims to highlight on the most recent scientific evidence to substantiate on the causal relationship between the two diseases. Results: Various interventional and epidemiological studies suggest that there is a strong correlation between periodontitis and cardiovascular diseases, however there is a lacunae in literature in the in-vitro and long term clinical trials to support its exact biological mechanism. Conclusion: In the interest of public health, the cardiologists and the periodontists at large should be made to understand the role of maintaining good oral hygiene for general well being and refer to the specialist when necessary.
机译:背景:自一个世纪以来,牙周炎与心血管疾病之间的关系一直是有争议的话题,但辩论仍在进行中。牙周炎和冠状动脉疾病均起源于免疫性炎症,并伴有许多相互混淆的危险因素。已经进行了各种流行病学和干预研究,以证明其生物学可行性。然而,关于牙周疾病向心血管疾病传播的确切病理生理的文献不足。目的:这篇综述文章旨在强调最新的科学证据,以证实两种疾病之间的因果关系。结果:各种干预和流行病学研究表明,牙周炎与心血管疾病之间存在很强的相关性,然而,在体外和长期临床试验中,文献均存在不足以支持其确切的生物学机制。结论:为了公共卫生,应让心脏病专家和整个牙周医师了解保持良好口腔卫生对总体健康的作用,并在必要时咨询专科医生。

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