Periodontal disease and atherosclerotic cardiovascular disease: confounding effects or epiphenomenon?

Abstract:

:Recent evidence suggests that periodontal disease may predispose to atherosclerotic cardiovascular disease. Data support mechanisms of host-derived local and systemic proinflammatory responses similar to atherosclerosis, consisting of monocytic-derived cytokines and other inflammatory mediators, which are induced by periodontal pathogens and its endotoxin, lipopolysaccharide. These mechanisms may contribute to the start of vascular endothelial dysfunction and further sequelae leading to atherosclerosis. Experimental evidence and biologic plausibility appear to support this proposal. However, clinical evidence from a MEDLINE search from January 1966-December 1999 proposed a weak or no correlation primarily due to confounding factors. The aim of care is to reduce vulnerable pathogens from the infected periodontium by standard treatment; however, new approaches appear promising. Increased awareness of a potential link among infective agents, immunoinflammatory processes, and atherosclerosis may clarify clinical implications.

journal_name

Pharmacotherapy

journal_title

Pharmacotherapy

authors

Chong PH,Kezele B

doi

10.1592/phco.20.9.805.35189

subject

Has Abstract

pub_date

2000-07-01 00:00:00

pages

805-18

issue

7

eissn

0277-0008

issn

1875-9114

journal_volume

20

pub_type

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