Periodontitis and cardiovascular diseases: Consensus report.

anti thrombotic therapy atherosclerosis bateremia cardiovascular disease chronic inflammation periodontal therapy periodontitis

Journal

Journal of clinical periodontology
ISSN: 1600-051X
Titre abrégé: J Clin Periodontol
Pays: United States
ID NLM: 0425123

Informations de publication

Date de publication:
03 2020
Historique:
received: 06 06 2019
revised: 13 08 2019
accepted: 22 08 2019
pubmed: 6 2 2020
medline: 2 10 2020
entrez: 4 2 2020
Statut: ppublish

Résumé

In Europe cardiovascular disease (CVD) is responsible for 3.9 million deaths (45% of deaths), being ischaemic heart disease, stroke, hypertension (leading to heart failure) the major cause of these CVD related deaths. Periodontitis is also a chronic non-communicable disease (NCD) with a high prevalence, being severe periodontitis, affecting 11.2% of the world's population, the sixth most common human disease. There is now a significant body of evidence to support independent associations between severe periodontitis and several NCDs, in particular CVD. In 2012 a joint workshop was held between the European Federation of Periodontology (EFP) and the American Academy of Periodontology to review the literature relating periodontitis and systemic diseases, including CVD. In the last five years important new scientific information has emerged providing important emerging evidence to support these associations RESULTS AND CONCLUSIONS: The present review reports the proceedings of the workshop jointly organised by the EFP and the World Heart Federation (WHF), which has updated the existing epidemiological evidence for significant associations between periodontitis and CVD, the mechanistic links and the impact of periodontal therapy on cardiovascular and surrogate outcomes. This review has also focused on the potential risk and complications of periodontal therapy in patients on anti thrombotic therapy and has made recommendations for dentists, physicians and for patients visiting both the dental and medical practices.

Sections du résumé

BACKGROUND
In Europe cardiovascular disease (CVD) is responsible for 3.9 million deaths (45% of deaths), being ischaemic heart disease, stroke, hypertension (leading to heart failure) the major cause of these CVD related deaths. Periodontitis is also a chronic non-communicable disease (NCD) with a high prevalence, being severe periodontitis, affecting 11.2% of the world's population, the sixth most common human disease.
MATERIAL AND METHODS
There is now a significant body of evidence to support independent associations between severe periodontitis and several NCDs, in particular CVD. In 2012 a joint workshop was held between the European Federation of Periodontology (EFP) and the American Academy of Periodontology to review the literature relating periodontitis and systemic diseases, including CVD. In the last five years important new scientific information has emerged providing important emerging evidence to support these associations RESULTS AND CONCLUSIONS: The present review reports the proceedings of the workshop jointly organised by the EFP and the World Heart Federation (WHF), which has updated the existing epidemiological evidence for significant associations between periodontitis and CVD, the mechanistic links and the impact of periodontal therapy on cardiovascular and surrogate outcomes. This review has also focused on the potential risk and complications of periodontal therapy in patients on anti thrombotic therapy and has made recommendations for dentists, physicians and for patients visiting both the dental and medical practices.

Identifiants

pubmed: 32011025
doi: 10.1111/jcpe.13189
pmc: PMC7027895
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

268-288

Informations de copyright

© 2019 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.

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Auteurs

Mariano Sanz (M)

Department of Dental Clinical Specialties, ETEP Research Group, Faculty of Odontology, University Complutense of Madrid, Madrid, Spain.

Alvaro Marco Del Castillo (A)

Cardiology Department, Hospital Universitario Ramon y Cajal, Madrid, Spain.

Søren Jepsen (S)

Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Bonn, Germany.

Jose R Gonzalez-Juanatey (JR)

Cardiology Department, University Hospital, IDIS, CIBERCV, Univerity of Santiago de Compostela, Santiago de Compostela, Spain.

Francesco D'Aiuto (F)

Department of Periodontology, Eastman Dental Institute and Hospital, University College London, London, UK.

Philippe Bouchard (P)

U.F.R. d'odontologie, Université Paris Diderot, Hôpital Rothschild AP-HP, Paris, France.

Iain Chapple (I)

School of Dentistry, Institute of Clinical Sciences, College of Medical & Dental Sciences, The University of Birmingham, Birmingham, UK.

Thomas Dietrich (T)

School of Dentistry, Institute of Clinical Sciences, College of Medical & Dental Sciences, The University of Birmingham, Birmingham, UK.

Israel Gotsman (I)

Heart Institute, Hadassah University Hospital, Jerusalem, Israel.

Filippo Graziani (F)

Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.

David Herrera (D)

Department of Dental Clinical Specialties, ETEP Research Group, Faculty of Odontology, University Complutense of Madrid, Madrid, Spain.

Bruno Loos (B)

ACTA University, Amsterdam, The Netherlands.

Phoebus Madianos (P)

Department of Periodontology, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece.

Jean-Baptiste Michel (JB)

Inserm Unit 1148, Laboratory for Translational CV Science, X. Bichat Hospital, Paris, France.

Pablo Perel (P)

World Heart Federation, Geneva, Switzerland.
Centre for Global Chronic Conditions, London School of Hygiene & Tropical Medicine, London, UK.

Burkert Pieske (B)

Department of Internal Medicin & Cardiology, Charité Universitätsmedizin Berlin, Berlin, Germany.
DZHK (German Center for Cardiovascular Research) Partnersite Berlin, German Heart Institut Berlin, Berlin, Germany.

Lior Shapira (L)

Department of Periodontology, Hebrew University - Hadassah Faculty of Dental Medicine, Jerusalem, Israel.

Michael Shechter (M)

Leviev Heart Center, Chaim Sheba Medical Center, tel Hashomer and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, Israel.

Maurizio Tonetti (M)

Department of Periodontology, Prince Philip Dental Hospital, The University of Hong Kong, Hong Kong, Hong Kong.

Charalambos Vlachopoulos (C)

1st Department of Cardiology, National and Kapodistrian University of Athens, Athens, Greece.

Gernot Wimmer (G)

Department of Prosthetic Dentistry, School of Dental Medicine, Karl-Franzens University Graz, Graz, Austria.

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