Denis Kinane1, Phillippe Bouchard. 1. Center for Oral Health and Systematic Diseases, School of Dentistry, University of Louisville, Louisville, KY 40202, USA.
Abstract
INTRODUCTION: The remit of this group was to update the knowledge base on periodontal diseases and health. MATERIAL AND METHODS: The literature was systematically searched and critically reviewed in five specific topics. RESULTS: Prevalence of periodontitis: The data suggest a trend towards a lower prevalence of periodontitis in recent years. Adverse pregnancy outcome: The findings indicate a likely association between periodontal disease and an increased risk of adverse pregnancy outcomes. There is no evidence that treating periodontal disease decreases the rate of adverse pregnancy outcomes. Prevalence and distribution of periodontal pathogens: Genetic analysis of bacteria has demonstrated an unanticipated diversity within species. Carriage rates and particular subsets of these species vary between ethnic groups. Few of these differences can be related to differences in disease prevalence. Diabetes mellitus: Evidence on the association supports the concept of increased severity but not extent of periodontitis in subjects with poorly controlled diabetes. It is inconclusive that periodontal treatment results in improved metabolic control. Cardiovascular diseases: Evidence suggests that having periodontitis contributes to the total infectious and inflammation burden and may contribute to cardiovascular events and stroke in susceptible subjects. The impact of periodontal therapy must be further investigated.
INTRODUCTION: The remit of this group was to update the knowledge base on periodontal diseases and health. MATERIAL AND METHODS: The literature was systematically searched and critically reviewed in five specific topics. RESULTS: Prevalence of periodontitis: The data suggest a trend towards a lower prevalence of periodontitis in recent years. Adverse pregnancy outcome: The findings indicate a likely association between periodontal disease and an increased risk of adverse pregnancy outcomes. There is no evidence that treating periodontal disease decreases the rate of adverse pregnancy outcomes. Prevalence and distribution of periodontal pathogens: Genetic analysis of bacteria has demonstrated an unanticipated diversity within species. Carriage rates and particular subsets of these species vary between ethnic groups. Few of these differences can be related to differences in disease prevalence. Diabetes mellitus: Evidence on the association supports the concept of increased severity but not extent of periodontitis in subjects with poorly controlled diabetes. It is inconclusive that periodontal treatment results in improved metabolic control. Cardiovascular diseases: Evidence suggests that having periodontitis contributes to the total infectious and inflammation burden and may contribute to cardiovascular events and stroke in susceptible subjects. The impact of periodontal therapy must be further investigated.
Authors: Andrea M de Silva; Shalika Hegde; Bridget Akudo Nwagbara; Hanny Calache; Mark G Gussy; Mona Nasser; Hannah R Morrice; Elisha Riggs; Pamela M Leong; Lisa K Meyenn; Reza Yousefi-Nooraie Journal: Cochrane Database Syst Rev Date: 2016-12-22
Authors: Mario Castillo-Ruiz; Enrique D Vinés; Camilo Montt; Jorge Fernández; José Manuel Delgado; Juan Carlos Hormazábal; Mauricio Bittner Journal: Appl Environ Microbiol Date: 2011-03-04 Impact factor: 4.792
Authors: Andrea M de Silva; Shalika Hegde; Bridget Akudo Nwagbara; Hanny Calache; Mark G Gussy; Mona Nasser; Hannah R Morrice; Elisha Riggs; Pamela M Leong; Lisa K Meyenn; Reza Yousefi-Nooraie Journal: Cochrane Database Syst Rev Date: 2016-09-15