Periodontal systemic associations: review of the evidence

This review found that while the definitions used to identify periodontitis were fairly heterogeneous, very few studies met a stringent threshold for periodontitis. Published evidence supports modest associations between some, although not all, of the diseases and conditions reviewed: respiratory disease, chronic kidney disease, rheumatoid arthritis, cognitive impairment, obesity, metabolic syndrome and cancer.

Infection and inflammatory mechanisms

This introductory article examines the potential mechanisms that may play a role in the associations between periodontitis and the systemic conditions being considered in the EFP/AAP Workshop in Segovia, Spain. Three basic mechanisms have been postulated to play a role in these interactions: metastatic infections, inflammation and inflammatory injury, and adaptive immunity. The potential role ... Read more

Evaluation of Total Antioxidant Capacity of Saliva in Type 2 Diabetic Patients with and without Periodontal Disease: A Case-Control Study

Diabetes mellitus (DM) has been linked with oxidative stress and decreased antioxidant defense. A connection has been established between diabetes and periodontal disease. This study concludes total antioxidant capacity is inversely proportional to the severity of inflammation and can be used as a useful marker of periodontitis in healthy and diabetic patients.

Antioxidant combinations protect oral fibroblasts against metal-induced toxicity

In dentistry, metals are often used. Previous studies revealed that zinc (Zn) and copper (Cu) released from gold alloys, and nickel (Ni) released from nickel-chromium alloys, have a highly cytotoxic effect on fibroblast cell cultures. This study data indicate that pure antioxidants counteracted the detrimental effects of Cu, Ni and Zn on oral fibroblasts in ... Read more

Adverse pregnancy outcomes (APOs) and periodontal disease: pathogenic mechanisms

Further investigation is necessary to fully translate basic research into clinical studies and practice regarding potential biological pathways underlying the possible association between periodontal disease and adverse pregnancy outcomes. Understanding the systemic virulence potential of the individual's oral microbiome and immune response may be a distinctly different issue from categorizing the nature of the challenge ... Read more

Periodontitis and systemic diseases: a record of discussions of working group 4 of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases

Research into possible associations between periodontitis and various systemic diseases and conditions do not imply causality, and establishment of causality will require new studies. Precise and community-agreed case definitions of periodontal disease states must be implemented systematically to enable consistent and clearer interpretations. Studies should focus on robust disease outcomes and avoid surrogate endpoints.

Periodontitis and atherosclerotic cardiovascular disease: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases

There is consistent and strong epidemiologic evidence that periodontitis imparts increased risk for future cardiovascular disease; and while in vitro, animal and clinical studies support the interaction and biological mechanism, intervention trials to date are not adequate to draw further conclusions. Well-designed intervention trials on the impact of periodontal treatment on prevention of atherosclerotic cardiovascular ... Read more