Evidencias científicas de la relación entre periodontitis y enfermedades cardiovasculares / Scientific evidence for the relationship between periodontitis and cardiovascular disease

RESUMEN

Muchos estudios clínicos han investigado la posible asociación entre periodontitis y la enfermedad coronaria. Algunos mantienen una asociación epidemiológica entre ellas y confirman las investigaciones previas que han demostrado que la inflamación periodontal crónica, la infección bacteriana persistente con la presencia de patógenos periodontales, las bolsas periodontales profundas, el número de dientes perdidos y otros marcadores periodontales, parecen ser factores de riesgo importantes para las enfermedades cardiovasculares. Las enfermedades periodontales y cardiovasculares son comunes, y su asociación es muy importante en salud pública. Ambas enfermedades comparten factores de riesgo, tales como la edad, tabaco, stress, estatus socioeconómico y metabolismo de las grasas, por lo que las posibilidades de sesgo son altas (AU)

ABSTRACT

A lot of clinical studies have investigated the possible association between periodontitis and coronary heart disease (CHD). Some of them supports the existence of epidemiologic association between them and confirms previous investigations that have found that chronic periodontal inflammation, persistent bacterial infection with the presence of major periodontal pathogens, deep periodontal pockets, the number of missing teeth and other periodontal markers, seems to be important risk factors for cardiovascular diseases. But it will be required to do better controlled and larger studies to identify it this biological mechanism are responsible for this increased risk and provide a convincing support of a casual association and in this way periodontal treatments could prevent CHD. Since periodontal disease and cardiovascular disease are common, their association is of significant public health importance. They share common risk factors, such as increasing age, smoking, stress, socioeconomic status, and body fat metabolism, the potential for confounding is substantial (AU)