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Periodontal therapy and cardiovascular risk
Marco Orlandi1, Filippo Graziani2,3, Francesco D'Aiuto1
1Periodontology Unit, UCL Eastman Dental Institute, London, UK.
Periodontology 2000
|May 10, 2020
Summary
Treating periodontitis may improve cardiovascular health markers. More research is needed to confirm if periodontal treatment reduces heart attacks and strokes.
Area of Science:
- Periodontology
- Cardiology
- Public Health
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of death.
- Periodontitis is linked to an increased risk of CVDs.
- Previous reviews highlighted potential benefits of periodontitis treatment on cardiovascular outcomes.
Purpose of the Study:
- To review recent evidence on the impact of periodontitis treatment on cardiovascular outcomes.
- To update the understanding since the 2012 World Workshop.
- To identify gaps in current research.
Main Methods:
- Narrative review of published literature.
- Focus on randomized controlled trials (RCTs) and observational studies.
- Analysis of evidence on surrogate cardiovascular measures and hard clinical events.
Main Results:
- Newer RCTs confirm periodontal treatment positively affects surrogate cardiovascular measures.
- No RCTs have directly investigated the effect of periodontal treatment on myocardial infarction or stroke incidence.
- Observational and experimental data support a link between periodontitis treatment and improved cardiovascular markers.
Conclusions:
- Evidence supports the beneficial effect of periodontal treatment on surrogate cardiovascular measures.
- Further well-powered RCTs are needed to establish the impact of periodontal interventions on major cardiovascular events like myocardial infarction and stroke.
- Controlling traditional cardiovascular risk factors is crucial in future research.
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