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Vol. 149. Issue 5.
Pages 211-216 (September 2017)
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Vol. 149. Issue 5.
Pages 211-216 (September 2017)
Review
DOI: 10.1016/j.medcle.2017.07.028
Relationship between cardiovascular disease and dental pathology. Systematic review
Relación entre la enfermedad cardiovascular y la afección dental. Revisión sistemática
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Beatriz González Navarroa, Xavier Pintó Salab, Enric Jané Salasa,
Corresponding author
enjasa19734@gmail.com

Corresponding author.
a Unidad de Medicina Oral, Departamento de Odontoestomatología, UFR de Odontologia, Facultad de Medicina, Universidad de Barcelona/Oral Health and Masticatory System Group, Institut d’Investigació Biomèdica de Bellvitge (IDIBELL), L’Hospitalet de Llobregat, Barcelona, Spain
b Hospital de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
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Tables (2)
Table 1. Cardiovascular disease in relation to oral disease variables observed.
Table 2. Positive and negative correlations (only includes those relationships that are statistically significant) of the different oral variables with cardiovascular disease.
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Abstract
Background and objective

The relationship between atherothrombotic cardiovascular disease (ATCD) and localized infections in teeth, including caries and chronic apical periodontitis (CAP) has not been studied much and is not well defined.

Method

A systematic search was performed using the scientific databases PubMed and Medline from 1989 to 2016.

Results

A significant relationship was observed with ATCD in 10 out of 10 studies addressing the degree of oral hygiene, in 14 of 17 that included loss of teeth, in 6 of 12 that analyzed caries and in 11 of 15 that included CAP. However, there was a huge methodological heterogeneity.

Conclusions

It can be concluded that there is an association between CAP and ATCD. Patients with ATCD present a worse oral hygiene status and fewer teeth.

Keywords:
Atherothrombotic cardiovascular disease
Chronic apical periodontitis
Caries
Oral pathology
Resumen
Antecedentes y objetivo

La relación entre la enfermedad cardiovascular aterotrombótica (ECVA) y las infecciones dentales, entre ellas la caries y las periodontitis apicales crónicas (PAC), ha sido poco estudiada y no está bien definida.

Método

Se ha realizado una búsqueda sistemática en las bases de datos PubMed y Medline desde 1989 hasta 2016.

Resultados

Se observó una relación con la ECVA en 10 de 10 estudios que abordaron el grado de higiene oral, en 14 de 17 que incluyeron la pérdida de dientes, en 6 de 12 que analizaron la caries y en 11 de 15 que incluyeron la PAC.

Conclusiones

Se puede concluir que existe una asociación entre la PAC y la ECVA. Los pacientes con ECVA presentan un peor estado de higiene oral y menor número de dientes.

Palabras clave:
Enfermedad cardiovascular aterotrombótica
Periodontitis apical crónica
Caries
Enfermedad oral

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