Relationship between cardiovascular disease and dental pathology. Systematic review

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.

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.