Fogorvosi szemle, 2008 (101. évfolyam, 1-6. szám)
2008-06-01 / 3. szám
FOGORVOSI SZEMLE 101. évf. 3. sz. 2008. 105 without severe heart disease. Oral Surg Oral Med Oral Radiol Endod 2003; 96: 695-700. 33. Morrison HI, Ellison LF, Taylor GW: Periodontal disease and risk of fatal coronary heart and cerebrovascular diseases. Journal of Cardiovascular Risk 1999; 6: 7-11. 34. Nakib SA, Pankow JS, Beck JD, Offenbacher S, Evans GW, Desvarieux M, Folsom AR: Periodontitis and coronary artery calcification: artherosclerosis risk in communities (ARIC ) study. J Periodontol 2004; 75: 505-510. 35. Noack B, Genco RJ, Trevisan M, Grosi S, Zambon JJ, Nardin ED: Periodontal infections contribute to elevated systemic C reactive protein level. J Periodontol2001 ; 72: 1221-1227. 36. Nord CE, Heimdahl A: Cardiovascular infections: bacterial endocarditis of oral origin. Pathogenesis and prophylaxis. J Clin Periodonfo/1990; 17: 494-496. 37. Okuda K, Ishihara K, Nakagawa T, Hirayama A, Inayama Y, Okuda K: Detection of Treponema denticola in atherosclerotic lesions. J Clin Microbiol 2001 ; 1114-1117. 38. Préda I: Az endothel dysfunkció jelentősége. Motesz 2006; 40: 21-25. 39. PussiNEN PJ, Jousilahti P, Alfthan G, Palosuo T, Asikainen S, Salomaa V: Antibodies to periodontal pathogens are associated with coronary heart disease. Arterioscler Thromb Vase Biol 2003; 23: 1250-1254. 40. Qi M, Miyakawa H, Kuramitsu HK: Porphyromonas gingivalis induces murine macrophage foam cell formation. Microbial Pathogenesis 2003; 35: 259-267. 41. Rose LF, Steinberg BJ, Minsk L: The relationship between periodontal disease and systemic conditions. Compendium 2000; 21: 870-877. 42. Research, Science and Therapy Committee of the American Academy of Periodontology: Periodontal disease as a potential risk factor for systemic diseases. J Periodonto\ 1998; 69: 841-850. 43. Scannapieco FA, Bush R B, Paju S: Associations Between Periodontal Disease and Risk for Atherosclerosis, Cardiovascular Disease, and Stroke. Ann Periodontol 2003; 8: 38-53. 44. Sciotti M-A, Yamodo I, Klein J-P, Ogier JA: The N-terminal half part of the oral streptococcal antigen l/llf contains two distinct binding domains. FEMS Microbiol Lett 1997; 153: 439-445. 45. Seymour RA, Preshaw PM, Thomason JM, Ellis JS, Steele JG: Cardiovascular diseases and periodontogy. J Clin Periodontol 2003; 30: 279-292. 46. Slade GD, Ghezzi EM, Heiss G, Beck JD, Riche E, Offenbacher S: Relationship between periodontal disease and C-reactive protein among adults in the atherosclerosis risk in communities study. Arch Internal Med 2003; 163: 1172-1179. 47. Slade GD, Offenbacher S, Beck JD, Heiss G, Pankow JS: Acutphase inflammatory response to periodontal disease in the US population. J Dent Res 2000; 79 (1 ): 49-57. 48. Syrjanen J: Vascular diseases and oral infections. J Clin Periodontol 1990; 17: 497-500. 49. Tar I, Martos R: A fogágybetegségek és az általános szervi megbetegedések összefüggése. Fogorv Szle 2002; 95: 73-77. 50. Thomson SG, Kienast J, Pyke S D, Haverkate F, van de Loo JC: Hemostatic factors and the risk of myocardial infarction or sudden death in patients with angina pectoris. European Concerted Action on Thrombosis and Disabilities Angina Pectoris Study Group. N Engl J Med 1995; 332: 635-641. 51-Touminen R, Reunanen A, Paunio M, Paunio I, Aromaa A: Oral health indicators poorly predict coronary heart disease deaths. J Dent Res 2003; 82 (9): 713-718. 52. Ylöstalo PV, Jarvelin MR, Laitinen J, Knuuttila ML: Gingivitis, dental caries and tooth loss: risk factors for cardiovascular diseases or indicators of elevated health risks. J Clin Periodontol 2006; 33: 92-101. Dr. Martos R, Dr. Márton I: Associations between oral infections and cardiovascular disease The potential role of periodontal disease, gingivitis and other dental infections as a possible chronic source of infection and inflammation represents a continuous challange to the host organism. The high number of oral pathogenes, lipopolysaccharides and soluble mediators are related to the pathogenesis of the local inflammation and the initiation of systemic inflammation process, which may impair the systemic health. In the last decades, studies suggesed that there could be a connection between the local oral infections and several systemic conditions such as the diabetes, cardiovascular disease, low birth weight and the chronic obstructive pulmonary disease. Cardiovascular disease is the number one cause of death in the last century. The primary contributing factor in the majority of cardiovascular diseases is atherosclerosis. The role of infection is believed to provide a critical inflammatory stimulus that contributes to atherogenesis. The present review is a short summary of studies of the last years about the possible pathogenic role of local oral infections as a contributing factor in the initiation and progression of cardiovascular disease. Key words: Oral infections, lipopolysaccharides, soluble mediator, atherosclerosis, cardiovascular disease