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

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