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J Clin Diagn Res. 2016 Aug;10(8):ZE08-12. doi: 10.7860/JCDR/2016/19863.8253. Epub 2016 Aug 01.

Apical Periodontitis - Is It Accountable for Cardiovascular Diseases?.

Journal of clinical and diagnostic research : JCDR

Paridhi Garg, Chandrakar Chaman

Affiliations

  1. Senior Lecturer, Department of Consevative Dentistry and Endodontics, Inderprastha Dental College and Hospital , Sahibabad, Uttar Pradesh, India .
  2. Reader, Department of Consevative Dentistry and Endodontics, Kothiwal Dental College and Research Centre , Moradabad, Uttar Pradesh. India .

PMID: 27656588 PMCID: PMC5028556 DOI: 10.7860/JCDR/2016/19863.8253

Abstract

The aim of this review was to assess the relationship between apical periodontitis and cardiovascular diseases and the predictive factors regarding this association. Cross sectional and observational studies have been included, which are mostly retrospective. A comprehensive search was performed in the Systematic Electronic Databases, PUBMED and MEDLINE from 1919 till September 2014. Articles were also hand searched. From 86 studies identified, all were read and 58 articles which were relevant were included in the text. Some articles were excluded because they were pertaining to periodontology and other systemic disorders. Some were solely animal studies and were thus excluded. Our results suggest an independent association between cardiovascular diseases and apical periodontitis. A causal relationship could not be established since weak parameters of risk have been assessed in the studies, population taken is difficult to compare and other confounding factors have not been ruled out. Only a more focused and better instituted scientific research can determine this association. Establishing a cause and effect relationship between apical periodontitis and cardiovascular diseases can affect the course of treatment of cardiovascular diseases. It is not only of interest from the scientific point of view but also from public health perspective.

Keywords: Bacteraemia; Inflammation; Interleukins; Root canal treatment

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