Periodontal diseases and cardiovascular diseases, diabetes, and respiratory diseases : Summary of the consensus report by the European Federation of Periodontology and WONCA Europe
Herrera, David (Universidad Complutense de Madrid)
Sanz, Mariano (Universidad Complutense de Madrid)
Shapira, Lior (Hadassah and the Hebrew University Medical Center (Jerusalem))
Brotons, Carlos (Institut de Recerca Sant Pau)
Chapple, Iain (Birmingham Community Healthcare NHS Foundation Trust (Birmingham, Anglaterra))
Frese, Thomas (Institut für Allgemeinmedizin (Halle, Alemanya))
Graziani, Filippo (University of Pisa (Pisa, Itàlia))
Hobbs, FD Richard (University of Oxford (Oxford, Anglaterra))
Huck, Olivier (University of Strasbourg (Estrasburg, França))
Hummers, Eva (University Medical Center Göttingen (Alemanya))
Jepsen, Søren (University Hospital Bonn (Bonn, Alemanya))
Kravtchenko, Oleg V. (Dr. Odinaka's Clinic (Nordland, Noruega))
Madianos, Phoebus (National & Kapodistrian University of Athens (Atenes, Grècia))
Molina, Ana (Universidad Complutense de Madrid)
Ungan, Mehmet (Ankara University School of Medicine (Ankara, Turquia))
Vilaseca, Josep (Althaia Foundation-Healthcare and University Network)
Windak, Adam (Jagiellonian University Medical College (Cracòvia, Polònia))
Vinker, Shlomo (Tel Aviv University (Tel-Aviv, Israel))
Universitat Autònoma de Barcelona

Data:	2024
Resum:	Background: Periodontitis is a chronic inflammatory non-communicable disease (NCD) characterised by the destruction of the tooth-supporting apparatus (periodontium), including alveolar bone, the presence of periodontal pockets, and bleeding on probing. Objectives: To outline, for family doctors, the implications of the association between periodontal and systemic diseases; to explore the role of family doctors in managing periodontitis as an ubiquitous non-communicable disease (NCD). Methods: The consensus reports of previous focused collaborative workshops between WONCA Europe and the European Federation of Periodontology (using previously undertaken systematic reviews), and a specifically commissioned systematic review formed the technical papers to underpin discussions. Working groups prepared proposals independently, and the proposals were subsequently discussed and approved at plenary meetings. Results: Periodontitis is independently associated with cardiovascular diseases, diabetes, chronic obstructive pulmonary disease, obstructive sleep apnoea, and COVID-19 complications. Treatment of periodontitis has been associated with improvements in systemic health outcomes. The article also presents evidence gaps. Oral health care professionals (OHPs) and family doctors should collaborate in managing these conditions, including implementing strategies for early case detection of periodontitis in primary medical care centres and of systemic NCDs in oral/dental care settings. There is a need to raise awareness of periodontal diseases, their consequences, and the associated risk factors amongst family doctors. Conclusion: Closer collaboration between OHPs and family doctors is important in the early case detection and management of NCDs like cardiovascular diseases, diabetes mellitus, and respiratory diseases. Strategies for early case detection/prevention of NCDs, including periodontitis, should be developed for family doctors, other health professionals (OHPs), and healthcare funders. Evidence-based information on the reported associations between periodontitis and other NCDs should be made available to family doctors, OHPs, healthcare funders, patients, and the general population.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article de revisió ; recerca ; Versió publicada
Matèria:	Periodontitis ; Cardiovascular diseases ; Diabetes ; Family doctors ; Respiratory diseases
Publicat a:	The European Journal of General Practice, Vol. 30 Núm. 1 (2024) , p. 2320120, ISSN 1751-1402

DOI: 10.1080/13814788.2024.2320120
PMID: 38511793
PMID: 38511739

10 p, 2.3 MB

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