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Universitas Medica
Print version ISSN 0041-9095On-line version ISSN 2011-0839
Abstract
BOLANOS, Andrés-Felipe et al. Relationship between Periodontal Disease and Chronic Obstructive Pulmonary Disease: Review of the Literature. Univ. Med. [online]. 2020, vol.61, n.3, pp.12-31. Epub Mar 30, 2020. ISSN 0041-9095. https://doi.org/10.11144/javeriana.umed61-3.epep.
Introduction:
Periodontal disease affects the supporting tissues of the tooth generating a chronic inflammatory manifestation triggered mainly by bacteria included in an oral biofilm, which can migrate to other tissues of the body, the airways being a susceptible target.
Objective:
To determine if there is a cause-effect relationship between periodontal disease and chronic obstructive pulmonary disease, as reported in the literature in the last 20 years.
Materials and methods:
A systematic search of the literature was performed in Medline (through the PubMed search engine) using the guidelines of the PRISMA declaration with the help of the referred keywords.
Results:
49 publications were reviewed between 1998 and 2018. The largest number corresponded to the year 2013. The most frequent type of publication was descriptive studies (41%), followed by cases and controls (29%), reviews of the literature (18%), retrospective cohort studies (10%) and meta-analysis (2%). Of the total number of publications, 94% report that there is a relationship between periodontal disease and chronic obstructive pulmonary disease, while 6% deny such association.
Conclusion:
There is an association between the two diseases, although the evidence is insufficient to establish a cause-effect relationship, it can be suggested that periodontal disease is a risk indicator for chronic obstructive pulmonary disease and vice versa, since a two-way relationship is suggested.
Keywords : periodontal disease; chronic obstructive pulmonary disease; inflammation; bacteremia.