Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Case Report Volume 8 Issue 2

The Association of Periodontitis in a Hypertensive Patient: A Case Report

Nourhan Mohamed Elsegaie1, Doaa Adel-Khattab2* and Nevine Hassan Kheir El Din3

1Master Periodontology, Faculty of Dentistry, Ain Shams University, Egypt
2Associate Professor of Oral Medicine, Periodontology and Diagnosis Department, Faculty of Dentistry, Ain Shams University, Egypt
3Professor of Oral Medicine, Periodontology and Diagnosis, Faculty of Dentistry Ain shams university, Egypt

*Corresponding Author: Doaa Adel-Khattab, Faculty of Dentistry, Oral Medicine, periodontology and Diagnosis Department, Ain Shams University, Egypt.

Received: January 08, 2024; Published: January 24, 2024

Abstract

Hypertension and periodontitis are common conditions globally, significantly impacting cardiovascular disease (CVD) complications. The prevalence of hypertension tends to increase with poor periodontal health, potentially influencing blood pressure control. Although risk factors like older age, male gender, smoking, obesity, diabetes, low socioeconomic status, and poor education are commonly associated with this relationship, recent evidence suggests that the link between periodontitis and hypertension is independent of these common factors and may indeed be causative, the main mechanisms involved in this association is low-grade systemic inflammation and redox imbalance. Pathogenetic events such as neutrophil dysfunction, imbalance in T cell subtypes, oral bacteria dysbiosis, hyperexpression of proinflammatory genes, and increased sympathetic outflow contribute to the connection between periodontitis and hypertension. Moreover, emerging findings indicate that shared genetic bases may shape the immune profile associated with this clinical phenotype, providing a basis for potential therapeutic and preventive strategies of public health significance.

Keywords:Hypertension; Smoking; Cardiovascular Diseases

References

  1. Del Pinto R., et al. “Hypertension and Periodontitis: A Joint Report by the Italian Society of Hypertension (SIIA) and the Italian Society of Periodontology and Implantology (SIdP)”. High Blood Pressure and Cardiovascular Prevention 5 (2021): 427-438.
  2. Tonetti MS and Van Dyke TE. “Periodontitis and atherosclerotic cardiovascular disease: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases”. Journal of Clinical Periodontology 40 (2013): S24-29.
  3. Demmer RT and Papapanou PN. “Epidemiologic patterns of chronic and aggressive periodontitis”. Periodontology 2000 53 (2010): 28-44.
  4. Southerland JH. “Periodontitis may contribute to poor control of hypertension in older adults”. Journal of Evidence-Based Dental Practice 3 (2013): 125-127.
  5. Dominy SS., et al. “Porphyromonas gingivalis in Alzheimer’s disease brains: Evidence for disease causation and treatment with small-molecule inhibitors”. Science Advances1 (2011): eaau3333.
  6. Addo J., et al. “Hypertension in sub-saharan Africa: a systematic review”. Hypertens (Dallas, Tex 1979) 6 (2007): 1012-1028.
  7. van de Vijver S., et al. “Status report on hypertension in Africa--consultative review for the 6th Session of the African Union Conference of Ministers of Health on NCD’s”. Pan African Medical Journal 16 (2013): 38.
  8. Bangalore S., et al. “Optimal Systolic Blood Pressure Target After SPRINT: Insights from a Network Meta-Analysis of Randomized Trials”. The American Journal of Medicine 6 (2017): 707-719.e8.
  9. Bundy JD., et al. “Systolic Blood Pressure Reduction and Risk of Cardiovascular Disease and Mortality: A Systematic Review and Network Meta-analysis”. JAMA Cardiology7 (2017): 775-781.
  10. Muñoz Aguilera E., et al. “Periodontitis is associated with hypertension: A systematic review and meta-analysis”. Cardiovascular Research1 (2020): 28-39.
  11. Poorly Predict Coronary. Heart Disease Deaths (2003): 713-718.
  12. Marco A., et al. “Periodontitis and cardiovascular diseases: Consensus report”. Journal of Clinical Periodontology (2019): 268-288.
  13. Paul O., et al. “Inflammation in Periodontal Disease: Possible Link to Vascular Disease”. Frontiers in Physiology 11 (2021).
  14. Raitapuro-Murray T., et al. “The prevalence of periodontal disease in a Romano-British population c. 200-400 AD”. British Dental Journal8 (2014): 459-466.
  15. Machado V., et al. “Association between periodontitis and high blood pressure: Results from the study of periodontal health in almada-seixal (sophias)”. Journal of Clinical Medicine 5 (2020): 1-13.

Citation

Citation: Doaa Adel-Khattab., et al. “The Association of Periodontitis in a Hypertensive Patient: A Case Report".Acta Scientific Dental Sciences 8.2 (2024): 55-57.

Copyright

Copyright: © 2024 Doaa Adel-Khattab., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US