Abstract
It should come as no surprise to the reader that the oral cavity, including the periodontal tissues, are not somehow disjointed from the rest of the body. In this paper, we will explore the links between the periodontal and general health of our patients in both directions. That is to say we will explore how someone's general or systemic health conditions/habits are likely to affect their periodontal health, and how someone's periodontal health is likely to affect their systemic health.<br/> Before exploring these links, we will discuss the distinction between an association and a causal relationship, which is a subtle but vital distinction to make. We will then discuss the role of systemic conditions/habits such as diabetes, smoking, diet and stress on the periodontal health of individuals. Following from this, we will discuss the potential influence of the periodontal health of our patients on their systemic health, focussing on the more established links with diabetes and cardiovascular diseases as well as exploring the mechanisms by which these links may exist.<br/> We will conclude with some tips on the holistic care of our patients, incorporating changes that will benefit their oral and systemic health.
References
Apr 1, 1991·Journal of Periodontology·J BergströmH Preber
Oct 1, 1989·Community Dentistry and Oral Epidemiology·J Bergström
Apr 1, 1983·Community Dentistry and Oral Epidemiology·J Bergström, B Floderus-Myrhed
May 7, 2002·Journal of Periodontology·John R ElterJames D Bader
Jun 27, 2002·Journal of Periodontology·Leif E Jansson, Karin E Hagström
Mar 8, 2003·Journal of Clinical Periodontology·Jan Bergström
Mar 18, 2004·Journal of Periodontology·Thomas DietrichRobert J Glynn
Mar 27, 2007·Journal of Dental Research·T DietrichR I Garcia
May 4, 2007·Periodontology 2000·Brian L Mealey, Gloria L Ocampo
Aug 3, 2007·Journal of Periodontology·Daiane C PeruzzoFrancisco H Nociti
Jun 20, 2008·Journal of Clinical Periodontology·Willem NesseArjan Vissink
Nov 8, 2011·Diabetologia·P M PreshawR Taylor
Dec 3, 2011·Periodontology 2000·Elizabeth K Kaye
Jul 12, 2017·Annals of Internal Medicine·Marc J GunterElio Riboli
Sep 28, 2017·Acta Odontologica Scandinavica·Carlo BertoldiDavide Zaffe
Dec 7, 2017·Diabetes Research and Clinical Practice·Mariano SanzDaniel Vegh
Oct 21, 2018·Journal of Clinical Periodontology·Praveen SharmaThomas Dietrich