Periodontitis and cardiovascular diseases: Consensus report

Abstract

Abstract Background In Europe cardiovascular disease (CVD) is responsible for 3.9 million deaths (45% of deaths), being ischaemic heart disease, stroke, hypertension (leading to heart failure) the major cause of these CVD related deaths. Periodontitis is also a chronic non‐communicable disease (NCD) with a high prevalence, being severe periodontitis, affecting 11.2% of the world's population, the sixth most common human disease. Material and Methods There is now a significant body of evidence to support independent associations between severe periodontitis and several NCDs, in particular CVD. In 2012 a joint workshop was held between the European Federation of Periodontology (EFP) and the American Academy of Periodontology to review the literature relating periodontitis and systemic diseases, including CVD. In the last five years important new scientific information has emerged providing important emerging evidence to support these associations Results and Conclusions The present review reports the proceedings of the workshop jointly organised by the EFP and the World Heart Federation (WHF), which has updated the existing epidemiological evidence for significant associations between periodontitis and CVD, the mechanistic links and the impact of periodontal therapy on cardiovascular and surrogate outcomes. This review has also focused on the potential risk and complications of periodontal therapy in patients on anti thrombotic therapy and has made recommendations for dentists, physicians and for patients visiting both the dental and medical practices.

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Affiliated Institutions

• Université Paris Cité FR
• Prince Philip Dental Hospital HK
• Sheba Medical Center IL
• University of Graz AT
• Tel Aviv University IL
• Hospital Universitario Ramón y Cajal ES
• Inserm FR
• World Heart Federation CH
• London School of Hygiene & Tropical Medicine GB
• Eastman Dental Hospital GB
• Hôpital Rothschild FR
• Sorbonne Université FR
• University of Hong Kong HK
• Hadassah Academic College IL
• Laboratoire de Recherche Vasculaire Translationnelle FR
• University College London GB
• University of Birmingham GB
• University of Bonn DE
• Centro de Investigación en Red en Enfermedades Cardiovasculares ES
• University of Pisa IT
• Academic Center for Dentistry Amsterdam NL
• National and Kapodistrian University of Athens GR
• German Centre for Cardiovascular Research DE
• Hebrew University of Jerusalem IL

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