Analysis of patients with systemic diseases and their prevalence of periodontal disease in the clinic of the Specialty of Periodontics at the School of Dentistry of the Universidad Abierta Interamericana

Authors

  • Forciniti Estefanía Universidad Abierta Interamericana, Facultad de Medicina y Ciencias de la Salud, Carrera de Odontología. Buenos Aires, Argentina Author

DOI:

https://doi.org/10.56294/piii2025403

Keywords:

Periodontal disease, smoking; diabetes, socioeconomic factors, oral health, periodontal disease

Abstract

Periodontal diseases, especially periodontitis, were associated with systemic and social factors. Recent studies showed their relationship with cardiovascular diseases, diabetes, osteoporosis and smoking, with diabetes being a significant factor that aggravated the progression and severity of periodontitis. The prevalence of severe periodontitis increased between 30 and 40 years of age and remained stable at older ages. Factors such as socioeconomic level, habits such as smoking and poor oral hygiene, and systemic conditions, such as hypertension and diabetes, played a determining role in the progression of this pathology.
Smoking represented a critical risk, associated with greater severity and incidence of periodontitis. Abandoning this habit significantly reduced the risk. Likewise, people with diabetes had a 2.6 to 3 times higher risk of developing periodontitis, with a more aggressive progression. The studies also suggested a relationship between periodontal disease and hypertension, although further research was needed to establish causality.
The data analyzed revealed that prevalence varied with age, habits and systemic conditions. Although factors such as lifestyle and socioeconomic status were not directly associated with systemic pathologies, they significantly influenced periodontal health. It was concluded that these patients required personalized treatment and follow-up to prevent complications. It was essential to standardize evaluation and diagnostic methods to improve the understanding and management of this disease

References

1. Zeron J, De Velasco G.Medicina periodontal.Manejo dental de pacientes con enfermedades sistémicas.3ª Ed. Buenos Aires. Manual moderno;1996:8-20

2. Marín Jaramillo R, Duque Duque A. Condiciones modificadoras del riesgo de enfermedad periodontal: una revisión narrativa sobre la evidencia en américa latina. CES odontol [Internet]. 2021 [citado 3 agos 2022];34(1): 83. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120- 971X2021000100082&lng=en

3. Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJL, Marcenes W. Global Burden of severe periodontitis in 1990-2010: A systematic review and meta- regression. J Dent Res [Internet]. 2014;93(11):1045–53. Disponible en:http://dx.doi.org/10.1177/0022034514552491

4. Cárdenas-Valenzuela P, Guzmán-Gastelum DA, Valera-González E, Cuevas- González JC, Zambrano-Galván G, García-Calderón AG. Principales Criterios de Diagnóstico de la Nueva Clasificación de Enfermedades y Condiciones Periodontales. Int j odontostomatol [Internet]. 2021 [citado 3 agos 2022];15(1):175-176. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718- 381X2021000100175&lng=es

5. Ali T, Rumnaz A, Urmi UL, Nahar S, Rana M, Sultana F, et al. Type-2 diabetes mellitus individuals carry different periodontal bacteria. Pesqui Bras Odontopediatria Clin Integr [Internet]. 2021 [citado 3 agos 2022];21. Disponible en: https://www.scielo.br/j/pboci/a/JFQvcdkcqqkMGwTFbSTLSCP/?lang=en

6. Murakami S, Mealey BL, Mariotti A, Chapple, ILC. Dental plaque–induced gingival conditions. Clin Periodontol. 2018;45(Suppl 20):S17-S27. https://aap.onlinelibrary.wiley.com/doi/full/10.1002/JPER.17-0095

7. Villegas Rojas IM, Díaz Rivero A, Domínguez Fernández Y, Solís Cabrera BA, Tabares Alonso Y. Prevalencia y gravedad de la enfermedad periodontal en pacientes diabéticos. Rev médica electrón [Internet]. 2018 [citado 3 agos 2022];40(6):1915-1916. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684- 18242018000601911&lng=es.

8. Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic

9. diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733. J Clin Periodontol. 2018 Jun;45 Suppl 20:S219-S229. doi: 10.1111/jcpe.12951.

10. Vargas Casillas A, Martinez Hernandez R, Robles Leyzaola N, Yañez Ocampo B. Clasificacion de enfermedades y condiciones periodontales y periimplantarias. Periodontologia e implantologia. 2ª Ed. Buenos Aires. Panamericana; 2021:60-78

11. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Clin Periodontol. 2018;45(Suppl 20):S149-S161.

12. https://www.medigraphic.com/pdfs/odon/uo-2021/uo211b.pdf

13. Asquino N, Bueno L, Mayol M. Clasificación de las enfermedades y condiciones periodontales y periimplantarias 2017. 2019 Agos. pp 8-155. Disponible en: https://tinyurl.com/mr46k5u6.

14. Novok KF, Novok MJ. Periodontologia Clinica. 10a Edición México: McGraw Hill; c 38. Capítulo Valoración de riesgo; 602.

15. Castellanos González M, Cueto Hernández M, Boch M, Méndez Castellanos C, Méndez Garrido L, Castillo Fernández C. Efectos fisiopatológicos del tabaquismo como factor de riesgo en la enfermedad periodontal. Finlay [Internet]. 2016 [citado 3 agos 2022];6(2):137. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=s2221-24342016000200006

16. Rojas J, Rojas LA, Hidalgo R. Tabaquismo y su efecto en los tejidos periodontales. Rev clín periodoncia implantol rehabil oral [Internet]. 2014 [citado 3 agos 2022];7(2):109. Disponible en: https://www.scielo.cl/scielo.php?pid=S071901072014000200010&script=sci_arttext&t lng=pt

17. Osorio González AY, Bascones Martínez A, Villarroel-Dorrego M. Alteración del pH salival en pacientes fumadores con enfermedad periodontal. Av periodoncia implantol oral [Internet]. 2009 [citado 3 agos 2022];21(2):74. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-65852009000200003

18. Novok KF, Novok MJ. Periodontologia Clinica. 10a Edición México: McGraw Hill; c 38. Capítulo Valoración de riesgo; 605.

19. Rioboo Crespo M, Bascones A. Factores de riesgo de la enfermedad periodontal:

20. factores genéticos. Av periodoncia implantol oral [Internet]. 2005 [Citado el 3 agos 2022];17(2):72. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=s1699-65852005000200003

21. Carvajal P. Enfermedades periodontales como un problema de salud pública: el desafío del nivel primario de atención en salud. Rev clín periodoncia implantol rehabil oral [Internet]. 2016;9(2):178. Disponible en: https://www.sciencedirect.com/science/article/pii/S0718539116300337

22. Smith P, Retamal I, Cáceres M, et al. Diabetes y su impacto en el territorio periodontal. Rev clín periodoncia implantol rehabil oral [Internet]. 2012 [citado 3 de agos 2022];5(2):91. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0719-01072012000200008

23. Fajardo ME, Rodríguez O, Hernández M, Pacheco NM. Diabetes miellitusy enfermedad periodontal: aspectos fisiopatológicos actuales de su relación. MEDISAN [INTERNET]. 2016 [Citado el 9 julio de 2022]; 20(6): 847. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029- 30192016000600014&lng=es

24. Carda C, Mosquera-Lloreda N, Salom L, Gómez de Ferraris ME, Peydró A. Alteraciones salivares en pacientes con diabetes tipo 2. Med. Oral Patol. Oral. Cir. Bucal [Internet]. 2006 [Citado 3 agos 2022];11(4):E 310. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1698- 69462006000400003&lng=es.

25. Zeron J, De Velasco G.Medicina periodontal.Manejo dental de pacientes con enfermedades sistémicas.3ª Ed. Buenos Aires. Manual moderno;1996: 13-14.

26. Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontol 2000. 2013;62(1):59-94.

27. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23574464/.

28. Zeron J, De Velasco G.Medicina periodontal.Manejo dental de pacientes con enfermedades sistémicas.3ª Ed. Buenos Aires. Manual moderno;1996: 16-17.

29. Petersen PE, Ogawa H. The global burden of periodontal disease:towards integration with chronic disease prevention and control. Periodontol 2000. 2012;60(1):15-39.

30. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22909104/

31. Haytac MC, Ozcelik O, Mariotti A. Periodontal disease in men. Periodontol 2000. 2013;61(1):252-65.

32. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23240953/

33. Albandar JM. Global risk factors and risk indicators for periodontal diseases. Periodontology 2000. 2002; 29:177-206.

34. Disponible en: https://scirp.org/reference/referencespapers.aspx?referenceid=2912682

35. Albandar JM, Rams TE. Global epidemiology of periodontal diseases: an overview. Periodontol 2000. 2002;29:7-10.

36. Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe periodontitis in 1990-2010: a systematic review and meta- regression. J Dent Res. 2014;93(11):1045-53.

37. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25261053/

38. Jin LJ, Armitage GC, Klinge B, Lang NP, Tonetti M, Williams RC.Global oral health inequalities: task group--periodontal disease. Adv Dent Res. 2011;23(2):221-6.

39. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21490234/

40. Holtfreter B, Albandar JM, Dietrich T, Dye BA, Eaton KA, Eke PI, et al. Standards for reporting chronic periodontitis prevalence and severity in epidemiologic studies: Proposed standards from the Joint EU/USA Periodontal Epidemiology Working Group. J Clin Periodontol. 2015;42(5):407-12.

41. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25808877/

42. Walter C, Kaye EK, Dietrich T. Active and passive smoking: assessment issues in periodontal research. Periodontol 2000.2012;58(1):84-92.

43. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22133368/

44. Taylor GW, Borgnakke WS. Periodontal disease: associations with diabetes, glycemic control and complications. Oral Dis. 2008;14(3):191-203.

45. Disponible en: https://pubmed.ncbi.nlm.nih.gov/18336370/

46. Cullinan MP, Seymour GJ. Periodontal disease and systemic illness: will the evidence ever be enough? Periodontol 2000. 2013;62(1):271-86.

47. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25261053/.

Downloads

Published

2025-01-01

How to Cite

1.
Forciniti E. Analysis of patients with systemic diseases and their prevalence of periodontal disease in the clinic of the Specialty of Periodontics at the School of Dentistry of the Universidad Abierta Interamericana. SCT Proceedings in Interdisciplinary Insights and Innovations [Internet]. 2025 Jan. 1 [cited 2025 Mar. 9];3:403. Available from: https://proceedings.ageditor.ar/index.php/piii/article/view/403