MADRID, Spain: Cardiovascular and orthodontic experts are set to publish joint recommendations for medical and oral health professionals and patients. The advice will be agreed on by representatives of the European Federation of Periodontology (EFP) and World Heart Federation (WHF) at the Perio & Cardio Workshop 2019, being held on 18 and 19 February in Madrid, Spain.
Workshop participants will be discussing four key areas: epidemiological evidence linking periodontitis and cardiovascular diseases; biological mechanisms for the increased risk of atherosclerosis in patients with periodontitis; the effect of periodontal treatment on the risk of atherosclerosis and the potential cardiovascular risks of oral interventions.
According to the EFP, cardiovascular diseases are the number one cause of death globally, while severe periodontitis is the sixth most common chronic condition. Prof. Mariano Sanz, chairman of periodontology at the Complutense University of Madrid, said: “Both diseases affect many people worldwide, and the meeting aims to outline how periodontal health may reduce cardiovascular risk.”
The federation claims that there is considerable scientific evidence linking the two diseases. People with severe periodontitis are at greater risk of heart attack and stroke, particularly if they have had a cardiovascular event in the past, since bacteria in the mouth promote the development of atherosclerotic plaques. In addition, severe periodontitis leads to inflammation throughout the body, which increases the severity of atherosclerotic plaques, thereby blocking or reducing arterial blood flow.
Sanz said: “There is ample evidence that periodontal treatment reduces systemic inflammation and other factors indirectly associated with the development of atherosclerosis. We hope to reach a consensus on the value of periodontal health in reducing cardiovascular risk, particularly in patients who have already had a cardiovascular event.”
“Prevention of cardiovascular disease is one of the WHF’s main goals. We look forward to participating in this important workshop and contributing to evidence-based recommendations in relation to cardiovascular health and periodontology,” said Prof. Pablo Perel, WHF senior science adviser. “Prevention is a neglected area of cardiovascular disease and we will communicate the workshop recommendations to our members around the world,” he continued.
The subsequent EFP and WHF consensus article will be published in the Journal of Clinical Periodontology, and a project will be developed to disseminate these recommendations to oral healthcare professionals, cardiologists, physicians, pharmacists, researchers, media, patients and the general public.
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