PERIODONTAL THERAPY IN THE COMPLEX TREATMENT OF PATIENTS WITH CORONARY HEART DISEASE: A SYSTEMATIC REVIEW
DOI:
https://doi.org/10.4238/92mara55Keywords:
periodontitis, periodontal therapy, coronary artery disease, coronary heart disease, C-reactive protein, endothelial function, systematic review.Abstract
Modern dentistry includes many unresolved scientific and practical issues: despite significant medical achievements, the main dental diseases (carious lesions, periodontal pathology, lesions of the oral mucosa) remain relevant. Their medical and social indicators are extremely high, and the improvement of diagnosis, treatment and prevention remains in high demand.
The aim of the work is to systematize interventional data on periodontal therapy in patients with coronary heart disease and to determine which endpoints provide the greatest practical benefits.
The qualitative synthesis included 7 studies with a total of 725 participants. In all studies after treatment, there was a distinct improvement in local periodontal parameters.
Changes in the lipid profile and data on severe cardiovascular outcomes remained limited. Periodontal therapy in patients with coronary heart disease looks like a clinically justified supplement, primarily as a way to reduce the inflammatory load, but it is too early to interpret it as an independent means of secondary cardiological prevention.
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