EDUCACIÓN PREVENTIVA PERIODONTAL: UN ENFOQUE VITAL PARA ADULTOS CON DIABETES E HIPERTENSIÓN
DOI:
https://doi.org/10.32399/icuap.rdic.2448-5829.2024.Especial.1348Palabras clave:
educación preventiva, periodontal, adultos, comorbilidades, diabetes, hipertensión, salud bucal.Resumen
Este artículo aborda la importancia de la educación preventiva periodontal en adultos que enfrentan comorbilidades, específicamente diabetes tipo II e hipertensión. Explora la profunda conexión entre la salud bucal y estas condiciones médicas, destacando la relevancia de la prevención para el bienestar oral y su conexión sistémica. El objetivo principal es difundir de manera accesible la necesidad de adoptar prácticas de cuidado bucal rigurosas, promover exámenes dentales regulares y ofrecer consejos prácticos para la gestión integral de la salud en el contexto de enfermedades crónicas. A través de esta divulgación científica, se busca sensibilizar a la población sobre la interrelación entre la salud bucal y las condiciones médicas concomitantes, fomentando un enfoque preventivo para mejorar la calidad de vida de estos pacientes.
Citas
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de Souza, C. M., Braosi, A. P. R., Luczyszyn, S. M., Olandoski, M., Kotanko, P., Craig, R. G., Trevilatto, P. C., & Pecoits-Filho, R. (2014). Association among oral health parameters, periodontitis, and its treatment and mortality in patients undergoing hemodialysis. Journal of Periodontology, 85(6). https://doi.org/10.1902/jop.2013.130427
Desvarieux, M., Demmer, R. T., Jacobs, D. R., Jr, Rundek, T., Boden-Albala, B., Sacco, R. L., & Papapanou, P. N. (2010). Periodontal bacteria and hypertension: the oral infections and vascular disease epidemiology study (INVEST). Journal of Hypertension, 28(7), 1413–1421. https://doi.org/10.1097/hjh.0b013e328338cd36
Desvarieux, M., Demmer, R. T., Rundek, T., Boden-Albala, B., Jacobs, D. R., Jr, Sacco, R. L., & Papapanou, P. N. (2005). Periodontal Microbiota and carotid intima-media thickness: The Oral Infections and Vascular Disease Epidemiology Study (INVEST). Circulation, 111(5), 576–582. https://doi.org/10.1161/01.cir.0000154582.37101.15
Genco, R. J., & Borgnakke, W. S. (2013). Risk factors for periodontal disease. Periodontology 2000, 62(1), 59–94. https://doi.org/10.1111/j.1600-0757.2012.00457.x
Greenberg, B. L., Kantor, M. L., Jiang, S. S., & Glick, M. (2012). Patients’ attitudes toward screening for medical conditions in a dental setting. Journal of Public Health Dentistry, 72(1), 28–35. https://doi.org/10.1111/j.1752-7325.2011.00280.x
Graziani, F., Karapetsa, D., Alonso, B., & Herrera, D. (2017). Nonsurgical and surgical treatment of periodontitis: how many options for one disease? Periodontology 2000, 75(1), 152–188. https://doi.org/10.1111/prd.12201
Hajishengallis, G. (2014). Immunomicrobial pathogenesis of periodontitis: keystones, pathobionts, and host response. Trends in Immunology, 35(1), 3–11. https://doi.org/10.1016/j.it.2013.09.001.
Jepsen, S., Caton, J. G., Albandar, J. M., Bissada, N. F., Bouchard, P., Cortellini, P., Demirel, K., de Sanctis, M., Ercoli, C., Fan, J., Geurs, N. C., Hughes, F. J., Jin, L., Kantarci, A., Lalla, E., Madianos, P. N., Matthews, D., McGuire, M. K., Mills, M. P., … Yamazaki, K. (2018). Periodontal manifestations of systemic 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. Journal of Periodontology, 89(S1). https://doi.org/10.1002/jper.17-0733
Kaye, E. K., Chen, N., Cabral, H. J., Vokonas, P., & Garcia, R. I. (2016). Metabolic syndrome and periodontal disease progression in men. Journal of Dental Research, 95(7), 822–828. https://doi.org/10.1177/0022034516641053
Loos, B. G., Craandijk, J., Hoek, F. J., Dillen, P. M. E. W., & Van Der Velden, U. (2000). Elevation of systemic markers related to cardiovascular diseases in the peripheral blood of periodontitis patients. Journal of Periodontology, 71(10), 1528–1534. https://doi.org/10.1902/jop.2000.71.10.1528
Mealey, B. L., & Oates, T. W. (2006). Diabetes mellitus and periodontal diseases. Journal of Periodontology, 77(8), 1289–1303. https://doi.org/10.1902/jop.2006.050459
Nelson, R. G., Shlossman, M., Budding, L. M., Pettitt, D. J., Saad, M. F., Genco, R. J., & Knowler, W. C. (1990). Periodontal disease and NIDDM in Pima Indians. Diabetes Care, 13(8), 836–840. https://doi.org/10.2337/diacare.13.8.836
Relación entre enfermedad periodontal y diabetes - Perioexpertise. (s/f). Perioexpertise.es. Recuperado el 20 de diciembre de 2023, de https://www.perioexpertise.es/enfermedades-encias/implicaciones-sistemicas-diabetes
Sanz, M., Beighton, D., Curtis, M. A., Cury, J. A., Dige, I., Dommisch, H., Ellwood, R., Giacaman, R. A., Herrera, D., Herzberg, M. C., Könönen, E., Marsh, P. D., Meyle, J., Mira, A., Molina, A., Mombelli, A., Quirynen, M., Reynolds, E. C., Shapira, L., & Zaura, E. (2017). Role of microbial biofilms in the maintenance of oral health and in the development of dental caries and periodontal diseases. Consensus report of group 1 of the Joint EFP/ORCA workshop on the boundaries between caries and periodontal disease. Journal of Clinical Periodontology, 44(S18). https://doi.org/10.1111/jcpe.12682
Simpson, T. C., Needleman, I., Wild, S. H., Moles, D. R., & Mills, E. J. (2010). Treatment of periodontal disease for glycaemic control in people with diabetes. En T. C. Simpson (Ed.), Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd.
Taylor, G. W., Burt, B. A., Becker, M. P., Genco, R. J., Shlossman, M., Knowler, W. C., & Pettitt, D. J. (1996). Severe periodontitis and risk for poor glycemic control in patients with non‐insulin‐dependent diabetes mellitus. Journal of Periodontology, 67(10S), 1085–1093. https://doi.org/10.1902/jop.1996.67.10s.1085
Tonetti, M. S., D’Aiuto, F., Nibali, L., Donald, A., Storry, C., Parkar, M., Suvan, J., Hingorani, A. D., Vallance, P., & Deanfield, J. (2007). Treatment of periodontitis and endothelial function. The New England Journal of Medicine, 356(9), 911–920. https://doi.org/10.1056/nejmoa063186
Tsai, C., Hayes, C., & Taylor, G. W. (2002). Glycemic control of type 2 diabetes and severe periodontal disease in the US adult population. Community Dentistry and Oral Epidemiology, 30(3), 182–192. https://doi.org/10.1034/j.1600-0528.2002.300304.x
Virani, S. S., Newby, L. K., Arnold, S. V., Bittner, V., Brewer, L. C., Demeter, S. H., Dixon, D. L., Fearon, W. F., Hess, B., Johnson, H. M., Kazi, D. S., Kolte, D., Kumbhani, D. J., LoFaso, J., Mahtta, D., Mark, D. B., Minissian, M., Navar, A. M., Patel, A. R., … Williams, M. S. (2023). 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA guideline for the management of Patients With Chronic Coronary Disease: A report of the American heart association/American college of cardiology joint committee on clinical practice guidelines. Circulation, 148(9). https://doi.org/10.1161/cir.0000000000001168
American Dental Association (ADA). 2023. Oral Health Topics. Ada.org. Recuperado el 20 de diciembre de 2023, de https://www.ada.org/en/member-center/oral-health-topics/brushing-your-teeth
American diabetes association releases 2023 standards of care in diabetes to guide prevention, diagnosis, and treatment for people living with diabetes. (2022). Diabetes.org. Recuperado el 20 de diciembre de 2023, de https://www2.diabetes.org/newsroom/press-releases/2022/american-diabetes-association-2023-standards-care-diabetes-guide-for-prevention-diagnosis-treatment-people-living-with-diabetes
Chapple, I. L. C., Van der Weijden, F., Doerfer, C., Herrera, D., Shapira, L., Polak, D., Madianos, P., Louropoulou, A., Machtei, E., Donos, N., Greenwell, H., Van Winkelhoff, A. J., Eren Kuru, B., Arweiler, N., Teughels, W., Aimetti, M., Molina, A., Montero, E., & Graziani, F. (2015). Primary prevention of periodontitis: managing gingivitis. Journal of Clinical Periodontology, 42(S16). https://doi.org/10.1111/jcpe.12366
de Souza, C. M., Braosi, A. P. R., Luczyszyn, S. M., Olandoski, M., Kotanko, P., Craig, R. G., Trevilatto, P. C., & Pecoits-Filho, R. (2014). Association among oral health parameters, periodontitis, and its treatment and mortality in patients undergoing hemodialysis. Journal of Periodontology, 85(6). https://doi.org/10.1902/jop.2013.130427
Desvarieux, M., Demmer, R. T., Jacobs, D. R., Jr, Rundek, T., Boden-Albala, B., Sacco, R. L., & Papapanou, P. N. (2010). Periodontal bacteria and hypertension: the oral infections and vascular disease epidemiology study (INVEST). Journal of Hypertension, 28(7), 1413–1421. https://doi.org/10.1097/hjh.0b013e328338cd36
Desvarieux, M., Demmer, R. T., Rundek, T., Boden-Albala, B., Jacobs, D. R., Jr, Sacco, R. L., & Papapanou, P. N. (2005). Periodontal Microbiota and carotid intima-media thickness: The Oral Infections and Vascular Disease Epidemiology Study (INVEST). Circulation, 111(5), 576–582. https://doi.org/10.1161/01.cir.0000154582.37101.15
Genco, R. J., & Borgnakke, W. S. (2013). Risk factors for periodontal disease. Periodontology 2000, 62(1), 59–94. https://doi.org/10.1111/j.1600-0757.2012.00457.x
Greenberg, B. L., Kantor, M. L., Jiang, S. S., & Glick, M. (2012). Patients’ attitudes toward screening for medical conditions in a dental setting. Journal of Public Health Dentistry, 72(1), 28–35. https://doi.org/10.1111/j.1752-7325.2011.00280.x
Graziani, F., Karapetsa, D., Alonso, B., & Herrera, D. (2017). Nonsurgical and surgical treatment of periodontitis: how many options for one disease? Periodontology 2000, 75(1), 152–188. https://doi.org/10.1111/prd.12201
Hajishengallis, G. (2014). Immunomicrobial pathogenesis of periodontitis: keystones, pathobionts, and host response. Trends in Immunology, 35(1), 3–11. https://doi.org/10.1016/j.it.2013.09.001.
Jepsen, S., Caton, J. G., Albandar, J. M., Bissada, N. F., Bouchard, P., Cortellini, P., Demirel, K., de Sanctis, M., Ercoli, C., Fan, J., Geurs, N. C., Hughes, F. J., Jin, L., Kantarci, A., Lalla, E., Madianos, P. N., Matthews, D., McGuire, M. K., Mills, M. P., … Yamazaki, K. (2018). Periodontal manifestations of systemic 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. Journal of Periodontology, 89(S1). https://doi.org/10.1002/jper.17-0733
Kaye, E. K., Chen, N., Cabral, H. J., Vokonas, P., & Garcia, R. I. (2016). Metabolic syndrome and periodontal disease progression in men. Journal of Dental Research, 95(7), 822–828. https://doi.org/10.1177/0022034516641053
Loos, B. G., Craandijk, J., Hoek, F. J., Dillen, P. M. E. W., & Van Der Velden, U. (2000). Elevation of systemic markers related to cardiovascular diseases in the peripheral blood of periodontitis patients. Journal of Periodontology, 71(10), 1528–1534. https://doi.org/10.1902/jop.2000.71.10.1528
Mealey, B. L., & Oates, T. W. (2006). Diabetes mellitus and periodontal diseases. Journal of Periodontology, 77(8), 1289–1303. https://doi.org/10.1902/jop.2006.050459
Nelson, R. G., Shlossman, M., Budding, L. M., Pettitt, D. J., Saad, M. F., Genco, R. J., & Knowler, W. C. (1990). Periodontal disease and NIDDM in Pima Indians. Diabetes Care, 13(8), 836–840. https://doi.org/10.2337/diacare.13.8.836
Relación entre enfermedad periodontal y diabetes - Perioexpertise. (s/f). Perioexpertise.es. Recuperado el 20 de diciembre de 2023, de https://www.perioexpertise.es/enfermedades-encias/implicaciones-sistemicas-diabetes
Sanz, M., Beighton, D., Curtis, M. A., Cury, J. A., Dige, I., Dommisch, H., Ellwood, R., Giacaman, R. A., Herrera, D., Herzberg, M. C., Könönen, E., Marsh, P. D., Meyle, J., Mira, A., Molina, A., Mombelli, A., Quirynen, M., Reynolds, E. C., Shapira, L., & Zaura, E. (2017). Role of microbial biofilms in the maintenance of oral health and in the development of dental caries and periodontal diseases. Consensus report of group 1 of the Joint EFP/ORCA workshop on the boundaries between caries and periodontal disease. Journal of Clinical Periodontology, 44(S18). https://doi.org/10.1111/jcpe.12682
Simpson, T. C., Needleman, I., Wild, S. H., Moles, D. R., & Mills, E. J. (2010). Treatment of periodontal disease for glycaemic control in people with diabetes. En T. C. Simpson (Ed.), Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd.
Taylor, G. W., Burt, B. A., Becker, M. P., Genco, R. J., Shlossman, M., Knowler, W. C., & Pettitt, D. J. (1996). Severe periodontitis and risk for poor glycemic control in patients with non‐insulin‐dependent diabetes mellitus. Journal of Periodontology, 67(10S), 1085–1093. https://doi.org/10.1902/jop.1996.67.10s.1085
Tonetti, M. S., D’Aiuto, F., Nibali, L., Donald, A., Storry, C., Parkar, M., Suvan, J., Hingorani, A. D., Vallance, P., & Deanfield, J. (2007). Treatment of periodontitis and endothelial function. The New England Journal of Medicine, 356(9), 911–920. https://doi.org/10.1056/nejmoa063186
Tsai, C., Hayes, C., & Taylor, G. W. (2002). Glycemic control of type 2 diabetes and severe periodontal disease in the US adult population. Community Dentistry and Oral Epidemiology, 30(3), 182–192. https://doi.org/10.1034/j.1600-0528.2002.300304.x
Virani, S. S., Newby, L. K., Arnold, S. V., Bittner, V., Brewer, L. C., Demeter, S. H., Dixon, D. L., Fearon, W. F., Hess, B., Johnson, H. M., Kazi, D. S., Kolte, D., Kumbhani, D. J., LoFaso, J., Mahtta, D., Mark, D. B., Minissian, M., Navar, A. M., Patel, A. R., … Williams, M. S. (2023). 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA guideline for the management of Patients With Chronic Coronary Disease: A report of the American heart association/American college of cardiology joint committee on clinical practice guidelines. Circulation, 148(9). https://doi.org/10.1161/cir.0000000000001168
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2024-04-24
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Salas Paniagua, M. . ., Tapia Álvarez, M. D. . ., Garrido Garrido , M. ., Montes Sánchez, D. . ., & Álvarez Rodríguez , J. . (2024). EDUCACIÓN PREVENTIVA PERIODONTAL: UN ENFOQUE VITAL PARA ADULTOS CON DIABETES E HIPERTENSIÓN. RD-ICUAP, 10(29), 106–121. https://doi.org/10.32399/icuap.rdic.2448-5829.2024.Especial.1348
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