Associative Parallels, Interrelations and Interdependencies Between Clinical Features of Dental Pathology and Cardiovascular Diseases

Abstract

Subject. Diseases of the cardiovascular system are characterised by oral cavity manifestations which possible has inverse relationships. Prevalence and features of hard oral tissues, mucosa of the oral cavity and periodontium in cardiovascular patients is investigated.
 Aim — to form a list of main trends and scientific practical prospects related to cardiovascular diseases and dental pathology.
 Methods. In order to perform analysis of the studied topic, a review of 30 periodicals dated 2007-2019 was performed. 
 Results. The analysis of Russian and foreign scientific literature resulted in formulation of three main groups of dental diseases with peculiarities in manifestations if IHD and HD: 
 1. Diseases of hard oral tissues; 2. Diseases of the mucous coat of the oral cavity; 3. Periodontium tissue diseases. Examination of oral cavity hygienic condition in CVD patients showed worse values in comparison with the control group. A major emphasis is placed on the role of C-reactive protein and the role of systemic inflammation in dental and cardiovascular pathology. Also, there is data regarding treatment of periodontium tissues and its influence on the cardiovascular system. Inverse interaction was noted: intake of medicines against the main pathology exerted influence on the oral cavity condition.
 Conclusion. The performed review of Russian and foreign literature makes it possible to conclude that the data presented is insufficient to draw any firm conclusion. Of principal interest are periodontium tissue diseases and their correlation with general somatic pathology, indicative of which is a significant number of practical researches devoted to this issue. However, the data analysed are of controversial character and do not make it possible to form a single trajectory for management of such patients and assessment of not only dental but also general somatic status of the patient.