Figure 1.
Medcial Complications Associated with Oral Disease
RESPIRATORY
DISORDERS 1
MIGRAINE
HEADACHES 9
NEUROLOGICAL
DISORDERS 8
CARDIOVASCULAR
DISEASE 2
ORAL DISEASE
DEVELOPMENTAL
DISORDERS 3
PANCREATIC
DISORDERS 4,5
DIGESTIVE
DISORDERS 7
MALNUTRITION
AND FAILURE
TO THRIVE 5,6
Research regarding the association
between medical and dental
comorbidities is becoming more
commonplace (see Figure 1).
As a result, the patient centered
interdisciplinary model of care is
becoming the norm in care
management. Physicians are taking
notice of the teeth on their way to
the tonsils and making referrals to
their dental colleagues. 3 Some practice
providers are applying fluoride varnish. 4
The coordinated care of the population
is meant to meet the needs of every
patient from the most complex to
the least.
1. Frank A. Scannapieco. “Associations Between
Periodontal Disease and Risk for Nosocomial
Bacterial Pneumonia and Chronic Obstructive
Pulmonary Disease. A Systematic Review.”
Annals of Periodontology. December 2003, Vol. 8,
No. 1, Pages 54-69.
2. J.M. Liljestrand, et.al. “Association of Endodontic
Lesions with Coronary Artery Disease”. Journal of
Dental Research (July 27, 2016).
3. Saini and Saini, “ Perioeontitis: A risk for delivery
of premature labor and low-birthweight infants.”
J Nat Sci Biol Med. 2010 Jul-Dec; 1(1): 40–42.
4. Moore, Orchard, Guggenheimer, and Weyant.
“Diabetes and Oral Health Promotion: A Survey
of Disease Prevention Behaviors.” Journal of the
American Dental Association. Sept. 2000, Vol 131,
Issue 9, pgs 1333-1341.
5. Farrell, et.al. “Variation of oral microbiota are
associated with pancreatic diseases including
pancreatic cancer.” Gut. 2012, 61:4 582-588.
6. Robertson, MD. and Montagnini, MD. “Geriatric
Failure to Thrive”. American Family Physician. 2004
JUL 15; 70(2):343-350.
7. Emami, et.al. “Impact of Edentulism on Oral and
General Health.” International Journal of Dentistry.
Volume 2013, ID 498305.
8. https://www.ncbi.nlm.nih.gov › NCBI › Literature ›
PubMed Central (PMC) by K Abbayya - 2015.
9. Gonzalez, Hyde, et.al. Migraines are Correlated
with Higher Levels of Nitrate-, Nitite-, and Nitric
Oxide-Reducing Oral Microbes in the American
Gut Project Cohort. DOI: 10.1128/mSystems.
00105-16.
MARCH/AP RIL 2020 | P EN N SYLVAN IA DEN TAL JOURNAL
11