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Hypertension and periodontitis: A joint report by the Italian society of hypertension (SIIA) and the Italian society of periodontology and implantology (SIdP)

Del Pinto, Rita; Landi, Luca; Grassi, Guido; Sforza, Nicola Marco; Cairo, Francesco; Citterio, Filippo; Paolantoni, Guerino; ... Pietropaoli, Davide; + view all (2023) Hypertension and periodontitis: A joint report by the Italian society of hypertension (SIIA) and the Italian society of periodontology and implantology (SIdP). Oral Diseases , 29 (2) pp. 803-814. 10.1111/odi.14009. Green open access

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Abstract

An accumulating body of evidence supports an independent association between high blood pressure (BP) and periodontitis, possibly mediated by low-grade inflammation. This joint report by the Italian Society of Hypertension (SIIA) and the Italian Society of Periodontology and Implantology (SIdP) working group on Hypertension and Periodontitis (Hy-Per Group) provides a review of the evidence on this topic encompassing epidemiology, biological plausibility, relevance, magnitude, and treatment management. Consensus recommendations are provided for health professionals on how to manage BP in individuals showing signs of poor oral health. In summary, (1) large epidemiological studies highlight that individuals with periodontal diseases have increased risk for high/uncontrolled BP independent of confounders; (2) mechanistically, low-grade inflammation might have a causal role in the association; (3) BP profile and control might benefit from periodontal treatment in pre-hypertensive and hypertensive individuals; (4) oral health status should be evaluated as a potential risk factor for high/uncontrolled BP, and effective oral care should be included as an adjunct lifestyle measure during hypertension management. Further research is needed to optimize BP management in individuals with poor oral health.

Type: Article
Title: Hypertension and periodontitis: A joint report by the Italian society of hypertension (SIIA) and the Italian society of periodontology and implantology (SIdP)
Location: Denmark
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/odi.14009
Publisher version: http://dx.doi.org/10.1111/odi.14009
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: BLOOD-PRESSURE, cardiovascular diseases, CASE DEFINITIONS, CONSENSUS REPORT, Dentistry, Oral Surgery & Medicine, DISEASE, GENOME-WIDE ASSOCIATION, HERITABILITY, hypertension, inflammation, Life Sciences & Biomedicine, METABOLIC SYNDROME, periodontitis, POOR ORAL-HEALTH, POPULATION, RISK, risk factors, Science & Technology
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute > Restorative Dental Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10191888
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