Perfil inflamatório de pacientes periodontais normotensos e hipertensos

Abstract

Periodontal disease (PD) is a chronic, polymicrobial and inflammatory condition of periodontal tissues associated with progressive alveolar bone loss. The severity and consequent destruction of periodontal tissues are dependents on the dynamic interactions between the microbial challenge and the immune inflammatory response of the host that can still be influenced by risk and acquired factors. The literature points out some risk factors including systemic conditions such as diabetes, immunodeficiency, stress and osteoporosis that are able to influence the manifestation and/or progression of the disease. Currently, the relationship between PD and diabetes, as well as some cardiovascular complications and obesity, is already consolidated. Within this context, evidences to date has been generally, but not overall favorable to an association between PD, blood pressure (BP) and hypertension. Considering that both conditions represent a high prevalence and impact in the population, it is imperative to develop studies that allow to know this relationship, since the identification of individuals with the highest risk for the severity and progression of PD as well as for hypertension is essential for the use of appropriate preventive and therapeutic clinical measures for this patients.