The relationship of inflammatory diseases in the oral cavity and cardiovascular system. Literature review and determining the level of dental education

Abstract

Relevance . The aim of the study was to analyze the modern scientific researches about the relationship of chronic oral infection with cardiovascular diseases, as well as to determine the level of dental education of students and doctors of various specialties. Materials and methods . We carried out the analysis of 11 studies, including 610 patients with cardiovascular disease, who need surgical treatment. After the meta-analysis, we determined the gradation of periodontal pathogens from the most frequently detected in vascular biopsies to the least. We also conducted a sociological interview among 230 people and with the help of its results, we developed a multi-stage dental education program. Results. Based on the analysis of a number of clinical studies, a positive correlation was observed (in 100% cases) between chronic oral infection and detection of periodontal pathogens in vascular biopsies. Sociological survey showed a low level of awareness between doctors and patients on this issue, and we have identified an actual lack of educational work with patients in doctor`s daily practice. Conclusion. The analyzed works and modern clinical studies confirm the possible relationship of oral infection with cardiovascular disease, also, the results of the sociological survey motivate us to realize a large-scale educational program to inform our patients and to increase the knowledge and skills of doctors of various specialties in order to control the greatest possible number of risk factors which lead to atherosclerosis, including chronic infection of the oral cavity.