Examinando por Materia "Stomatognathic Diseases"

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    Periodontal Disease and Chronic Obstructive Lung Disease in patients of the Ramiro Prialé National Hospital Prialé, Huancayo, 2018 - 2019
    (Universidad Privada Norbert Wiener, 2024-05-07) Guevara Callupe, Katherin; Cautín Martinez, Noemi Esther
    Periodontal Disease and Chronic Obstructive Pulmonary Disease (COPD) are chronic and progressive conditions characterized by neutrophilic inflammation followed by proteolytic destruction of connective tissue. Risk factors they share include smoking, age, gender, obesity, and socioeconomic status. The relationship between both has been studied in several countries, which suggest that periodontal pockets in patients with periodontal disease are an inflammatory reservoir containing cytokines, bacteria, neutrophils, and other biological mediators. These microaspirate into the lower airways, leading to bronchial colonization and inflammation. These pro-inflammatory mediators serve as an additional inflammatory stimulus, inducing a more active response in the lungs, which facilitates local tissue destruction. Moreover, infected and inflamed bronchial secretions increase the inflammatory burden on the periodontium after expectoration. Patients with periodontal disease and COPD treated by a dentist showed reduced periodontal microbiota, which favored their lung function. It is also considered that the progression of COPD is associated with inefficient oral hygiene.