Description of the association between periodontitis and COVID-19
Keywords:
association, COVID-19, periodontitis, two-way relationship.Abstract
Introduction: Periodontitis is a chronic inflammatory disease characterized by loss of attachment with concomitant bone resorption and deepened grooves due to apical migration of the junctional epithelium. Viruses may participate in its pathogenesis; infectious agents unique in biology, including the SARS-CoV-2 that causes the COVID-19. Therefore, researchers have proposed theories that try to explain the possible association of this virus with periodontitis, considering that a bidirectional relationship exists between both. A bibliographic review on this topic was carried out from January 2021 to May 2023, using Google Scholar, the PubMed, SciELO, ScienceDirect, MEDLINE and LILACS databases.
Objective: Describe the available information on the association between periodontitis and COVID-19.
Development: In periodontitis, poor oral hygiene produces a dysbiosis of the oral microbiome that triggers the appearance of periodontopathogens; The entry of the SARS-CoV-2 can subvert the immune system, which causes a serious association of periodontal diseases with COVID-19. This virus can interact with the oral microbiome and cause excessive growth of pathobionts that aggravate the formation of periodontal pockets.
Conclusions: It is considered that the association between the disease caused by the SARS-CoV-2 with periodontitis is bidirectional, the effect of the virus on the immune system can aggravate periodontitis and the effects of chemical mediators of periodontitis make it more vulnerable the patient infected by SARS-CoV-2 to develop a coinfection.
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2. de la Hoz Rojas L, Sarduy Bermúdez L, Saura Díaz Jesús D, Pérez De la Hoz AB, Ruíz Rodríguez LE, Ramos Morales AL. Software educativo sobre patogenia de la enfermedad periodontal inmunoinflamatoria crónica en Periodoncia. EDUMECENTRO. 2020 [acceso: 23/02/2021]; 12(3):117-30. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2077-28742020000300117&lng=es
3. Pineda Bombino L, Toledo Pimentel BF, Veitia Cabarrocas F. Enfermedad periodontal inflamatoria crónica y enfermedades cardiovasculares. Medicentro Electrónica. 2020 [acceso: 03/06/2022]; 24(2):337-59. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432020000200337&lng=es
4. Gutiérrez Flores RJ, Marval Figueroa ME, Peña Farías C, Ramírez MG, Tapias Urbáez GZ, Zambrano Rodríguez GM. Arqueas y virus en la enfermedad periodontal. Revisión de la literatura. REFO. 2021; 14(2):20-9. DOI: 10.30972/rfo.1425766
5. Imai K, Yorimasa O . How Does Epstein-Barr Virus Contribute to Chronic Periodontitis? Int J Mol Sci. 2020; 21(6):1940. DOI: 10.3390/ijms21061940
6. Echeverría A, Vignoletti F, Fabrizi S, Matesanz P. Papel etiológico de los virus en la enfermedad periodontal. Avances en Periodoncia. 2007. [acceso: 13/06/2022]; 19(2):101-13. Disponible en: https://scielo.isciii.es/pdf/peri/v19n2/original3.pdf
7. Sánchez Cárdenas M, Toledo Pimentel B, Zaita Ferrer Y, Fimia Duarte R. Virus SARS-CoV-2 y Periodontitis. PAIDEIA. 2021; 11(1):247-54. DOI: 10.31381/paideia.v11i1.3720
8. Huertos Ochoa CC, Raffo Peña MP, Sihuay Torres K. La enfermedad periodontal podría ser una comorbilidad para la COVID-19. Rev Cubana Invest Bioméd. 2021 [acceso: 15/05/2022]; 40(1):e1177. Disponible en: http://scielo.sld.cu/scielo.php?pid=S0864-03002021000100026&script=sci_arttext&tlng=en
9. Eke Paul, Borgnakke WS, Genco R. Recent epidemiologic trends in periodontitis in the USA. Periodontol 2000. 2020; 82(1): 257-67. DOI: 10.1111/prd.12323
10. Cardentey García, J. Empleo de la medicina natural y tradicional en el tratamiento estomatológico. AMC.2015 [acceso: 15/05/2022]; 19(3):316-21. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1025-02552015000300014&script=sci_arttext&tlng=pt
11. Carranzas's Clinical Periodontology/Carranza FA, Newman MG, Takei HH, Klokkevold PR. 9na ed. Philadelphia: Saunders; 2002.
12. Vara Delgado A, Sosa González R, Alayón Recio CS, Ayala Sotolongo N, Moreno Capote G, Alayón Recio V. Uso de la manzanilla en el tratamiento de las enfermedades periodontales. AMC. 2019 [acceso: 15/05/2022]; 23(3):4. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552019000300403
13. González Díaz ME, Toledo Pimentel CB, Corrales Álvarez M, Veitía Cabarroca F. Diagnóstico, pronóstico y tratamiento de la enfermedad periodontal inmunoinflamatoria crónica. En: Colectivo de Autores. Compendio de Periodoncia. 2da edición. La Habana: Editorial Ciencias Médicas; 2017.
14. Escalona LA, Limonchy ME. Asociación de virus Epstein Barr con la enfermedad periodontal. Acta Odontol Venez. 2009 [acceso: 15/05/2022]; 47(3):140-52. Disponible en: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0001-63652009000300019
15. Aquino Canchari CR, Quispe Arrieta R, Huaman Castillon KM. COVID-19 y su relación con poblaciones vulnerables. Rev Haban Cienc Méd. 2020 [acceso: 07/01/2023]; 19(1): e3341. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2020000400005
16. Sigua Rodríguez EA, Bernal Pérez JL, Lanata Flores AG, Sánchez Romero C, Rodríguez Chessa J, Haidar Ziyad S, et al. COVID-19 y la Odontología: una Revisión de las Recomendaciones y Perspectivas para Latinoamérica. Int J Odontostoma. 2020; 14(3):299-309. DOI: 10.4067/S0718-381X2020000300299
17. Ortiz Sablón JC, Chacón Bonet D, Serra Hernandez E, Ochoa Tamayo I, Serra Parra L, Parra Hijuelo C. Aproximación a la patogenia de la COVID-19 según interacción virus-huésped. Correo Científico Médico. 2020 [acceso: 07/01/2023]; 24(3):997-1012. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1560-43812020000300990
18. Pérez Abreu MR, Gómez Tejeda JJ, Dieguez Guach RA. Características clínico-epidemiológicas de la COVID-19. Rev Haban Cienc Méd. 2020 [acceso: 07/01/2023]; 19(2): e3254. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2020000200005&lng=es
19. OMS. Panel de Control de Coronavirus (COVID- 19). Ginebra: OMS; 2021. [acceso: 07/01/2023]; [aprox. 2pant.]. Disponible en: https://covid19.who.int/
20. Aúcar López J, Cendra Asencio M, Betancourt Bethencourt JA, Llambias Peláez JJ. Enfrentamiento social y clínico-epidemiológico a la COVID-19 en la provincia Camagüey hasta el caso 48. Rev Hum Med. 2021 [acceso: 07/01/2023]; 21(1):1-19. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-81202021000100001&lng=es
21. Badran Z, Gaudin A, Struillou X, Amador G, Soueidan A. Periodontal pockets: a potential reservoir for SARS-CoV-2? Med Hypotheses. 2020; 143:(1):109907. DOI: 10.1016/j.mehy.2020.109907
22. Sahni V, Gupta S. COVID-19 & periodontitis: the cytokine connection. Med Hypotheses. 2020; 144(10):109908. DOI: 10.1016/j.mehy.2020.109908
23. Pitones-Rubio V, Chávez-Cortez EG, Hurtado-Camarena A, González-Rascón A, ¿Serafín-Higuera N. Is periodontal disease a risk factor for severe COVID-19 illness? Med Hypotheses. 2020; 144(1):109969. DOI: 10.1016/j.mehy.2020.109969
24. Hernández S, Aquino R. Potencial Rol de la Periodontitis en la Severidad de COVID-19. Revisión. International Journal of Odontostomatology. 2021; 15(2): 35-341. DOI: 10.4067/s0718-381x2021000200335
25. Falcón Guerrero B. La cavidad bucal como fuente de transmisión del SARSCoV-2. Archivo Médico Camagüey. 2020 [acceso: 07/06/2022]; 24(6):[aprox. 8 pant]. Disponible en: https://revistaamc.sld.cu/index.php/amc/article/view/7616
26. Xu H, Zhong L, Deng J, Peng J, Dan H, Zeng X, et al. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. Int J Oral Sci. 2020; 12(8):[aprox. 8 pant.]. DOI: 10.1038/s41368-020-0074-x
27. Morales Espinosa R. La Saliva como Biomuestra para Diagnóstico de Infección por SARS-CoV-2: Una Revisión. Int J Odontostomat. 2020 [acceso: 13/09/2022]; 14(3):327-30. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000300327&lng=es
28. Falcón Guerrero BE. Rol del odontólogo para el diagnóstico temprano de la infección con COVID-19. AMC. 2021 [acceso: 19/12/2022]; 25(2): e7885. Disponible en: https://revistaamc.sld.cu/index.php/amc/article/view/7885
29. Sampson V, Kamona N, Sampson A. Could there be a link between oral hygiene and the severity of SARS-CoV-2 infections? Br Dent J. 2020; 228(12): 971-5. DOI: 10.1038/s41415-020-1747-8
30. Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus Disease 19 (COVID-19): Implications for Clinical Dental Care. J Endod. 2020; 46(5): 584-95. DOI: 10.1016/j.joen.2020.03.008
31. Sukumar K, Tadepalli A. Nexus between COVID-19 and periodontal disease. Journal of International Medical Research. 2021; 49(3): [aprox. 6 pant.]. DOI: 10.1177/03000605211002695
32. Guerra Y, Estrada M, Doncel C. Enfermedad periodontal como factor agravante de los pacientes con la COVID-19. 2021 [acceso: 13/09/2022]; 50(4):1-10. Disponible en: https://revmedmilitar.sld.cu/index.php/mil/article/view/1321/1080
33. ONU. Se acaba la emergencia por la pandemia, pero el COVID continua. Mirada global. Historias humanas. Nueva York: ONU; 2023. [acceso: 13/12/2022]. Disponible en: https://news.un.org/es/story/2023/05/1520732
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