Interaction Between Systemic Diseases and Oral Diseases

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: 31 March 2025 | Viewed by 1868

Special Issue Editor


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Guest Editor
Department of Oral Biochemistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, the Netherlands.
Interests: medical dental interaction; saliva; xerostomia; diagnostics; inflammatory bowel disease; cancer survivors

Special Issue Information

Dear Colleagues,

Many systemic diseases affect oral health, either directly or as a result of medical treatment. Conversely, the condition of the mouth can affect the functioning of other parts of the human body. Although many such interactions between systemic diseases and oral diseases have already been described, the underlying pathophysiological causes of these interactions remain unclear. In addition, many potential interactions between internal organs and the oral cavity have not yet been investigated. Therefore, this Special Issue of JCM aims to compile studies on the interaction between systemic diseases and oral diseases, and to contribute to enhanced communication between the medical and dental disciplines, which often still function independently of each other.

Dr. Henk S. Brand
Guest Editor

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Keywords

  • medical dental interaction
  • saliva
  • xerostomia
  • diagnostics
  • inflammatory bowel disease
  • cancer survivors
  • dental erosion
  • Sjögren’s disease
  • liver transplantation

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Published Papers (2 papers)

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Research

16 pages, 2600 KiB  
Article
Effects of Combined Periodontal, Endodontic, and Dentoalveolar Surgical Treatments on Laboratory Parameters in Patients with Hyperlipidemia—A Clinical Interventional Study
by Renáta Martos, Mariann Harangi, Judit Szabó, Anett Földvári, János Sándor, Éva Katona, Ildikó Tar, György Paragh, Csongor Kiss and Ildikó Márton
J. Clin. Med. 2025, 14(1), 241; https://doi.org/10.3390/jcm14010241 - 3 Jan 2025
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Abstract
Background: Patients with hyperlipidemia are of interest because of the possible interplay between chronic local dental infections and hyperlipidemia. This interventional clinical study aimed to evaluate the oral health status of hyperlipidemic patients receiving lipid-lowering therapy for at least 6 months and the [...] Read more.
Background: Patients with hyperlipidemia are of interest because of the possible interplay between chronic local dental infections and hyperlipidemia. This interventional clinical study aimed to evaluate the oral health status of hyperlipidemic patients receiving lipid-lowering therapy for at least 6 months and the effects of non-surgical and surgical dental treatments on serum C-reactive protein (CRP) levels and lipid markers. Methods: Twenty-eight patients with controlled hyperlipidemia and 18 healthy controls were enrolled in the study. All participants underwent dental examinations (clinical evaluation, X-ray imaging, and microbial analysis of subgingival and supragingival plaque samples) at baseline. Hyperlipidemic patients received periodontal, endodontic, and dentoalveolar surgical treatments. Serum CRP and lipid parameters were assessed at baseline, 1 week, and 3 months, while subgingival and supragingival plaque samples were analyzed at baseline and 3 months after completing dental treatments. Results: At the 3-month follow-up, clinical periodontal characteristics, including the plaque index, gingival index, and periodontal probing depth, improved significantly (p < 0.05). A significant shift in microflora was observed in both subgingival and supragingival plaque samples (p < 0.05), alongside improvements in periodontal values and a significant reduction in serum CRP levels (p < 0.05). Serum cholesterol levels decreased significantly, while moderate improvements in serum triglycerides, low-density lipoprotein, and high-density lipoprotein levels were observed but were not statistically significant (p > 0.05). Conclusions: Treating local dental inflammation is associated with a significant decrease in CRP and cholesterol levels and may serve as beneficial adjunct therapy alongside lipid-lowering therapy in patients with hyperlipidemia. Full article
(This article belongs to the Special Issue Interaction Between Systemic Diseases and Oral Diseases)
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13 pages, 568 KiB  
Article
The Prevalence of Sjögren’s Disease in Dental Clinics in the Netherlands Compared with the Prevalence in a Systematic Literature Review of Studies in Other Countries
by Floor Maarse, Jitse F. Huisinga, Derk Hendrik Jan Jager and Henk S. Brand
J. Clin. Med. 2024, 13(19), 5918; https://doi.org/10.3390/jcm13195918 - 3 Oct 2024
Viewed by 1195
Abstract
Background/Objectives: Sjögren’s disease (SjD) is an autoimmune disease causing irreversible damage to the exocrine glands but can have symptoms throughout the entire body. The aim of this study is to determine the prevalence of Sjogren’s disease (SjD) in the Netherlands, compare this [...] Read more.
Background/Objectives: Sjögren’s disease (SjD) is an autoimmune disease causing irreversible damage to the exocrine glands but can have symptoms throughout the entire body. The aim of this study is to determine the prevalence of Sjogren’s disease (SjD) in the Netherlands, compare this with the prevalence for other countries in a systematic literature review. Methods: In the first part of this study, the prevalence of SjD was determined at two academic dental clinics in the Netherlands by electronically analysing patient records. In the second part of this study, a systematic literature search was performed in PubMed. Studies in the English language reporting prevalence ratios (PRs), incidence ratios (IRs) or sufficient data to calculate these parameters were included. Population-based studies and population surveys aiming to examine an entire geographic region or using a clearly defined sampling procedure were included. Review studies were excluded. Studies that did not report sufficient data or contained no original data were excluded. Included studies were assessed using the Newcastle–Ottawa assessment scale. Results: At the dental clinic in Amsterdam, 76 SJD patients were identified among a patient population of 81941, resulting in a prevalence ratio of 93 per 100,000 (0.093%) patients. In Nijmegen, 21 SjD patients were identified in a total patient population of 14,240, resulting in a prevalence ratio of 147 per 100,000 (0.15%). Thirty-one studies were included in the systematic review. They varied in diagnostic criteria for SjD with the American-European Consensus Group (AECG) criteria being the most widely used. The reported prevalence ratio varied from 0.008% to 3.3%. The overall pooled prevalence ratio of SjD using the AECG criteria was 0.031%, while the pooled prevalence of SjD using the EU criteria was 0.029%. The overall pooled incidence ratio was 5.2 (95%CI 4.7 to 5.6) per 100,000 person-years. Conclusions: The estimated prevalence ratio of SjD in the Netherlands (0.09% to 0.15%) falls within the worldwide range but is higher than the worldwide pooled prevalence ratio. Full article
(This article belongs to the Special Issue Interaction Between Systemic Diseases and Oral Diseases)
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Planned Papers

The below list represents only planned manuscripts. Some of these manuscripts have not been received by the Editorial Office yet. Papers submitted to MDPI journals are subject to peer-review.

Title: Treatment of dental inflammatory lesions: effects on the laboratory parameters in patients with hyperlipidemia: a clinical interventional study
Authors: Renata Martos; Mariann Harangi; Judit Szabó; Anett Földvári; János Sándor; Éva Katona; Ildikó Tar; György Paragh; Csongor Kiss; Ildikó Márton
Affiliation: Department of Operative Dentistry and Endodontics, Faculty of Dentistry, University Debrecen 4032 Debrecen, Nagyerdei krt 98. Hungary
Abstract: Background: Patients with hyperlipidemia are in the focus of interest because of a possible interplay between chronic local oral infections and hyperlipidemia resulting in a higher risk of cardiovascular diseases. This interventional clinical follow-up study aimed to evaluate oral/dental inflammatory status of hyperlipidemic patients receiving lipid-lowering therapy at least 6 months and the effects of non-surgical and surgical dental treatments /combined periodontal, endodontic, and dentoalveolar surgical treatments/ on oral health, serum CRP level and lipid markers related to cardiovascular risk. Methods: All patients and controls underwent dental examination (clinical examination, X-ray, microbial examination of sub- and supragingival plaque samples) followed by combined therapy of periodontal, endodontic, and dentoalveolar surgical treatments in the patient group. Serum CRP and lipid parameters were checked on admission, 1-week, and 3-months, sub- and supragingival plaque samples were checked on admission and 3-months after finishing dental treatments. Changes in the patients’ findings during treatment were evaluated by one-way repeated measures ANOVA. Mean values of patients’ results were compared by paired t-test. The patients’ and healthy controls’ mean values were tested by independent t-test. If parametric approaches could not have been applied then non-parametric tests were used. The association between the occurrences of pathogenic vs. non-pathogenic flora in plaque samples was investigated by chi-square test. Results: At 3-months the clinical periodontal characteristics of patients, including plaque index, gingival index and periodontal probing depth decreased significantly (p

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