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Sandra Milena Moreno Correa

Andrés Felipe Bolaños https://orcid.org/0000-0002-1174-0210

Juan José Jaramillo https://orcid.org/0000-0002-8971-9278

Alexandra Jimenez https://orcid.org/0000-0002-4405-9587

Freddy Moreno https://orcid.org/0000-0003-0394-9417

Resumen

Introducción: La enfermedad periodontal afecta los tejidos de soporte del diente generando una manifestación inflamatoria crónica desencadenada principalmente por bacterias incluidas en la biopelícula oral, las cuales pueden migrar a otros tejidos del cuerpo, siendo las vías respiratorias un blanco susceptible. Objetivo: Establecer si existe relación entre la enfermedad periodontal y la EPOC según lo reportado en la literatura en los últimos 20 años. Materiales y métodos: Se realizó una búsqueda sistemática de la literatura en el Medline (a través del motor de búsqueda PubMed) mediante las pautas de la declaración PRISMA con ayuda de los descriptores en salud tipo MeSh “periodontitis”, “chronic obstructive pulmonary disease”, “inflammation” y “bacteremia”. Resultados: Se revisaron 49 publicaciones entre 1998 y 2018.  El mayor número corresponden al año 2013. El tipo de publicación más frecuente fueron los estudios de tipo descriptivo (41%), seguido por casos y controles (29%), revisiones de la literatura (18%), estudios de cohorte retrospectivos (10%) y metaanálisis (2%). Del total de publicaciones, el 94% reportan que si existe relación entre la EP y EPOC mientras que el 6% niegan dicha asociación. Conclusión: Se encuentra asociación entre las dos enfermedades, aunque la evidencia es insuficiente para establecer una relación causa-efecto, se puede sugerir que la enfermedad periodontal es un indicador de riesgo para EPOC y viceversa, ya que se sugiere una relación de doble vía.

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Keywords

periodontitis, enfermedad pulmonar obstructiva crónica, inflamación, bacteremia.

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Cómo citar
Moreno Correa, S., Bolaños, A., Jaramillo, J., Jimenez, A., & Moreno, F. (2020). Relación entre la enfermedad periodontal y la enfermedad pulmonar obstructiva crónica: revisión de la literatura. Universitas Médica, 61(3). https://doi.org/10.11144/Javeriana.umed61-3.epep
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