PERİODONTAL VE SİSTEMİK HASTALIKLAR: BİLİŞSEL BOZUKLUKLAR

Year 2022, Volume: 4 Issue: 1, 8 - 20, 28.02.2022

Hasan Hatipoğlu , Sibel Canbaz Kabay

Abstract

Periodontal hastalıklar toplumun geniş kesiminde bulunmaktadır. Son yıllarda periodontal hastalıklar ile sistemik hastalık/durumları irdeleyen artmış miktarda literatüre rastlamak mümkündür. Periodontal hastalıkların sistemik hastalıklar/durumlar ile ilişkisi iki yönlü olabilmektedir. Periodontal hastalıklar etkisi ile sistemik rahatsızlıklara/durumlara katkıda bulunabilirken, buna karşın tam tersi bir ilişkiye de rastlamak mümkündür. Toplumda bilişsel bozukluklarında (Ör. Alzheimer Hastalığı) önemli sayılacak bir miktarda izlenmesi dikkat çekicidir. Yapılan araştırmalarda periodontal hastalık ile bilişsel bozukluklar arasında bir ilişkinin olduğu yönünde ciddi verilere rastlamak mümkündür.
Bu geleneksel derlemede, hastalık patogenezleri ve periodontal hastalıklar ile bilişsel bozukluklar arasındaki olası ilişki irdelenecektir.

Keywords

Periodontal hastalık, Alzheimer hastalığı, Bilişsel bozukluk

PERIODONTAL AND SYSTEMIC DISEASES: COGNITIVE DISORDERS

Abstract

Periodontal diseases are found in a large part of the society. In recent years, it is possible to encounter an increased amount of literature examining the possible relationship between periodontal diseases and systemic diseases/conditions. The relationship of periodontal diseases with systemic diseases/conditions can be bidirectional. Periodontal diseases may contribute to systemic disorders/situations; it is possible to encounter an opposite relationship. It is noteworthy that cognitive disorders (eg. Alzheimer's Disease) are observed in a considerable amount in the population. It is possible to come across serious data in the studies that there is a relationship between periodontal disease and cognitive disorders.
In this traditional review, the pathogenesis of the diseases and the possible relationship between periodontal diseases and cognitive impairments will be discussed.

Keywords

Periodontal Disease, Alzheimer's Disease, Cognitive Dysfunction

References

• 1. Kim J, Amar S. Periodontal disease and systemic conditions: a bidirectional relationship. Odontology. 2006; 94(1):10-21.
• 2. Gulati M, Anand V, Jain N, et al. Essentials of periodontal medicine in preventive medicine. Int J Prev Med. 2013; 4(9):988-994.
• 3. Bansal M, Rastogi S, Vineeth NS. Influence of periodontal disease on systemic disease: inversion of a paradigm: a review. J Med Life. 2013; 6(2):126-130.
• 4. Weidlich P, Cimões R, Pannuti CM, Oppermann RV. Association between periodontal diseases and systemic diseases. Braz Oral Res. 2008; 22 Suppl 1:32-43.
• 5. Oppermann RV, Weidlich P, Musskopf ML. Periodontal disease and systemic complications. Braz Oral Res. 2012; 26 Suppl 1:39-47.
• 6. Hatipoglu H, Yaylak F, Gungor Y. A brief review on the periodontal health in metabolic syndrome patients. Diabetes Metab Syndr. 2015; 9(2):124-126.
• 7. Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim). 2017; 11(2):72-80.
• 8. Kinane DF, Attström R; European Workshop in Periodontology group B. Advances in the pathogenesis of periodontitis. Group B consensus report of the fifth European Workshop in Periodontology. J Clin Periodontol. 2005; 32 Suppl 6:130-131.
• 9. Slots J. Periodontitis: facts, fallacies and the future. Periodontol 2000. 2017; 75(1):7-23.
• 10. Kinane DF, Stathopoulou PG, Papapanou PN. Periodontal diseases. Nat Rev Dis Primers. 2017; 3:17038.
• 11. Lang NP, Bartold PM. Periodontal health. J Periodontol. 2018; 89 Suppl 1:S9-S16.
• 12. Bartold PM. Lifestyle and periodontitis: The emergence of personalized periodontics. Periodontol 2000. 2018; 78:7–11.
• 13. Nazir M, Al-Ansari A, Al-Khalifa K, et al. Global Prevalence of Periodontal Disease and Lack of Its Surveillance. Scientific World Journal. 2020; 2020:2146160.
• 14. Idrees MM, Azzeghaiby SN, Hammad MM, Kujan OB. Prevalence and severity of plaque-induced gingivitis in a Saudi adult population. Saudi Med J. 2014;35(11) : 1373-1377.
• 15. Kassebaum NJ, Bernabe´ E, Dahiya M, et al. Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression. J Dent Res 2014; 93(11): 1045–1053.
• 16. Graziani F, Karapetsa D, Alonso B, Herrera D. Nonsurgical and surgical treatment of periodontitis: how many options for one disease? Periodontol 2000. 2017; 75(1):152-188.
• 17. Loos BG. Systemic markers of inflammation in periodontitis. J Periodontol. 2005; 76(11 Suppl):2106-2115.
• 18. Thoden van Velzen SK, Abraham-Inpijn L, Moorer WR. Plaque and systemic disease: a reappraisal of the focal infection concept. J Clin Periodontol. 1984; 11(4):209-220.
• 19. Page RC. The pathobiology of periodontal diseases may affect systemic diseases: inversion of a paradigm. Ann Periodontol. 1998; 3(1):108-120.
• 20. Dhakal A, Bobrin BD. Cognitive Deficits. [Updated 2020 Nov 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559052/
• 21. Petersen RC, Smith GE, Waring SC, Ivnik RJ, Kokmen E, Tangelos EG. Aging, memory, and mild cognitive impairment. Int Psychogeriatr. 1997; 9 Suppl 1:65-69.
• 22. Gımzal A, Yazgan C. Hafif Bilişsel Bozulma. Türk Psikiyatri Dergisi 2004; 15(4):309-316.
• 23. Qiu C, Kivipelto M, von Strauss E. Epidemiology of Alzheimer's disease: occurrence, determinants, and strategies toward intervention. Dialogues Clin Neurosci. 2009;11(2): 111-128.
• 24. Ferri CP, Prince M, Brayne C, Brodaty H, Fratiglioni L, Ganguli M, Hall K, Hasegawa K, Hendrie H, Huang Y, Jorm A, Mathers C, Menezes PR, Rimmer E, Scazufca M; Alzheimer's Disease International. Global prevalence of dementia: a Delphi consensus study. Lancet. 2005; 366(9503):2112-2117.
• 25. Silva MVF, Loures CMG, Alves LCV, de Souza LC, Borges KBG, Carvalho MDG. Alzheimer's disease: risk factors and potentially protective measures. J Biomed Sci. 2019;26(1):33.
• 26. Yavlal F, Aydın Güngör H. Demansta Klinik Bulgular. Nucl Med Semin 2016; 3:134-138.
• 27. Rabbito A, Dulewicz M, Kulczyńska-Przybik A, Mroczko B. Biochemical Markers in Alzheimer's Disease. Int J Mol Sci. 2020; 21(6):1989.
• 28. Ballard C, Gauthier S, Corbett A, Brayne C, Aarsland D, Jones E. Alzheimer's disease. Lancet. 2011; 377(9770):1019-1031. 29. Breijyeh Z, Karaman R. Comprehensive Review on Alzheimer's Disease: Causes and Treatment. Molecules. 2020; 25(24):5789.
• 30. Bolós M, Perea JR, Avila J. Alzheimer's disease as an inflammatory disease. Biomol Concepts. 2017;8(1):37-43.
• 31. Kamer AR, Craig RG, Dasanayake AP, Brys M, Glodzik-Sobanska L, de Leon MJ. Inflammation and Alzheimer's disease: possible role of periodontal diseases. Alzheimers Dement. 2008;4(4):242-250.
• 32. Holmes C, Butchart J. Systemic inflammation and Alzheimer's disease. Biochem Soc Trans. 2011; 39(4):898-901.
• 33. Perry VH, Teeling J. Microglia and macrophages of the central nervous system: the contribution of microglia priming and systemic inflammation to chronic neurodegeneration. Semin Immunopathol. 2013; 35(5):601-612.
• 34. Sochocka M, Zwolińska K, Leszek J. The Infectious Etiology of Alzheimer's Disease. Curr Neuropharmacol. 2017;15(7): 996-1009.
• 35. Topcuoğlu ES, Selekler K. Alzheimer Hastalığı. Turkish Journal of Geriatrics 1998;1(2):63-67.
• 36. Gitto CA, Moroni MJ, Terezhalmy GT, Sandu S. The patient with Alzheimer's disease. Quintessence Int. 2001; 32(3):221-231.
• 37. Kamer AR, Morse DE, Holm-Pedersen P, Mortensen EL, Avlund K. Periodontal inflammation in relation to cognitive function in an older adult Danish population. J Alzheimers Dis. 2012; 28(3):613-624.
• 38. Sung CE, Huang RY, Cheng WC, Kao TW, Chen WL. Association between periodontitis and cognitive impairment: Analysis of national health and nutrition examination survey (NHANES) III. J Clin Periodontol. 2019; 46(8):790-798.
• 39. Kaye EK, Valencia A, Baba N, Spiro A 3rd, Dietrich T, Garcia RI. Tooth loss and periodontal disease predict poor cognitive function in older men. J Am Geriatr Soc. 2010; 58(4):713-718.
• 40. Demmer RT, Norby FL, Lakshminarayan K, Walker KA, Pankow JS, Folsom AR, Mosley T, Beck J, Lutsey PL. Periodontal disease and incident dementia: The Atherosclerosis Risk in Communities Study (ARIC). Neurology. 2020; 95(12):e1660-e1671.
• 41. Iwasaki M, Kimura Y, Yoshihara A, Ogawa H, Yamaga T, Sato M, Wada T, Sakamoto R, Ishimoto Y, Fukutomi E, Chen W, Imai H, Fujisawa M, Okumiya K, Taylor GW, Ansai T, Miyazaki H, Matsubayashi K. Oral health status in relation to cognitive function among older Japanese. Clin Exp Dent Res. 2015; 1(1):3-9.
• 42. Okamoto N, Morikawa M, Tomioka K, Yanagi M, Amano N, Kurumatani N. Association between tooth loss and the development of mild memory impairment in the elderly: the Fujiwara-kyo Study. J Alzheimers Dis. 2015; 44(3):777-786.
• 43. Park H, Suk SH, Cheong JS, Lee HS, Chang H, Do SY, Kang JS. Tooth loss may predict poor cognitive function in community-dwelling adults without dementia or stroke: the PRESENT project. J Korean Med Sci. 2013; 28(10):1518-1521.
• 44. Kim JM, Stewart R, Prince M, Kim SW, Yang SJ, Shin IS, Yoon JS. Dental health, nutritional status and recent-onset dementia in a Korean community population. Int J Geriatr Psychiatry. 2007; 22(9):850-855.
• 45. Matthews JC, You Z, Wadley VG, Cushman M, Howard G. The association between self-reported tooth loss and cognitive function in the REasons for Geographic And Racial Differences in Stroke study: an assessment of potential pathways. J Am Dent Assoc. 2011;142(4):379-390.
• 46. Naorungroj S, Schoenbach VJ, Wruck L, Mosley TH, Gottesman RF, Alonso A, Heiss G, Beck J, Slade GD. Tooth loss, periodontal disease, and cognitive decline in the Atherosclerosis Risk in Communities (ARIC) study. Community Dent Oral Epidemiol. 2015; 43(1):47-57. 47. Minn YK, Suk SH, Park H, Cheong JS, Yang H, Lee S, Do SY, Kang JS. Tooth loss is associated with brain white matter change and silent infarction among adults without dementia and stroke. J Korean Med Sci. 2013; 28(6):929-933.
• 48. Rubio MDC, Rudzinski JJ, Ramos C, Lifshitz F, Friedman SM, Nicolosi LN. Cognitive impairment related to arterial stiffness in cardiovascular disease patients with severe periodontitis. Acta Odontol Latinoam. 2020; 33(3):200-208.
• 49. Gil-Montoya JA, Sánchez-Lara I, Carnero-Pardo C, Fornieles-Rubio F, Montes J, Barrios R, Gonzalez-Moles MA, Bravo M. Oral Hygiene in the Elderly with Different Degrees of Cognitive Impairment and Dementia. J Am Geriatr Soc. 2017; 65(3):642-647.
• 50. Ribas ME, Muniz FWMG, Steffens T, Gomes A, Volpato N, Volpato N, Kociczeski G, Pitoni L, Bertol EC, Roginski AC, Amaral AU, Diefenthaeler H, Rösing CK. The Effect of Periodontal Diseases and Cognitive Deficit on Behavioral State, Oxidative Stress Parameters and Alveolar Bone Loss in Rats. J Int Acad Periodontol. 2020; 22(4):156-165.
• 51. Kamer AR, Pirraglia E, Tsui W, Rusinek H, Vallabhajosula S, Mosconi L, Yi L, McHugh P, Craig RG, Svetcov S, Linker R, Shi C, Glodzik L, Williams S, Corby P, Saxena D, de Leon MJ. Periodontal disease associates with higher brain amyloid load in normal elderly. Neurobiol Aging. 2015; 36(2):627-633.
• 52. Gil-Montoya JA, Barrios R, Santana S, Sanchez-Lara I, Pardo CC, Fornieles-Rubio F, Montes J, Ramírez C, González-Moles MA, Burgos JS. Association Between Periodontitis and Amyloid β Peptide in Elderly People With and Without Cognitive Impairment. J Periodontol. 2017; 88(10):1051-1058.
• 53. Holmer J, Eriksdotter M, Schultzberg M, Pussinen PJ, Buhlin K. Association between periodontitis and risk of Alzheimer's disease, mild cognitive impairment and subjective cognitive decline: A case-control study. J Clin Periodontol. 2018; 45(11):1287-1298.
• 54. Holmer J, Aho V, Eriksdotter M, Paulin L, Pietiäinen M, Auvinen P, Schultzberg M, Pussinen PJ, Buhlin K. Subgingival microbiota in a population with and without cognitive dysfunction. J Oral Microbiol. 2021;13(1):1854552.
• 55. Singhrao SK, Harding A, Simmons T, Robinson S, Kesavalu L, Crean S. Oral inflammation, tooth loss, risk factors, and association with progression of Alzheimer's disease. J Alzheimers Dis. 2014; 42(3):723-737.
• 56. Kamer AR, Dasanayake AP, Craig RG, Glodzik-Sobanska L, Bry M, de Leon MJ. Alzheimer's disease and peripheral infections: the possible contribution from periodontal infections, model and hypothesis. J Alzheimers Dis. 2008; 13(4):437-449.
• 57. Díaz-Zúñiga J, Muñoz Y, Melgar-Rodríguez S, More J, Bruna B, Lobos P, Monasterio G, Vernal R, Paula-Lima A. Serotype b of Aggregatibacter actinomycetemcomitans triggers pro-inflammatory responses and amyloid beta secretion in hippocampal cells: a novel link between periodontitis and Alzheimer´s disease? J Oral Microbiol. 2019; 11(1):1586423.
• 58. Singhrao SK, Olsen I. Are Porphyromonas gingivalis Outer Membrane Vesicles Microbullets for Sporadic Alzheimer's Disease Manifestation? J Alzheimers Dis Rep. 2018; 2(1):219-228.
• 59. Poole S, Singhrao SK, Kesavalu L, Curtis MA, Crean S. Determining the presence of periodontopathic virulence factors in short-term postmortem Alzheimer's disease brain tissue. J Alzheimers Dis. 2013; 36(4):665-677.
• 60. Nakanishi H, Nonaka S, Wu Z. Microglial Cathepsin B and Porphyromonas gingivalis Gingipains as Potential Therapeutic Targets for Sporadic Alzheimer's Disease. CNS Neurol Disord Drug Targets. 2020;19(7):495-502.
• 61. Furutama D, Matsuda S, Yamawaki Y, Hatano S, Okanobu A, Memida T, Oue H, Fujita T, Ouhara K, Kajiya M, Mizuno N, Kanematsu T, Tsuga K, Kurihara H. IL-6 Induced by Periodontal Inflammation Causes Neuroinflammation and Disrupts the Blood-Brain Barrier. Brain Sci. 2020; 10(10):679.
• 62. Díaz-Zúñiga J, More J, Melgar-Rodríguez S, Jiménez-Unión M, Villalobos-Orchard F, Muñoz-Manríquez C, Monasterio G, Valdés JL, Vernal R, Paula-Lima A. Alzheimer's Disease-Like Pathology Triggered by Porphyromonas gingivalis in Wild Type Rats Is Serotype Dependent. Front Immunol. 2020; 11:588036.
• 63. Kantarci A, Tognoni CM, Yaghmoor W, Marghalani A, Stephens D, Ahn JY, Carreras I, Dedeoglu A. Microglial response to experimental periodontitis in a murine model of Alzheimer's disease. Sci Rep. 2020; 10(1):18561.
• 64. Carter CJ, France J, Crean S, Singhrao SK. The Porphyromonas gingivalis/Host Interactome Shows Enrichment in GWASdb Genes Related to Alzheimer's Disease, Diabetes and Cardiovascular Diseases. Front Aging Neurosci. 2017; 9:408.
• 65. Qian X, Zhang S, Duan L, Yang F, Zhang K, Yan F, Ge S. Periodontitis Deteriorates Cognitive Function and Impairs Neurons and Glia in a Mouse Model of Alzheimer's Disease. J Alzheimers Dis. 2021; 79(4):1785-1800.
• 66. Aragón F, Zea-Sevilla MA, Montero J, Sancho P, Corral R, Tejedor C, Frades-Payo B, Paredes-Gallardo V, Albaladejo A. Oral health in Alzheimer's disease: a multicenter case-control study. Clin Oral Investig. 2018;22(9):3061-3070.
• 67. Ribeiro GR, Costa JL, Ambrosano GM, Garcia RC. Oral health of the elderly with Alzheimer's disease. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012; 114(3):338-343.
• 68. Chen CK, Wu YT, Chang YC. Association between chronic periodontitis and the risk of Alzheimer's disease: a retrospective, population-based, matched-cohort study. Alzheimers Res Ther. 2017; 9(1):56.
• 69. Tiisanoja A, Syrjälä AM, Tertsonen M, Komulainen K, Pesonen P, Knuuttila M, Hartikainen S, Ylöstalo P. Oral diseases and inflammatory burden and Alzheimer's disease among subjects aged 75 years or older. Spec Care Dentist. 2019; 39(2):158-165.
• 70. Sparks Stein P, Steffen MJ, Smith C, Jicha G, Ebersole JL, Abner E, Dawson D 3rd. Serum antibodies to periodontal pathogens are a risk factor for Alzheimer's disease. Alzheimers Dement. 2012: 8(3):196-203.
• 71. Scherer RX, Scherer WJ. U.S. state correlations between oral health metrics and Alzheimer's disease mortality, prevalence and subjective cognitive decline prevalence. Sci Rep. 2020;10(1):20962.
• 72. Cicciù M, Matacena G, Signorino F, Brugaletta A, Cicciù A, Bramanti E. Relationship between oral health and its impact on the quality life of Alzheimer's disease patients: a supportive care trial. Int J Clin Exp Med. 2013 Sep 25;6(9):766-72.
• 73. Bollero P, Franco R, Cecchetti F, Miranda M, Barlattani A Jr, Dolci A, Ottria L. Oral health and implant therapy in Parkinson's patients: review. Oral Implantol (Rome). 2017; 10(2) :105-111.
• 74. Zhu J, Li X, Zhu F, Chen L, Zhang C, McGrath C, He F, Xiao Y, Jin L. Multiple tooth loss is associated with vascular cognitive impairment in subjects with acute ischemic stroke. J Periodont Res 2015; 50: 683–688.