In the last decade epidimiological studies have shown an association between periodontitis and cardiovascular events although this was based on surrogate variables like hs crp, bacterial load, antibodies and carotid intima media thickness by high resolution ultrasound.
The significant effect of periodontal of periodontal treatments on these variables have been shown. There is still however a need for large randomized trial to make it an independent risk factor for CV disease as of yet. Oral health influences systemic health in general and cvd in particular. There is lack of wareness of these issues and there is a need for further dissemination.
Dr. Joselito L Atabug
Cardiologist and Internist
Fellow and Diplomate, Philippine College of Cardiology