Unidad de Medicina Oral, Departamento de Odontoestomatología, UFR de Odontologia, Facultad de Medicina, Universidad de Barcelona/Oral Health and Masticatory System Group, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, España.
Hospital de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
Med Clin (Barc). 2017 Sep 8;149(5):211-216. doi: 10.1016/j.medcli.2017.05.010. Epub 2017 Jun 20.
The relationship between atherothrombotic cardiovascular disease (ATCD) and localised infections in teeth, including caries and chronic apical periodontitis (CAP) has not been studied much and is not well defined.
A systematic search was performed using the scientific databases PubMed and Medline from 1989 to 2016.
A significant relationship was observed with ATCD in 10 out of 10 studies addressing the degree of oral hygiene, in 14 of 17 that included loss of teeth, in 6 of 12 that analysed caries and in 11 of 15 that included CAP. However, there was a huge methodological heterogeneity.
It can be concluded that there is an association between CAP and ATCD. Patients with ATCD present a worse oral hygiene status and fewer teeth.
动脉血栓栓塞性心血管疾病（ATCD）与牙齿局部感染（包括龋齿和慢性根尖周炎）之间的关系尚未得到深入研究，也尚未明确界定。
使用科学数据库 PubMed 和 Medline 进行了系统搜索，检索时间为 1989 年至 2016 年。
在 10 项研究中观察到与 ATCD 有显著关系，这些研究都探讨了口腔卫生的程度；在纳入牙齿缺失的 17 项研究中，有 14 项有显著关系；在分析龋齿的 12 项研究中，有 6 项有显著关系；在纳入 CAP 的 15 项研究中，有 11 项有显著关系。然而，方法学的异质性很大。
可以得出结论，CAP 与 ATCD 之间存在关联。患有 ATCD 的患者口腔卫生状况较差，牙齿缺失较多。
