Relationship between Periodontal Disease and Alzheimer's: A literature review
DOI:
https://doi.org/10.33448/rsd-v13i6.46109Keywords:
Alzheimer's disease; Periodontal disease; Inflammation; Association; Oral health.Abstract
This article investigates the possible relationship between Alzheimer's disease (AD) and periodontal disease (PD), two prevalent conditions that predominantly affect the elderly population. The objective was to examine and evaluate the association between these diseases, considering recent epidemiological and clinical studies. The methodology involved a literature review using databases such as PubMed, Scielo, and Cochrane Library, with a scope defined between the years 2013 and 2023. Studies that explored the relationships between AD and PD were included, while multiple or non-aligned studies with the objectives were excluded. The results indicate a strong link between PD and AD, evidenced by the presence of chronic inflammation and sharing of pro-inflammatory mediators in both conditions. Additionally, an association between PD and cognitive decline in patients with AD was observed, suggesting a possible role of oral health in the progression of the neurodegenerative disease. It is concluded that understanding this connection has important implications for clinical practice, highlighting the need for therapeutic and preventive interventions aimed at oral health as an integral part of AD management in elderly populations.
References
Abbayya, K., Chidambar, Y., Naduwinmani, S., & Puthanakar, N. (2015). Association between periodontitis and alzheimer′s disease. North American Journal of Medical Sciences, 7(6), 241. https://doi.org/10.4103/1947-2714.159325
Amaral, J. J. F. (2007). Como Fazer Um Pesquisa Bibliográfica. Universidade Federal do Ceará. 1-25. https://files.cercomp.ufg.br/weby/up/150/o/Anexo_C5_Como_fazer_pesquisa_bibliografica.pdf
Borsa, L., Dubois, M., Sacco, G., & Lupi, L. (2021). Analysis the Link between Periodontal Diseases and Alzheimer’s Disease: A Systematic Review. International Journal of Environmental Research and Public Health, 18(17), 9312. https://doi.org/10.3390/ijerph18179312
Cambon P. T. (2020) Alzheimer e Doença Periodontal (Dissertação de Mestrado) Instituto Universitário Egas Moniz. https://comum.rcaap.pt/bitstream/10400.26/33901/1/Cambon_Patrice_Thierry.pdf
Chen, C.-K., Wu, Y.-T., & Chang, Y.-C. (2017). Association between chronic periodontitis and the risk of Alzheimer’s disease: a retrospective, population-based, matched-cohort study. Alzheimer’s Research & Therapy, 9(1). https://doi.org/10.1186/s13195-017-0282-6
Choi, S., Kim, K., Chang, J., Kim, S. M., Kim, S. J., Cho, H., & Park, S. M. (2019). Association of Chronic Periodontitis on Alzheimer’s Disease or Vascular Dementia. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.15828
Dioguardi, M., Crincoli, V., Laino, L., Alovisi, M., Sovereto, D., Mastrangelo, F., Lo Russo, L., & Lo Muzio, L. (2020). The Role of Periodontitis and Periodontal Bacteria in the Onset and Progression of Alzheimer’s Disease: A Systematic Review. Journal of Clinical Medicine, 9(2), 495. https://doi.org/10.3390/jcm9020495
Frota, B. M. D., Holanda, S. N., Sousa, F. B., & Alves, A. P. N. N. (2016). Evaluation of oral conditions in patients with neurodegenerative diseases treated in geriatric centers. RGO - Revista Gaúcha de Odontologia, 64(1), 17–23. https://doi.org/10.1590/1981-863720160001000022854
Gurav, A. N., & Gurav, A. N. (2013). Alzheimer’s disease and periodontitis - an elusive link. Revista Da Associação Médica Brasileira, 60(2), 173–180. https://doi.org/10.1590/1806-9282.60.02.015
Gusman, D. J. R., Mello-Neto, J. M., Alves, B. E. S., Matheus, H. R., Ervolino, E., Theodoro, L. H., & de Almeida, J. M. (2018). Periodontal disease severity in subjects with dementia: A systematic review and meta-analysis. Archives of Gerontology and Geriatrics, 76, 147–159. https://doi.org/10.1016/j.archger.2018.02.016
Holmer, J., Eriksdotter, M., Schultzberg, M., Pussinen, P. J., & Buhlin, K. (2018). Association between periodontitis and risk of Alzheimer′s disease, mild cognitive impairment and subjective cognitive decline: A case-control study. Journal of Clinical Periodontology, 45(11), 1287–1298. https://doi.org/10.1111/jcpe.13016
Ide, M., Harris, M., Stevens, A., Sussams, R., Hopkins, V., Culliford, D., Fuller, J., Ibbett, P., Raybould, R., Thomas, R., Puenter, U., Teeling, J., Perry, V. H., & Holmes, C. (2016). Periodontitis and Cognitive Decline in Alzheimer’s Disease. PLOS ONE, 11(3), e0151081. https://doi.org/10.1371/journal.pone.0151081
Jungbauer, G., Stähli, A., Zhu, X., Auber Alberi, L., Sculean, A., & Eick, S. (2022). Periodontal microorganisms and Alzheimer disease – A causative relationship? Periodontology 2000, 89(1), 59–82. https://doi.org/10.1111/prd.12429
Kamer, A. R., Pirraglia, E., Tsui, W., Rusinek, H., Vallabhajosula, S., Mosconi, L., Yi, L., McHugh, P., Craig, R. G., Svetcov, S., Linker, R., Shi, C., Glodzik, L., Williams, S., Corby, P., Saxena, D., & de Leon, M. J. (2014). Periodontal disease associates with higher brain amyloid load in normal elderly. Neurobiology of Aging, 36(2), 627–633. https://doi.org/10.1016/j.neurobiolaging.2014.10.038
Kamer, A. R., Craig, R. G., Niederman, R., Fortea, J., & de Leon, M. J. (2020). Periodontal disease as a possible cause for Alzheimer’s disease. Periodontology 2000, 83(1), 242–271. https://doi.org/10.1111/prd.12327
Lee, Y.-L., Hu, H.-Y., Huang, L.-Y., Chou, P., & Chu, D. (2017). Periodontal Disease Associated with Higher Risk of Dementia: Population-Based Cohort Study in Taiwan. Journal of the American Geriatrics Society, 65(9), 1975–1980. https://doi.org/10.1111/jgs.14944
Lee, Y.-T., Lee, H.-C., Hu, C.-J., Huang, L.-K., Chao, S.-P., Lin, C.-P., Su, E. C.-Y., Lee, Y.-C., & Chen, C.-C. (2016). Periodontitis as a Modifiable Risk Factor for Dementia: A Nationwide Population-Based Cohort Study. Journal of the American Geriatrics Society, 65(2), 301–305. https://doi.org/10.1111/jgs.14449
Maldonado, A., Laugisch, O., Bürgin, W., Sculean, A., & Eick, S. (2018). Clinical periodontal variables in patients with and without dementia—a systematic review and meta-analysis. Clinical Oral Investigations, 22(7), 2463–2474. https://doi.org/10.1007/s00784-018-2523-x
Rolim, T. de S., Fabri, G. M. C., Nitrini, R., Anghinah, R., Teixeira, M. J., Siqueira, J. T. T. de, Cesari, J. A. F., & Siqueira, S. R. D. T. de. (2013). Evaluation of patients with Alzheimer’s disease before and after dental treatment. Arquivos de Neuro-Psiquiatria, 72(12), 919–924. https://doi.org/10.1590/0004-282x20140140
Sansores-España, L. D., Morales, F., Arriola-Pacheco, F., Astorga, J., Paula-Lima, A., Carrillo-Ávila, A., Melgar-Rodríguez, S., Martínez-Aguilar, V., & Díaz-Zúñiga, J. (2021). Fluido crevicular gingival como biomarcador de enfermedad de Alzheimer. Odovtos International Journal of Dental Sciences, 24(1), 156–176. https://doi.org/10.15517/ijds.2022.49232
Souza, M. T. de, Silva, M. D. da, & Carvalho, R. de. (2009). Revisão integrativa: o que é e como fazer. Einstein, 8, 102–106. https://pt.scribd.com/document/56528038/A2-Revisao-integrativa-o-que-e-e-como-fazer
Ryder, M. I. (2022). The Link Between Periodontitis and Alzheimer’s Disease: Reality or Yet Another Association. Current Oral Health Reports. https://doi.org/10.1007/s40496-022-00319-8.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Gabriela Letícia Facchini; Vitor Schweigert Bona
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.