Editorial

Suppurative Parotitis with Multiple Sialoliths

Sadaksharam Jayachandran and Bhaumik Joshi*
Department of Oral Medicine and Radiology, Tamil Nadu Government Dental College & Hospital, Chennai 600 003, Tamil Nadu, India


*Corresponding author: Gayathri GV, Department of Periodontology, Bapuji Dental College and Hospital, Davangere- 577004, Karnataka, India


Published: 24 Sep, 2017
Cite this article as: Gayathri GV. Periodontist Role as an Oral Physician. J Dent Oral Biol. 2017; 2(17): 1103.

Editorial

In recent years, there is an increasing interest on two way periodontal systemic interrelationship. Effect of periodontitis on a numerous diseases like cardiovascular and cerebrovascular diseases, diabetes, preterm low birth weight babies have been scientifically validated under the heading of periodontal medicine. A new addition to this list may be Helicobacter pylori associated periodontitis. H. pylorus is known to cause numerous gastrointestinal diseases. Seventy Eight percent of subgingival plaque samples of periodontitis patients demonstrated H. pylori [1]. Epidemiological investigation over 10,000 subjects revealed a positive link between H. pylori associated gastritis and periodontitis [2]. Thirteen percent recurrence rate of gastritis was observed even after complete eradication from the stomach owing to the presence of H. pylori in oral cavity [3]. Combination of basic mechanical periodontal therapy and systemic triple antimicrobial therapy showed higher elimination rate of H. pylori compared to those without periodontal therapy [4]. Increase in antibiotic resistance due to accumulation of point mutations in the H. pylori DNA necessitated the development of new and alternative treatment regimes like photodynamic therapy, phytomedicine, probiotics, phage therapy etc which are in trial verge. Hence, in this “Era of Periodontal Preventive Medicine”, periodontist as an oral physician get opportunities in preventing and improving prognosis of several systemicH. pylori diseases.


References

  1. Al Asqah M, Al Hamoudi N, Anil S, Al-hamoudi WK. Is the presence of Helicobacter pylori in the dental plaque of patients with chronic periodontitis a risk factor for gastric infection? Can J of Gastroenterol. 2009;23(3):177-9.
  2.  Bielański W. Epidemiological study on Helicobacter pylori infection and extragastroduodenal disorders in Polish population. J Physiol Pharmacol. 1999;50(5):723-33.
  3. Yee JK. Helicobacter pylori colonization of the oral cavity: A milestone discovery. World J Gastroenterol. 2016;22(2):641-8.
  4. Zaric S, Bojic B, Jankovic L, Dapcevic B, Popovic B, Cakic S, et al. Periodontal therapy improves gastric Helicobacter pylori eradication. J Dent Res. 2009;88(10):946-50.