Disease ⇒ Chronic periodontitis {40000290} Record Keys Type:Disease Parent:[ ] Definition:Chronic periodontitis Details Initialisation date:[ ] Other Terms:[ ] Meta Information MedDra ID:10034539 MedDra Level:pt ICD:[ ] Category:[ ] Zone:[ ] Mechanism:[ ] Notes: [ ]Shared Reference Notes [1.1] [#Periodontal disease] - #Aggregatibacter actinomycetemcomitans (Aa) is a Gram-negative coccobacillus recognized as a pathogen in periodontitis and infective endocarditis. By producing a toxin (#Leukotoxin A, LtxA) that triggers global hypercitrullination in neutrophils, Aa has been recently linked to #Rheumatoid Arthritis. - Aa has been proposed as a link between periodontitis and autoimmunity in #Rheumatoid Arthritis (RA) due to its ability to induce citrullinated autoantigens targeted by anti-citrullinated protein antibodies (ACPAs). [1.2] [#Lactobacillus lactis] [#Nisin probiotic] - #Nisin and a #Nisin-producing Lactococcus lactis probiotic significantly decreased the levels of several periodontal pathogens, alveolar bone loss, and the oral and systemic inflammatory host response. - Surprisingly, #Nisin and/or the #Nisin-producing L. lactis probiotic enhanced the population of fibroblasts and osteoblasts despite the polymicrobial infection. [1.3] [#Diabetes Type 2] - Elevated IL-6 and CRP levels associated with Periodontitis, as significant risk factors for insulin resistance and diabetes mellitus [1.4] [#Periodontal abscess] - periodontopathogens can be disseminated through the blood flow to other body parts where they may enhance inflammatory processes that can lead to the development or exacerbation of #Atherosclerosis. [1.5] [#Periodontal disease] [#Fusobacterium nucleatum] - Chronic oral infection establishes ectopic oral F. nucleatum colonization in the intestine and significantly induces systemic humoral IgG and IgM antibody responses [1.6] [#Periodontal disease] - Dental treatment significantly improved the oral health condition of each group; several months after treatment, oral health did not deteriorate. - even after remission, the salivary microbiome of the two groups (oral disease and healthy) differed significantly. - Oral microbiome dysbiosis persisted even after dental treatment-induced disease remission with a sustained increased risk of disease when compared with healthy participants. [1.7] [#Periodontal disease, #Polycystic ovary syndrome] - women with PCOS may be more likely to suffer from periodontal diseases. [1.8] - the microbiomes of periodontitis patients contained a greater abundance of the genus #Acidaminococcus, #Clostridium, #Lactobacillus, #Bifidobacterium, #Megasphaera, and Romboutsiac. - the gut microbiome of patients with chronic periodontitis had a higher abundance of the #Firmicutes, #Proteobacteria, #Verrucomicrobia and #Euryarchaeota phylum and a lower abundance of the #Bacteroidetes phylum, plus the diversity of the microbiota was decreased. [1.9] - #Tannerellaceae, as oral pathogenic bacteria, have been extensively studied for their association with oral diseases, particularly chronic periodontitis. Their presence at lesion sites of periodontitis is notably high, suggesting a role in promoting inflammationReferences Notes[ ]