Thesis, antithesis, and synthesis in periodontal and systemic interlink
Identifieur interne : 001C29 ( Pmc/Checkpoint ); précédent : 001C28; suivant : 001C30Thesis, antithesis, and synthesis in periodontal and systemic interlink
Auteurs : K. R. Akshata ; V. Ranganath ; Ashish S. NichaniSource :
- Journal of Indian Society of Periodontology [ 0972-124X ] ; 2012.
Abstract
The theory of focal infection, which was promulgated during the 19th and early 20th centuries, stated that "foci" of sepsis were responsible for the initiation and progression of a variety of inflammatory diseases such as arthritis, peptic ulcers, and appendicitis. In the oral cavity, therapeutic edentulation was common as a result of the popularity of the focal infection theory. Since many teeth were extracted without evidence of infection, thereby providing no relief of symptoms, the theory was discredited and largely ignored for many years. Recent progress in classification and identification of oral microorganisms and the realization that certain microorganisms are normally found only in the oral cavity have opened the way for a more realistic assessment of the importance of oral focal infection. It has become increasingly clear that the oral cavity can act as the site of origin for dissemination of pathogenic organisms to distant body sites, especially in immunocompromised hosts such as patients suffering from malignancies, diabetes, rheumatoid arthritis, or in patients undergoing other immunosuppressive treatment. A number of epidemiological studies have suggested that oral infection, especially periodontitis, may be a risk factor for systemic diseases.
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DOI: 10.4103/0972-124X.99257
PubMed: 23055580
PubMed Central: 3459494
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<front><div type="abstract" xml:lang="en"><p>The theory of focal infection, which was promulgated during the 19<sup>th</sup>
and early 20<sup>th</sup>
centuries, stated that "foci" of sepsis were responsible for the initiation and progression of a variety of inflammatory diseases such as arthritis, peptic ulcers, and appendicitis. In the oral cavity, therapeutic edentulation was common as a result of the popularity of the focal infection theory. Since many teeth were extracted without evidence of infection, thereby providing no relief of symptoms, the theory was discredited and largely ignored for many years. Recent progress in classification and identification of oral microorganisms and the realization that certain microorganisms are normally found only in the oral cavity have opened the way for a more realistic assessment of the importance of oral focal infection. It has become increasingly clear that the oral cavity can act as the site of origin for dissemination of pathogenic organisms to distant body sites, especially in immunocompromised hosts such as patients suffering from malignancies, diabetes, rheumatoid arthritis, or in patients undergoing other immunosuppressive treatment. A number of epidemiological studies have suggested that oral infection, especially periodontitis, may be a risk factor for systemic diseases.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Indian Soc Periodontol</journal-id>
<journal-id journal-id-type="iso-abbrev">J Indian Soc Periodontol</journal-id>
<journal-id journal-id-type="publisher-id">JISP</journal-id>
<journal-title-group><journal-title>Journal of Indian Society of Periodontology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0972-124X</issn>
<issn pub-type="epub">0975-1580</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23055580</article-id>
<article-id pub-id-type="pmc">3459494</article-id>
<article-id pub-id-type="publisher-id">JISP-16-168</article-id>
<article-id pub-id-type="doi">10.4103/0972-124X.99257</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Prize Winning Essay</subject>
</subj-group>
</article-categories>
<title-group><article-title>Thesis, antithesis, and synthesis in periodontal and systemic interlink</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Akshata</surname>
<given-names>K. R.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ranganath</surname>
<given-names>V.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nichani</surname>
<given-names>Ashish S.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
</contrib-group>
<aff id="aff1"><italic>Department of Periodontology, AECS Maaruti College of Dental Sciences and Research Centre, Bangalore, Karnataka, India</italic>
</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. K. R. Akshata, Department of Periodontology, AECS Maaruti College of Dental Sciences and Research Centre, BTM 6<sup>th</sup>
stage, 1<sup>st</sup>
phase, Hulimavu Tank Band Road, Kammanahalli, Bangalore, Karnataka, India. E-mail: <email xlink:href="dr.akshatakr@gmail.com">dr.akshatakr@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Apr-Jun</season>
<year>2012</year>
</pub-date>
<volume>16</volume>
<issue>2</issue>
<fpage>168</fpage>
<lpage>173</lpage>
<history><date date-type="received"><day>16</day>
<month>10</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>17</day>
<month>6</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>Copyright: © Journal of Indian Society of Periodontology</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>The theory of focal infection, which was promulgated during the 19<sup>th</sup>
and early 20<sup>th</sup>
centuries, stated that "foci" of sepsis were responsible for the initiation and progression of a variety of inflammatory diseases such as arthritis, peptic ulcers, and appendicitis. In the oral cavity, therapeutic edentulation was common as a result of the popularity of the focal infection theory. Since many teeth were extracted without evidence of infection, thereby providing no relief of symptoms, the theory was discredited and largely ignored for many years. Recent progress in classification and identification of oral microorganisms and the realization that certain microorganisms are normally found only in the oral cavity have opened the way for a more realistic assessment of the importance of oral focal infection. It has become increasingly clear that the oral cavity can act as the site of origin for dissemination of pathogenic organisms to distant body sites, especially in immunocompromised hosts such as patients suffering from malignancies, diabetes, rheumatoid arthritis, or in patients undergoing other immunosuppressive treatment. A number of epidemiological studies have suggested that oral infection, especially periodontitis, may be a risk factor for systemic diseases.</p>
</abstract>
<kwd-group><kwd>Focal infection theory</kwd>
<kwd>periodontal disease</kwd>
<kwd>periodontal medicine</kwd>
<kwd>systemic disease</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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<tree><noCountry><name sortKey="Akshata, K R" sort="Akshata, K R" uniqKey="Akshata K" first="K. R." last="Akshata">K. R. Akshata</name>
<name sortKey="Nichani, Ashish S" sort="Nichani, Ashish S" uniqKey="Nichani A" first="Ashish S." last="Nichani">Ashish S. Nichani</name>
<name sortKey="Ranganath, V" sort="Ranganath, V" uniqKey="Ranganath V" first="V." last="Ranganath">V. Ranganath</name>
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