Periodontal disease and risk of complications from Covid-19

Vol. 12 – Number 47 – 2021 NOTEBOOK OF CLINICAL DENTISTRY Systematic review Page 126-131 Periodontal disease and risk of complications from Covid-19 Hussein Nasser Fares1 Halim Nagem Filho2 Nasser Hussein Fares3 Giordana Gregório Fritsch4 Rafael Julivan Gomes da Silva5 Abstract The Covid-19 complexity is caused by severe inflammation and some signs are common with periodontitis. The attributes of periodontitis are pathophysiological in response to cytokines, which are chemotactic and recruit inflammatory cells. This article aims to investigate a probable link between periodontal disease that increases severity of Covid-19 and to consider the risk factors that influence the outcome of Covid-19 infections and the importance of periodontal health in prevention. Dental surgeons are high-risk professionals, especially periodontists, due to the frequent use of ultrasound and other aerosol-generating surgical instruments. In fact, in addition to the nasal passages, the mouth is a privileged place of contamination. Urgent or emergent dental care is often invasive and requires aerosolization. It is plausible that periodontitis aggravates an inflammatory process resulting from the infection, problems often linked to the most serious cases of Covid-19. Descriptors: Pandemic, SARS-CoV-2 Covid- 19, periodontitis, periodontal disease. 1 Graduation in Medicine – Uninove/SP, Residency in Orthopedics – Inst. 2 Professor in Dental Materials – FOBUSP, Specialist in Histopathology – FOBUSP. 3 Dr. in Implant Dentistry – USC, Specialist in Periodontics – FOBUSP. 4 Specialist in Implant Dentistry – SL Mandic, Graduate Student in Medicine – Unic. 5 Specialist in Implant Dentistry – Cuiabá Dental School. DOI: 10.24077/2021;1247126131