Influence of hypertension on oral infections and endodontic treatment
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2014
Autores
Gomes Filho, João Eduardo
Martins, Christine Men
Sivieri-Araujo, Gustavo
Santos, Ludmilla Mota da Silva
Queiroz, Índia Olinta de Azevedo
Wayama, Marcelo Tadahiro
Yamanari, Guilherme Hiroshi
Dezan Júnior, Eloi [UNESP]
Cintra, Luciano Tavares Angelo
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Hypertension is characterized by peripheral vascular resistancethat leads to blood pressure increase and severalsystemic changes that may negatively influence one s oralhealth. Thus, the aim of this study was to conduct a literaturereview on the influence of hypertension over oral conditionsand endodontic treatment. Hypertension mainly affects theblood vessels, brain and kidneys. A hypertensive conditioncan lead to increased levels of parathyroid hormones, abnormalvitamin D metabolism, reduction in the concentrationof ionized calcium and decreased calcium absorption.Therefore, hypertension can be closely associated with oralproblems such as periodontal diseases, implant loss, difficultyin bone healing, reduced salivary flow and protein concentrationin saliva, increased number of neutrophils and, as a consequence,favoring of inflammatory processes. It has alsobeen suggested that the success rate of endodontic treatmentin hypertensive patients is lower than in normotensiveones. The response of hypertensive patients to root canaltreatment, intracanal medications and sealers should be furtherstudied in order to provide knowledge on the changes,failures and success of endodontic treatment.
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Dental Press Endodontics, v. 4, n. 1, p. 21-25, 2014.