[The association between periodontal diseases and coronary artery diseases--a literature review].

: The relation between periodontal disease and atherosclerotic cardiovascular disease was reported the first time at the end of the Eighties. Screening of the English written reported research papers revealed an increased risk of coronary artery disease and Cerebrovascular disease, in patients suffering from chronic periodontal infection. The same relation was found in patient who underwent multiple tooth extraction as a result of chronic advanced periodontal disease. These observations stress the importance of maintaining good oral hygiene and the prevention of chronic periodontal disease. The precise mode of influence, pathophysiology is still obscured, possible mechanisms were suggested. An indirect risk, by raising infection markers, such as fibrinogen and c-reactive protein. Other possibilities are by direct influence on Atherosclerotic plaque formation or another common cardiovascular risk factor such as smoking which influence both cardiovascular and periodontal diseases.