Czy nadciśnienie tętnicze może mieć źródło w chorej jamie ustnej? Wpływ zapalenia przyzębia na ryzyko nadciśnienia tętniczego — przegląd literatury i badań klinicznych

Arterial hypertension is an important risk factor for cardiovascular disease. In the world, about 45% of people suffer from arterial hypertension while good blood pressure control is achieved by only approximately 50% of all hypertensive patients treated. The reason for the high prevalence of arterial hypertension and its poor control is low knowledge of hypertensinogenic factors. One such factor is periodontitis, which is a disease of civilization importance. It has been shown that the occurrence of periodontitis leads to an increase in blood pressure, increasing the risk of arterial hypertension. Periodontitis can also lead to the ineffectiveness of antihypertensive treatment. Some interventional studies have shown that treatment of periodontitis reduced blood pressure in patients with arterial hypertension. The pathogenesis of arterial hypertension in periodontitis is complex and concerns mainly the impairment of the vasodilatation properties of the endothelium. Oral hygiene and the treatment of periodontitis should be a means of preventing arterial hypertension and increasing the effectiveness of antihypertensive treatment, while too frequent use of oral antimicrobial mouthwash may lead to an increased risk of arterial hypertension.