Periodontal Disease and Cancer: What is the Relationship? Doença Periodontal e Câncer: Qual a Relação?

Main Article Content

Fernanda de Araujo Verdant Pereira
Carolina de Assis Pinto Ferreira
Daniela Cia Penoni
Anna Thereza Thomé Leão

Abstract

Periodontal disease (PD), characterized by chronic inflammation associated with dysbiosis, has been linked to several pathologies in the human body. Recent studies reveal a strong association between PD and cancer. The objective of this article was to carry out a narrative review of the literature on the relationship between both diseases. A search was performed in the Virtual Health Library (BVS), PubMed and Wiley Online Library databases, with the health descriptors (DECs) in Portuguese: “Doença Periodontal” and “Carcinogênese” and “Neoplasma”, and their correspondents in English, “Periodontal Disease” and “Carcinogenesis” and “Neoplasm”. The inclusion criteria were complete articles published in English, Portuguese and/ or Spanish from 2010 to 2020, resulting in 22 articles. It was found that, although the inflammatory process resulting from PD occurs locally in the oral cavity, the inflammatory cells and their products, the periodontopathogens -- responsible for this inflammation together with the host’s immune response -- and the bacterial components can act on the organism in general. Consequences are possible changes in the cell cycle, cell proliferation, apoptosis, immune and inflammatory responses. In addition, periodontal pathogens are able to interact directly with cells in the body and thus stimulate carcinogenesis, tumor progression and/or metastasis. These facts studied in conjunction with epigenetics have revealed a positive association between several cancers and PD. It was concluded that, although some mechanisms involved in the association remain uncertain, epidemiological studies have added a new panorama for the correlation.

Article Details

How to Cite
de Araujo Verdant Pereira, F., de Assis Pinto Ferreira, C., Cia Penoni, D., & Thereza Thomé Leão, A. (2021). Periodontal Disease and Cancer: What is the Relationship?. Naval Dental Jounal, 48(I), 24-32. https://doi.org/10.29327/25149.48.1-3
Section
Literature Reviews
Author Biographies

Fernanda de Araujo Verdant Pereira, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

Student at the Faculty of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil  

Carolina de Assis Pinto Ferreira, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

Student at the Faculty of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil    

Daniela Cia Penoni

Dentist surgeon; Dentistry Division, Naval Hospital of Brasília, Federal District, Brazil. Department of Dental Clinic, Periodontics Division, Faculty of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.  

Anna Thereza Thomé Leão, ederal University of Rio de Janeiro, Rio de January, Brazil.

Dentist surgeon; Department of Dental Clinic, Division of Periodontics, Faculty of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

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