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Cardiovascular diseases and apical periodontitis : association not always implies causality

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Cardiovascular diseases and apical periodontitis : association not always implies causality

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dc.contributor.author Jiménez Sánchez, María del Carmen es
dc.contributor.author Cabanillas-Balsera, Daniel es
dc.contributor.author Areal-Quecuty, Victoria es
dc.contributor.author Velasco Ortega, Eugenio es
dc.contributor.author Martín González, Jenifer es
dc.contributor.author Segura-Egea, Juan J. es
dc.date.accessioned 2021-01-15T12:29:42Z
dc.date.available 2021-01-15T12:29:42Z
dc.date.issued 2020 es
dc.identifier.citation Jiménez Sánchez, María del Carmen ; Cabanillas-Balsera, Daniel ; Areal-Quecuty, Victoria ; Velasco Ortega, Eugenio ; Martín González, Jenifer ; Segura-Egea, Juan J.. Cardiovascular diseases and apical periodontitis : association not always implies causality. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 25 5 2020: 11- es
dc.identifier.uri https://hdl.handle.net/10550/77181
dc.description.abstract Several studies published in the last two decades have found an association between the prevalence of apical periodontitis (AP) or root canal treatment (RCT) and cardiovascular diseases (CVDs). However, the demonstration of association does not prove by itself the existence of a cause?effect relationship. Two diseases can appear as statistically related without any of them directly affecting the values of the other, resulting in a non-causal relationship. The aim of this narrative review is to summarize the current state of knowledge regarding the association between AP and CVDs, analysing it according to the Hill's causality criteria. Epidemiological studies carried out on the association between CVDs and AP or RCT published in English until 8 December 2019 were identified. Forty-four articles were selected and its results were analysed. Numerous cross-sectional epidemiological studies have found significant relationship between CVDs and AP. The odds ratio values range 1.6 - 5.4. However, other studies have not found significant association. Respect to RCT, some studies found correlation, but others found no association or even found that RCT is a protective factor against CVDs. The results are inconsistent and a causal relationship between CVDS and endodontic disease cannot be stablished. The risk factors common to both diseases can act as confounding factors, biasing the results. To reach definitive conclusions about the type of association (causal or non-causal) between both diseases, longitudinal epidemiological studies must be carried out to establish the temporal relationship and the dose-response gradient. es
dc.title Cardiovascular diseases and apical periodontitis : association not always implies causality es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.23665 es
dc.type.hasVersion VoR es_ES

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