» Articles » PMID: 35128525

The Relationships Among Periodontitis, Pneumonia and COVID-19

Overview
Date 2022 Feb 7
PMID 35128525
Authors
Affiliations
Soon will be listed here.
Abstract

Periodontitis is a chronic inflammatory disease of the supporting structures of the teeth that affects approximately half of adults 30 years and older. There is increasing interest in the direct and indirect relationships between periodontitis and systemic diseases, including respiratory diseases. The aim of this study was to assess the evidence on links among periodontitis, pneumonia, and COVID-19. Oral and periodontal bacteria may be linked to respiratory disease directly by aspiration of pathogens into the lungs causing pneumonia. As SARS-CoV-2 began to spread worldwide in 2020, questions have arisen of how periodontal disease may also be connected to SARS-CoV-2 infection and severity, including potential replication and dissemination of the virus from periodontal pockets. Some proposed mechanisms include the oral cavity acting as a reservoir or point of entry for SARS-CoV-2, overgrowth of periodontal pathogens, and increased production of proinflammatory cytokines. Due to potential links between periodontal disease and respiratory infections like pneumonia and SARS-CoV-2, oral hygiene and management of periodontitis remain essential to help reduce infection and transmission of SARS-CoV-2.

Citing Articles

Pathogenic and periodontal bacteria may contribute to the fatal outcome of critically ill elderly COVID-19 patients.

Madronero L, Calvo E, Coronel-Ruiz C, Velandia-Romero M, Calderon-Pelaez M, Arturo J Sci Rep. 2025; 15(1):4490.

PMID: 39915668 PMC: 11802917. DOI: 10.1038/s41598-025-88518-y.


Role of viruses in periodontitis: An extensive review of herpesviruses, human immunodeficiency virus, coronavirus-19, papillomavirus and hepatitis viruses.

Mahmood M, Fatih M, Kurda H, Mahmood N, Shareef F, Faraidun H World J Virol. 2024; 13(4):99070.

PMID: 39722755 PMC: 11551682. DOI: 10.5501/wjv.v13.i4.99070.


Can periodontitis affect the COVID-19 severity, symptoms, hospital stay, and mortality? A case-control study.

Macherla S, Chopra A, Ramanarayanan V, Das R, Garg R Front Public Health. 2024; 12:1421380.

PMID: 39310912 PMC: 11412828. DOI: 10.3389/fpubh.2024.1421380.


Periodontal and Peri-Implant Diagnosis: Current Evidence and Future Directions.

DAmbrosio F Diagnostics (Basel). 2024; 14(3).

PMID: 38337772 PMC: 10855505. DOI: 10.3390/diagnostics14030256.


Oral Pathogenic Bacteria and the Oral-Gut-Liver Axis: A New Understanding of Chronic Liver Diseases.

Lei Y, Li S, He M, Ao Z, Wang J, Wu Q Diagnostics (Basel). 2023; 13(21).

PMID: 37958220 PMC: 10648517. DOI: 10.3390/diagnostics13213324.


References
1.
Rezaei M, Ziai S, Fakhri S, Pouriran R . ACE2: Its potential role and regulation in severe acute respiratory syndrome and COVID-19. J Cell Physiol. 2020; 236(4):2430-2442. DOI: 10.1002/jcp.30041. View

2.
Sabharwal A, Gomes-Filho I, Stellrecht E, Scannapieco F . Role of periodontal therapy in management of common complex systemic diseases and conditions: An update. Periodontol 2000. 2018; 78(1):212-226. DOI: 10.1111/prd.12226. View

3.
Gupta S, Mohindra R, Chauhan P, Singla V, Goyal K, Sahni V . SARS-CoV-2 Detection in Gingival Crevicular Fluid. J Dent Res. 2020; 100(2):187-193. PMC: 7642823. DOI: 10.1177/0022034520970536. View

4.
Gupta S, Mohindra R, Singla M, Khera S, Sahni V, Kanta P . The clinical association between Periodontitis and COVID-19. Clin Oral Investig. 2021; 26(2):1361-1374. PMC: 8390180. DOI: 10.1007/s00784-021-04111-3. View

5.
Linden G, McClean K, Young I, Evans A, Kee F . Persistently raised C-reactive protein levels are associated with advanced periodontal disease. J Clin Periodontol. 2008; 35(9):741-7. DOI: 10.1111/j.1600-051X.2008.01288.x. View