Avances en Periodoncia e Implantología Oral
versión impresa ISSN 1699-6585
ARDILA MEDINA, C.M.. Effect of enterobacteriaceae in patients with chronic periodontitis. Avances en Periodoncia [online]. 2010, vol.22, n.1, pp.27-35. ISSN 1699-6585.
The chronic periodontitis is an infectious disease associated to anaerobic gram negative microorganisms. This organization of chronic nature and high prevalence in the population has been associated with a risk increased to acute infarct of the myocardium, stroke, low birth weight and preterm infants. Microbiological studies in patients with periodontitis in different parts from the world have shown high prevalences of sobreinfection by enterobacteriaceae, which could complicate the clinical picture of the patients and the answer to the periodontal therapy. Also, the present lipopolisacaric one in its wall, has demonstrated to stimulate the cellular activation and the production of proinflammatory cytokines that could increase the risk of systemic diseases in these patients. Although the periodontal therapy reduces the inflammatory serum markers and has shown a reduction in the incidence of low birth weight and preterm infants, has not studied the effect of enterobacteriaceae at subgingival level on the sistemic answer to the basic therapy and effects that can trigger. The objective of this revision is to provide foundations that somehow allow to explain so problematic.
Palabras clave : Periodontitis; microbiology; enterobacteriaceae; pathogens.