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CARDIAC IMPLICATIONS OF PERIODONTAL DISEASE LCDR Kurt J. Brockman, DC, USN
WHERE IT ALL STARTED ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU DR CHOW! ,[object Object],[object Object],[object Object],[object Object],[object Object]
LOESCHE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PATHOGENISIS REVIEW ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PERIODONTIUM ,[object Object],[object Object],[object Object]
PERIODONTIUM ,[object Object],[object Object],[object Object]
BECK ,[object Object],[object Object],[object Object],[object Object]
BLOOD MONOCYTE PHENOTYPE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BECK’S CASCADE Perio Pathogen LPS Endotoxin MØ+ PGE & IL Vasodilation Vasopermeability Connective Tissue Degradation Vasculature Platelets Endothelial Deposition Smooth Muscle Deposition
INFLAMMATORY MEDIATORS ,[object Object],[object Object],[object Object],[object Object]
THE PLAYERS ,[object Object],[object Object],[object Object],[object Object]
FRIEND OR FOE? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RISK FACTORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AAP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AAP  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AHA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WOW! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EUROPEAN WORKSHOP ,[object Object],[object Object],[object Object],[object Object]
PERIODONTICS WORKSHOP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MEDICAL APPROACH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FDA APPROVED ,[object Object],[object Object],[object Object]
PERIOSTAT ,[object Object],[object Object],[object Object],[object Object],(doxycycline hyclate)
ATRIDOX ,[object Object],[object Object],[object Object],(10% doxycycline hyclate)
PERIOCHIP ,[object Object],[object Object],[object Object],(chlorhexidine digluconate)
WHAT WE KNOW ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DOCTOR DENTIST ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Cardiac Imp Of Perio Ds

  • 1. CARDIAC IMPLICATIONS OF PERIODONTAL DISEASE LCDR Kurt J. Brockman, DC, USN
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. BECK’S CASCADE Perio Pathogen LPS Endotoxin MØ+ PGE & IL Vasodilation Vasopermeability Connective Tissue Degradation Vasculature Platelets Endothelial Deposition Smooth Muscle Deposition
  • 11.
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Editor's Notes

  1. I t has long been theorized that there is a relationship between periodontal disease and cardiovascular disease. Only in the last decade, however, has science made progress in identifying what dentists have long observed; that there are cardiac implications in periodontal disease patients. As science discovers new ways to identify the specific disease process, and pathogens, the dental profession discovers new ways to manage the disease from a medical approach. The dental practitioner will be challenged with a new paradigm in the next decade and well into the new millennium. Therefore, this report is submitted to update the provider on the subject.