Update on Focal Infection Management: A Czech Interdisciplinary Consensus

Authors

PEŘINA Vojtěch ŠMUCLER Roman BARTÁK Vladislav NĚMEC Petr

Year of publication 2024
Type Article in Periodical
Magazine / Source International Dental Journal
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.sciencedirect.com/science/article/pii/S0020653923009668?via%3Dihub
Doi http://dx.doi.org/10.1016/j.identj.2023.11.001
Keywords Focal infection; Microbiota; Oral health; Systemic diseases
Description The focal infection theory has been used to explain several chronic systemic diseases in the past. Systemic diseases were thought to be caused by focal infections, such as caries and periodontal diseases, and dentists were held responsible for these diseases due to the spread of oral infections. As knowledge of the interrelationship between oral microorganisms and the host immune response has evolved over the last few decades, the focal infection theory has been modified in various ways. The relationship between oral and systemic health appears to be more complex than that suggested by the classical theory of focal infections. Indeed, the contribution of the oral microbiota to some systemic diseases is gaining acceptance, as there are strong associations between periodontal disease and atherosclerotic vascular disease, diabetes, and hospital-associated pneumonia, amongst others. As many jurisdictions have various protocols for managing this oral-systemic axis of disease, we sought to provide a consensus on this notion with the help of a multidisciplinary team from the Czech Republic.

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