Indian Journal of Public Health Research & Development
  • Year: 2019
  • Volume: 10
  • Issue: 11

Neurogenic Switching Mechanism: Probable Link between Periodontal Disease and Systemic Diseases: A Review

  • Author:
  • Shristi Shankar1, Rinkee Mohanty2,, Anurag Satpathy3, Rashmita Nayak3, Manoj Kumar4, Gatha Mohanty5
  • Total Page Count: 5
  • Page Number: 990 to 994

1Post Graduate Trainee, Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India

2Professor & Head, Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India

3Professor, Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India

4Reader, Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India

5Senior Lecturer, Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India

*Corresponding Author: Prof. Rinkee Mohanty, Professor & Head, Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India e-mail: rinkeemohanty@soa.ac.in

Online published on 27 March, 2020.

Abstract

Prevalence of systemic diseases by virtue of dental infections, has been widely recognized and accepted by the dental professionals today. In recent times spread of inflammation via neurogenic switching mechanism has found an interest among researchers and reviewers. Neurogenic switching results from the coaction of mast cells and nerves leading to the spread of inflammation from one site of the body to a distant site. Porphyromonas gingivalis, a principle bacterium triggering periodontal disease releases an endotoxin, lipopolysaccharide, which has been found to induce neurogenic switching mechanism, leading to an exacerbation of symptoms of various systemic diseases. Lowering in the microbial count of dental plaque, has shown to recuperate manifestation of various neurological, cardiovascular, respiratory and pregnancy induced conditions. The purpose of this review is to explore the probable link between various systemic diseases and periodontal disease through neurogenic switching mechanism.

Keywords

Neurogenic inflammation, Immunogenic inflammation, Neuropeptides, Substance P, Neurogenic Switching Mechanism, Periodontitis