Improving Immune System Function by Targeting Periodontitis
Suggested Audience: Dentists, dental hygienists, dental assistants, dental technicians, and business staff
CDE credits awarded: 2.0 hours upon successful completion of the post test
CDE Certificate Requirements: In order to receive your Verification of Attendance (CDE certificate) you must correctly answer 3 out of the 3 questions in the Quiz that follows at the end of the course.
Prioritizing the health of our immune system has never been more important than during a viral pandemic. Patients know this, and they’re well-primed to hear about ways they can boost their immunity. Of course, there are recommendations such as dietary supplements, good nutrition, adequate sleep, increased physical activity, and stress management; but, how about addressing chronic infections that compromise immunity? Could this include periodontitis? Maybe.
No one has investigated whether treatment of periodontitis, specifically, enhances immunity*. However, what we do have is mounting evidence that many chronic infections can dysregulate the immune system in ways that increase susceptibility to unrelated pathogens. Chronic infections exert another negative impact, and that is that vaccines for unrelated illnesses may not be as effective in people who have chronic infections. With the threat we face during this pandemic, there has never been a greater incentive to diagnose and treat periodontitis. And, for our patients in periodontal maintenance, it’s never been more important to ensure that periodontal disease activity does not recur.
This webinar provides a practical, evidence-based overview of the role of the periodontal microbiota in subverting the host immune response to create a pro-inflammatory environment that induces pathological changes beyond the periodontium to distant organs throughout the body. Of note, this includes the lungs and increased risk for respiratory infections ― highly relevant at this time. The course will also discuss the importance of gauging the rate of periodontal disease progression (grading), introduced in the 2017 classification system for diagnosing periodontitis, and assessing stability in a reduced periodontium. Additional topics include diagnosing periodontitis in its earliest stages, improving the accuracy of periodontal exams, how we hijack the diagnosis of early stage periodontitis, and the use of a tray/hydrogen peroxide system that has demonstrated effectiveness in stabilizing the periodontium during periodontal maintenance.
* According to a literature review conducted on May 23- 27, 2020
Learning Objectives:Upon completion of this webinar, participants will immediately be able to:
- Educate patients about the role of chronic infections, perhaps such as periodontitis, in compromising immunity.
- Diagnose periodontal disease in its earliest stages.
- Determine the rate of periodontal disease progression (grading) and assess stability in a reduced periodontium.
- Stop hijacking the diagnosis of periodontitis.
- Prescribe an adjunct therapy that reduces periodontal disease activity during periodontal maintenance.
Collateral Materials & Supplemental Resources
- Bacterial -Viral Interactions & Immunity
- Bystander activation
- Bystander chronic infection negatively impacts T Cell memory
- Chronic Bystander Infections and Immunity to Unrelated Antigens
- Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China…
- Co-infections_ Potentially lethal and unexplored in COVID-19
- COVID-19_Risk for Cytokine targeting in chronic inflammatory diseases
- How bacterial pathogens colonize hosts and invade deeper tissues
- Infection and Immunity-1995-Lamont-3878.full
- Infection and Immunity-2019-Zhang-e00421-19.full
- Infection and Immunity-2001-Lourbakos-5121.full
- Inflammation, Immunity, and Infection in Atherosclerosis; Libby 2018
- Interleukin-6 and chronic inflammation
- Is there an association between oral health and severity of COVID-19 compl_Botros
- jama_Pathology, Transmission, DX and TX of COV-19
- Mechanisms of Vascular damage by PG
- Molecular and cellular insights into T cell exhaustion
- Periodontitis from microbial immune subversion to systemic
- Porphyromonas gingivalis disturbs host commensal homeostasis by changing complement fun
- Porphyromonas gingivalis Manipulates Complement
- Salivary Microbiota in Health and Disease
- The inflammophlic character of the periodontitis-associated mirobiota 2017
- The Keystone Pathogen Hypothesis
- The role of pneumonia and secondary bacterial infection in fatal and serious outcomes of pandemic influenza
Award of Continuing Dental Education CreditCDE Credit: 2 hours upon successful completion of the post test Casey Hein & Associates is designated as an Approved PACE Program Provider FAGD/MAGD. Credit approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from December 1, 2019 to November 30, 2025. Provider #337890
Conflict of Interest Disclosure
Casey Hein & Associates, LLC received unrestricted educational grants from Florida Probe and Perio Protect to assist in the development of this course and the ability to provide complimentary access to this course along with awarding CDE credit. I want to thank Florida Probe, and Perio Protect for their generosity in supporting this program. There is no conflict of interest in this presentation.