Periodontal Disease and Overall Health: A Clinician's Guide

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CONTRIBUTORSvThomas E. Van Dyke, DDS, PhDProfessor,PeriodontologyandOralBiologyDirector,ClinicalResearchCenterBostonUniversityHenryM.GoldmanSchoolofDentalMedicineBoston,MA,USARay C. Williams, DMDProfessorandDean,SchoolofDentalMedicineStonyBrookUniversityStonyBrook,NY,USAStanley S. Wang, MD, JD, MPHClinicalCardiologistandDirectorofLegislativeAffairs,AustinHeartAdjunctAssistantProfessorofMedicineUniversityofNorthCarolinaChapelHill,NC,USA
CHAPTER 1From the EditorsDear Colleagues:Robert J. Genco, Ray C. WilliamsWe are very pleased to have had the privilege of assembling and editing this textbook,Periodontal Disease and Overall Health: A Clinician’s Guide.The relationship of oral disease to overall disease is certainly not a new concept. For centuries,the role of oral infection and inflammation in contributing to diseases elsewhere in the body hasbeen studied and reported. Going back to ancient times in Greece, we learn that Hippocratestreated two patients suffering from joint pain by removal of teeth. Clearly, this was an earlyexample of oral disease being associated with afflictions elsewhere in the body. Then, movingforward in time from 1912 to around 1950, the era of “focal infection” dominated our thinking.Reports by individuals such as WD Miller, William Hunter, and Frank Billings noted that in theiropinion many of the diseases of humans could be traced to specific foci of infection elsewherein the body, such as the teeth and gums, the tonsils, or the sinuses. While these observationswere not supported by sound scientific evidence, and in fact led to largely incorrect practices,they nonetheless brought attention to the effect of the mouth on the rest of the body.Then in 1989, with a series of intriguing reports from Finland, the current interest in the role oforal health and disease on contributing to general health and systemic conditions was launched.Kimmo Mattila and his coworkers reported that individuals presenting to the emergency roomwith a myocardial infarction were overwhelmingly likely to have periodontal disease. Mightperiodontal disease be a risk factor for cardiovascular disease? Since then, a phenomenal bodyof work has been directed at understanding how periodontal disease might affect distant sitesand organs, and thus have an effect on overall health. Renowned clinicians and scientistsworldwide have studied the relationship of periodontal disease to overall health and disease,and along the way several conferences and workshops have been convened to examine theevidence to date for the relationship between periodontal disease and the risk for systemicconditions. At one of those conferences, in January 2008, we discussed the need for a textbookthat would summarize and put into context the current information on periodontal disease andsystemic disease together for students of dentistry and medicine. Happily for us, Foti Panagakos,Sheila Hopkins, and their team at the Colgate-Palmolive Company agreed to support, throughan educational grant to the publisher, the undertaking of this textbook. We were fortunate tohave assembled a group of respected and scholarly clinicians and scientists who, in eighteenchapters, provide a current and thoughtful perspective on the relationship of periodontal diseaseto systemic conditions.It is a pleasure to present this textbook. We hope you find it useful and that you enjoy it.Sincerely,Robert J. Genco, DDS, PhDRay C. Williams, DMD
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Renowned clinicians and scientists
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Periodontal Disease and Overall Health: A Clinician's Guide

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