Helicobacter Pylori and Periodontal diseases: An update and proposal of a multidisciplinary clinical protocol

Sophie Marbaix, Assem Soueidan, Maya Romani, Guillaume Campard, Gilles Amador, Zahi Badran

Department of Dental public health, Faculty of Dental Surgery (CHU de Nantes), Nantes, France.
Department of Family medicine, American University of Beirut-Medical Centre, Beirut, Lebanon.
Department of Periodontology (Inserm U791/UIC Odontologie/CHU de Nantes), Faculty of Dental Surgery, Nantes, France.

DOI: 10.4236/ojst.2013.36053                

Abstract

Helicobacter Pylori has been closely linked to chronic gastritis, peptic ulcers and increased risk of gastric carcinoma. Oral cavity, in particular dental plaque in periodontal pockets, may be a possible reservoir harboring H. Pylori, and may therefore be involved in the gastric reinfection by the bacterium, even after triple therapy regimen. This report is an update of scientific data showing the potential localization of H. Pylori in the oral cavity of periodontitis patients. A multidisciplinary clinical protocol combining full-mouth disinfection and triple therapy is also suggested. This protocol could permit to enhance oral H. Pylori eradication.

Keywords

Periodontal; Triple Therapy; Full-Mouth Disinfection

Conflicts of Interest

The authors declare no conflicts of interest.

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