Update on Focal Infection Management: A Czech Interdisciplinary Consensus

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F24%3A00079524" target="_blank" >RIV/65269705:_____/24:00079524 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/24:00135923 RIV/00216208:11110/24:10472930 RIV/00064203:_____/24:10472930

Result on the web

<a href="https://www.sciencedirect.com/science/article/pii/S0020653923009668" target="_blank" >https://www.sciencedirect.com/science/article/pii/S0020653923009668</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.identj.2023.11.001" target="_blank" >10.1016/j.identj.2023.11.001</a>

Result language

angličtina

Original language name

Update on Focal Infection Management: A Czech Interdisciplinary Consensus

Original language description

Background: 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. Methods: A multidisciplinary team comprising physicians/surgeons in the specialities of dentistry, ear-nose and throat (ENT), cardiology, orthopaedics, oncology, and diabetology were quetioned with regard to their conceptual understanding of the focal infection theory particularly in relation to the oral-systemic axis. The team also established a protocol to determine the strength of these associations and to plan the therapeutic steps needed to treat focal odontogenic infections whenever possible. Results: Scoring algorithms were devised for odontogenic inflammatory diseases and systemic risks, and standardised procedures were developed for general use. Conclusions: The designed algorithm of the oral-systemic axis will be helpful for all health care workers in guiding their patient management protocol. (c) 2023 The Authors. Published by Elsevier Inc. on behalf of FDI World Dental Federation. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30208 - Dentistry, oral surgery and medicine

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

International Dental Journal

ISSN

0020-6539

e-ISSN

1875-595X

Volume of the periodical

74

Issue of the periodical within the volume

3

Country of publishing house

NL - THE KINGDOM OF THE NETHERLANDS

Number of pages

9

Pages from-to

510-518

UT code for WoS article

001242304800001

EID of the result in the Scopus database

2-s2.0-85178578450