Critical review in oral biology & medicine: Inflammation and uncoupling as mechanisms of periodontal bone loss

D. T. Graves, J. Li, D. L. Cochran

Producción científica: Articlerevisión exhaustiva

216 Citas (Scopus)

Resumen

Periodontal disease is characterized by both inflammation and bone loss. Advances in research in both these areas have led to a new appreciation of not only each field but also the intimate relationship between inflammation and bone loss. This relationship has resulted in a new field of science called osteoimmunology and provides a context for better understanding the pathogenesis of periodontal disease. In this review, we discuss several aspects of the immuno-inflammatory host response that ultimately results in loss of alveolar bone. A proposal is made that periodontal inflammation not only stimulates osteoclastogenesis but also interferes with the uncoupling of bone formation and bone resorption, consistent with a pathologic process. Furthermore, arguments based on experimental animal models suggest a critical role of the spatial and temporal aspects of inflammation in the periodontium. A review of these findings leads to a new paradigm to help explain more fully the impact of inflammation on alveolar bone in periodontal disease so that it includes the effects of inflammation on uncoupling of bone formation from resorption.

Idioma originalEnglish (US)
Páginas (desde-hasta)143-153
Número de páginas11
PublicaciónJournal of dental research
Volumen90
N.º2
DOI
EstadoPublished - feb 2011

ASJC Scopus subject areas

  • General Dentistry

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