The Correlation between Chronic Periodontitis and Oral Cancer

Infections are increasingly considered as potential trigger for carcinogenesis apart from risk factors like alcohol and tobacco. The discussion about human papilloma virus (HPV) in oral squamous cell carcinoma (OSCC) points at a general role of infection for the development of oral carcinomas. Furth...

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Main Authors: Maximilian Krüger, Torsten Hansen, Adrian Kasaj, Maximilian Moergel
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2013/262410
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author Maximilian Krüger
Torsten Hansen
Adrian Kasaj
Maximilian Moergel
author_facet Maximilian Krüger
Torsten Hansen
Adrian Kasaj
Maximilian Moergel
author_sort Maximilian Krüger
collection DOAJ
description Infections are increasingly considered as potential trigger for carcinogenesis apart from risk factors like alcohol and tobacco. The discussion about human papilloma virus (HPV) in oral squamous cell carcinoma (OSCC) points at a general role of infection for the development of oral carcinomas. Furthermore, first studies describe a correlation between chronic periodontitis and OSCC, thus, characterizing chronic inflammation as being a possible trigger for OSCC. In front of this background, we present four well-documented clinical cases. All patients showed a significant anatomical relation between OSCC and clinical signs of chronic periodontitis. The interindividual differences of the clinical findings lead to different theoretical concepts: two with coincidental appearance of OSCC and chronic periodontitis and two with possible de novo development of OSCC triggered by chronic inflammation. We conclude that the activation of different inflammatory cascades by chronic periodontitis negatively affects mucosa and bone. Furthermore, the inflammatory response has the potential to activate carcinogenesis. Apart from a mere coincidental occurrence, two out of four patients give first clinical hints for a model wherein chronic periodontitis represents a potential risk factor for the development of OSCC.
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spelling doaj-art-8ce25067bb574375a2bbe9459a35611a2025-02-03T01:01:41ZengWileyCase Reports in Dentistry2090-64472090-64552013-01-01201310.1155/2013/262410262410The Correlation between Chronic Periodontitis and Oral CancerMaximilian Krüger0Torsten Hansen1Adrian Kasaj2Maximilian Moergel3Department of Oral and Maxillofacial Surgery-Plastic Surgery, Johannes Gutenberg University of Mainz, Medical Center, Augustusplatz 2, 55131 Mainz, GermanyInstitute of Pathology, University of Mainz, Medical Surgery, Langenbeckstraße 1, 55131 Mainz, GermanyDepartment of Operative Dentistry and Periodontology, Johannes Gutenberg-University, Augustusplatz 2, 55131 Mainz, GermanyDepartment of Oral and Maxillofacial Surgery-Plastic Surgery, Johannes Gutenberg University of Mainz, Medical Center, Augustusplatz 2, 55131 Mainz, GermanyInfections are increasingly considered as potential trigger for carcinogenesis apart from risk factors like alcohol and tobacco. The discussion about human papilloma virus (HPV) in oral squamous cell carcinoma (OSCC) points at a general role of infection for the development of oral carcinomas. Furthermore, first studies describe a correlation between chronic periodontitis and OSCC, thus, characterizing chronic inflammation as being a possible trigger for OSCC. In front of this background, we present four well-documented clinical cases. All patients showed a significant anatomical relation between OSCC and clinical signs of chronic periodontitis. The interindividual differences of the clinical findings lead to different theoretical concepts: two with coincidental appearance of OSCC and chronic periodontitis and two with possible de novo development of OSCC triggered by chronic inflammation. We conclude that the activation of different inflammatory cascades by chronic periodontitis negatively affects mucosa and bone. Furthermore, the inflammatory response has the potential to activate carcinogenesis. Apart from a mere coincidental occurrence, two out of four patients give first clinical hints for a model wherein chronic periodontitis represents a potential risk factor for the development of OSCC.http://dx.doi.org/10.1155/2013/262410
spellingShingle Maximilian Krüger
Torsten Hansen
Adrian Kasaj
Maximilian Moergel
The Correlation between Chronic Periodontitis and Oral Cancer
Case Reports in Dentistry
title The Correlation between Chronic Periodontitis and Oral Cancer
title_full The Correlation between Chronic Periodontitis and Oral Cancer
title_fullStr The Correlation between Chronic Periodontitis and Oral Cancer
title_full_unstemmed The Correlation between Chronic Periodontitis and Oral Cancer
title_short The Correlation between Chronic Periodontitis and Oral Cancer
title_sort correlation between chronic periodontitis and oral cancer
url http://dx.doi.org/10.1155/2013/262410
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