The Possible Causal Link of Periodontitis to Neuropsychiatric Disorders: More Than Psychosocial Mechanisms

Int J Mol Sci. 2019 Jul 30;20(15):3723. doi: 10.3390/ijms20153723.

Abstract

Increasing evidence implies a possible causal link between periodontitis and neuropsychiatric disorders, such as Alzheimer's disease (AD) and major depression (MD). A possible mechanism underlying such a link can be explained by neuroinflammation induced by chronic systemic inflammation. This review article focuses on an overview of the biological and epidemiological evidence for a feasible causal link of periodontitis to neuropsychiatric disorders, including AD, MD, Parkinson's disease, and schizophrenia, as well as the neurological event, ischemic stroke. If there is such a link, a broad spectrum of neuropsychiatric disorders associated with neuroinflammation could be preventable and modifiable by simple daily dealings for oral hygiene. However, the notion that periodontitis is a risk factor for neuropsychiatric disorders remains to be effectively substantiated.

Keywords: Alzheimer’s disease; Parkinson’s disease; major depression; microglia; neuroinflammation; neuropsychiatric disorders; periodontitis; schizophrenia.

Publication types

  • Review

MeSH terms

  • Alzheimer Disease / epidemiology*
  • Depressive Disorder, Major / epidemiology*
  • Humans
  • Parkinson Disease / epidemiology*
  • Periodontitis / epidemiology*
  • Schizophrenia / epidemiology*
  • Stroke / epidemiology*