Patients with periodontal disease share many of the same risk factors to patients with cardiovascular disease
including age, sex, obesity and lower socio-economic level, stress and smoking. In addition, a large proportion
of patients with periodontal disease also present the cardiovascular disease. A causal hypothesis of the
association of periodontal and cardiovascular disease is the participation of the periodontitis in the pathogenesis
of the atheroma formation. The proposed associated risk of periodontal disease for atherosclerosis potentially is
linked to mechanisms of numerous systemic effects of lipopolysaccharide. Osteopenia together with
osteoporosis is bone reduction resulting from imbalance between resorption and bone formation, with resorption
tending to increase. Recent studies have documented the existence of some other potentially important
periodontal risk factors such as stress, sex, age, genetic factors and also osteopenia (osteoporosis as a
consequence of estrogen deficit). Osteoporotic patients and those with a cardiovascular disease should be
advised to give more attention toward their oral health to prevent periodontal problem