Periodontal Management in Hypertensive Patients (PERIOTENSION Trial I)

Inclusion Criteria: * Treated hypertension * Have at least 20 natural teeth * Presence of any form of periodontal diseases according to guidelines * Absence of other significant oral infections. Exclusion Criteria: * Secondary hypertension (known plasma renin screening, abdominal ultrasound with doppler and other investigations) * Individual is pregnant or nursing * Primary pulmonary hypertension * Professional oral hygine within past 6 months * Flu, rhinitis, sinusitis etc. within past 4 weeks * Use of antibiotics within past 4 weeks * Hospitalization for any reason within the past 3 months * Allergic disorders; History of chronic infectious disease, * Chronic hepatitis B or C infection * Chronic Obstructive Pulmonary Disease (COPD), tuberculosis * Other known chronic inflammatory or autoimmune condition such as lupus or rheumatoid arthritis, ulcerative colitis or Crohn's disease * Use of systemic or local steroids or immunosuppressive agents within 6 months of the inclusion. * History of alcohol abuse or unwillingness to limit alcohol consumption to less than 4 drinks per week