Cited by 164Oral microbiology and periodontitis researchCardiovascular Health and Disease PreventionDental Health and Care Utilization

Association between periodontal disease and its treatment, flow-mediated dilatation and carotid intima-media thickness: a systematic review and meta-analysis

Orlandi, Marco, Suvan, Jeanie, Petrie, Aviva, Donos, Nikolaos, Masi, Stefano, Hingorani, Aroon, Deanfield, John, D’Aiuto, Francesco·2014·Atherosclerosis

Abstract

Objective This meta-analysis sought to investigate the association between carotid intima-media thickness (c-IMT), flow-mediated dilation (FMD) and periodontitis (PD) and to assess the effect of periodontal treatment on c-IMT and FMD.Methods Electronic database searching, hand searching of bibliographic references of included papers, related reviews, and journals in relation to oral, cardiovascular and ultrasound imaging field was carried out. Random effects meta-analyses were performed to investigate the association of co-existence of increased c-IMT, impaired FMD and PD with potential changes in these variables following periodontal intervention.Results 2009 citations and 101 full text articles were screened, with 35 meeting the review inclusion criteria of which 22 suitable for quantitative analysis. Meta-analysis demonstrated that the diagnosis of PD was associated with a mean increase in c-IMT of 0.08 mm (95% C.I. = 0.07-0.09) and a mean difference in FMD of 5.1% compared to controls (95% C.I. = 2.08-8.11%). A meta-analysis of the effects of periodontal treatment on FMD showed a mean improvement of 6.64% between test and control (95% C.I. = 2.83-10.44%).Conclusions This review demonstrated an association between increased c-IMT, impaired FMD and PD. Data from intervention studies suggested a beneficial effect of periodontal treatment on FMD indicating an improvement in endothelial function. The findings support investigation of periodontitis treatment on cardiovascular outcomes.

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Crossref · 10.1016/j.atherosclerosis.2014.06.002

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  • Patients with periodontitis often present with systemic inflammation and endothelial dysfunction, which improves following successful periodontal treatment.

    “These patients often present with systemic inflammation and endothelial dysfunction, 22 which improves following successful periodontal treatment.23”

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Authors
Orlandi, M., Suvan, J., Petrie, A., Donos, N., Masi, S., Hingorani, A., Deanfield, J., & D’Aiuto, F.
Affiliations
  • University College London (GB)
  • Great Ormond Street Hospital (GB)
Corresponding author
Orlandi, Marco
Venue
Atherosclerosis
Publisher
Elsevier BV
Published
2014-09
Volume
236
Issue
1
Pages
39-46
ISSN
0021-9150 (ISSN-L)
OpenAlex
W1999544578
Cited by
164
References
62
Citations by year
2026: 8 · 2025: 5 · 2024: 13 · 2023: 12 · 2022: 13 · 2021: 13 · 2020: 32 · 2019: 19 · 2018: 13 · 2017: 18 · 2016: 8 · 2015: 9 · 2014: 1
FWCI
2.02
Type
journal article
Language
en
Open access
closed
Locations
  • Atherosclerosis (publishedVersion)
  • PubMed (publishedVersion)
  • CINECA IRIS Institutial research information system (University of Pisa) (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Queen Mary Research Online (Queen Mary University of London) (submittedVersion)
Funders
Medical Research Council (MR/K006584/1)
Topics
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
Keywords
periodontitis, carotid intima-media thickness, flow-mediated dilation, periodontal treatment, endothelial function, cardiovascular risk, oral health and cardiovascular disease
MeSH terms
Brachial Artery, Carotid Artery Diseases, Cross-Sectional Studies, Disease Susceptibility, Endothelium, Vascular, Humans, Periodontal Diseases, Periodontitis, Vasodilation, Comorbidity, Causality, Case-Control Studies, Hemorheology, Disease Progression, Controlled Clinical Trials as Topic, Plaque, Atherosclerotic, Carotid Intima-Media Thickness

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