The DOI matches its Crossref record; 52 of the 52 references it cites were found in a registry or an index.
Is periodontal inflammation associated with raised blood pressure? Evidence from a National US survey
Abstract
There is incomplete and inconclusive evidence for the association between periodontal disease markers and arterial blood pressure, particularly from large national epidemiological studies. This study assessed the relationship between different markers of periodontal inflammation and disease with arterial blood pressure in people aged 17 years and over in USA. We analysed data from the Third National Health and Nutrition Examination Survey on 6617 men and 7377 women who received a periodontal examination. Blood pressure was analysed in both a continuous format and a binary variable for case definition of hypertension. Periodontal disease markers (extent of gingival bleeding, pocket depth, and loss of attachment, and a case definition of periodontitis) were associated on the arterial blood pressure outcomes through a series of regression models, incrementally adjusting for confounders (demographic, inflammation markers, chronic conditions, smoking, BMI, socio-economic status). All periodontal measures had significant crude associations with SBP and hypertension. Gingival bleeding, a marker of current periodontal inflammation, was the only measure consistently and significantly associated with raised SBP and an increased odds of hypertension in the US adult population throughout the adjustment process. For a 10% greater extent of gingival bleeding, the average SBP was higher by 0.5 (0.3, 0.6) mmHg in the fully adjusted model. By referring to the general population and the whole distribution of blood pressure, not only to those at higher risk for hypertension, this association might have some important implications for clinical practice and public health strategies.
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“Several studies appear to support a relationship between severe periodontitis and hypertension.[24][25][26][27]”
From Periodontitis is associated with hypertension: a systematic review and meta-analysis (2020) · cites this paper as [24]
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Cites
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Inflammation, aspirin, and the risk of cardiovascular disease in apparently healthy men
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Case Definitions for Use in Population‐Based Surveillance of Periodontitis
Page, R. C., & Eke, P. I. (2007) · Journal of Periodontology · doi:10.1902/jop.2007.060264 · Cited by 1,473
Treatment of periodontitis and endothelial function
Tonetti, M. S., D'Aiuto, F., Nibali, L., Donald, A., Storry, C., Parkar, M., Suvan, J., Hingorani, A. D., Vallance, P., & Deanfield, J. (2007) · New England Journal of Medicine · doi:10.1056/nejmoa063186 · Cited by 1,326
Self-citationD’Aiuto, F., Parkar, M. H., Andreou, G., Suvan, J. E., Brett, P., Ready, D. R., & Tonetti, M. S. (2004) · Journal of Dental Research · doi:10.1177/154405910408300214 · Cited by 755
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Periodontitis is associated with hypertension: a systematic review and meta-analysis
Muñoz Aguilera, E., Suvan, J., Buti, J., Czesnikiewicz-Guzik, M., Barbosa Ribeiro, A., Orlandi, M., Guzik, T. J., Hingorani, A. D., Nart, J., & D’Aiuto, F. (2020) · Cardiovascular Research · doi:10.1093/cvr/cvz201 · Cited by 394
Self-citationEvaluating All Potential Oral Complications of Diabetes Mellitus
Verhulst, M. J. L., Loos, B. G., Gerdes, V. E. A., & Teeuw, W. J. (2019) · Frontiers in Endocrinology · doi:10.3389/fendo.2019.00056 · Cited by 294
Association between metabolic syndrome and periodontitis: a systematic review and meta-analysis
Nibali, L., Tatarakis, N., Needleman, I., Tu, Y.-K., D'Aiuto, F., Rizzo, M., & Donos, N. (2013) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2012-3552 · Cited by 229
Self-citationAssociation between periodontitis and arterial hypertension: a systematic review and meta-analysis
Martin-Cabezas, R., Seelam, N., Petit, C., Agossa, K., Gaertner, S., Tenenbaum, H., Davideau, J.-L., & Huck, O. (2016) · American Heart Journal · doi:10.1016/j.ahj.2016.07.018 · Cited by 183
Periodontal therapy and cardiovascular risk
Orlandi, M., Graziani, F., & D'Aiuto, F. (2020) · Periodontology 2000 · doi:10.1111/prd.12299 · Cited by 155
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Metadata
- Authors
- Tsakos, G., Sabbah, W., Hingorani, A. D., Netuveli, G., Donos, N., Watt, R. G., & D'Aiuto, F.
- Affiliations
- University College London (GB)
- Imperial College London (GB)
- Corresponding author
- Tsakos, Georgios
- Venue
- Journal of Hypertension
- Published
- 2010-12
- Volume
- 28
- Issue
- 12
- Pages
- 2386-2393
- ISSN
- 0263-6352 (ISSN-L)
- OpenAlex
- W1977223297
- Cited by
- 134
- References
- 52
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 8 · 2023: 7 · 2022: 15 · 2021: 15 · 2020: 16 · 2019: 8 · 2018: 7 · 2017: 5 · 2016: 8 · 2015: 10 · 2014: 7 · 2013: 9 · 2012: 4
- FWCI
- 8.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Hypertension (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Keywords
- periodontal inflammation, periodontal disease, hypertension, arterial blood pressure, gingival bleeding, periodontitis, probing depth, attachment loss, systolic blood pressure, NHANES
- MeSH terms
- Blood Pressure, Female, Health Surveys, Humans, Hypertension, Male, Periodontitis, Risk Factors, United States
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