Association between environmental tobacco smoke and periodontal disease: A systematic review

Javed, Fawad; Ahmed, Hameeda Bashir; Romanos, Georgios E.

doi:10.1016/j.envres.2014.05.008

Cited by 34 publications

(42 citation statements)

References 26 publications

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“…However, it is pertinent to mention that a variety of factors may have biased these results. Is well known that tobacco smoking, alcohol consumption, poorly controlled DM, coronary heart disease (CHD) are significant risk factors of CP as well as ED (Al Amri et al, 2016;Chrysanthakopoulos, 2015;Javed, Bashir Ahmed, & Romanos, 2014;Kalka et al, 2015;Skeldon, Detsky, Goldenberg, & Law, 2015). It is important to mention that results from approximately 60% of the studies (Keller et al, 2012;J.…”

Section: Discussionmentioning

confidence: 99%

Association Between Periodontal Disease and Erectile Dysfunction: A Systematic Review

Kellesarian

Malignaggi

et al. 2016

Am J Mens Health

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A limited number of studies have reported an association between erectile dysfunction (ED) and chronic periodontitis (CP). The aim of the present study is to assess the association between CP and ED through a systematic review of published literature. To address the focused question, "Is there a relationship between ED and CP?" indexed databases were searched till December 2015 using various key words "erectile dysfunction," "periodontal disease," "periodontitis," "dental infection," and "impotence." Letters to the editor, commentaries, historic reviews, and experimental studies were excluded. The pattern of the present systematic review was customized to primarily summarize the pertinent data. Nine studies were included. Seven studies had a cross-sectional design and two studies were randomized control trials. The number of study participants ranged between 53 and 513,258 individuals with age ranging between 20 years and 85 years (median age ranging between 34.9 ± 4.9 years and 50.9 ± 16.6 years). In all studies, a positive relationship between CP and ED was reported. In four studies, odds ratio were reported, ranging between 1.53 and 3.35. From the literature reviewed, there seems to be a positive association between ED and CP; however, further well-designed controlled clinical trials are needed in this regard. It is emphasized that physicians should refer patients with ED to oral health care providers for a comprehensive oral evaluation and treatment.

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Section: Discussionmentioning

confidence: 99%

Association Between Periodontal Disease and Erectile Dysfunction: A Systematic Review

Kellesarian

Malignaggi

et al. 2016

Am J Mens Health

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“…Despite the systematic review by Javed et al, 9 calling for additional studies, no peerreviewed article has been published since then. For most of the studies reviewed, the results were consistent with a positive ETSperiodontitis association, although the magnitude and our precision in estimating it varied according to study characteristics.…”

Section: Discussionmentioning

confidence: 99%

“…Twenty-three fulltext articles were selected for review, of which 13 were excluded because one was a systematic review, 9 two were narratives, 11,35 two were dissertations already published in peer-reviewed journals, 36,37 one study 38 presented results from a larger study, 23 two were letters to the editor, 39,40 one used exhaled carbon monoxide as the exposure variable, 13 and four studies where the outcome was neither CAL and/or PD nor tooth loss. [41][42][43][44] Of the three conference abstracts reviewed, 30,31,45 one was excluded because of incomplete data reporting.…”

Section: Selected Studiesmentioning

confidence: 99%

“…A recent systematic review by Javed et al 9 stated that the association was inconclusive and called for additional studies. A feature of that study was its inclusion of both epidemiological and in vitro studies.…”

Section: Introductionmentioning

confidence: 99%

“…Similar to Javed et al 9 we reviewed studies where periodontitis was classified by examinerassessed measures of probing pocket depth (PD) and/or clinical attachment level (CAL) and also included studies of self-reported assessments of tooth loss. We justify the latter on two grounds: (a) by necessity, PD and CAL measurements are made on teeth that have not been lost due to disease, thereby underestimating the degree of periodontal disease experienced in a person's lifetime and (b) PD and CAL measurements are "surrogate" clinical endpoints of periodontitis, whereas tooth loss is a "true" clinical endpoint of periodontitis.…”

Section: Introductionmentioning

confidence: 99%

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Systematic Review and Meta-analysis of the Association Between Exposure to Environmental Tobacco Smoke and Periodontitis Endpoints Among Nonsmokers

Akinkugbe

Slade

Divaris

et al. 2016

NICTOB

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Objective: A systematic review was conducted to summarize the epidemiological evidence on environmental tobacco smoke (ETS) exposure and prevalent periodontitis endpoints among nonsmokers. Methods: We searched PubMed, EMBASE, Web of Science, Pro-Quest dissertations, and conference proceedings of a dental research association. We included studies from which prevalence odds ratios (POR) could be extracted for periodontitis determined by examiner measurements of clinical attachment level (CAL) and/or probing pocket depth (PD) or self-report of missing teeth. Studies determined ETS exposure by self-report or biomarker (cotinine) levels. Results: For studies reporting CAL and/or PD (n = 6), associations were stronger with cotininemeasured exposure (n = 3; random effects POR [95% prediction interval] = 1.63 (0.90, 2.96)) than self-reported exposure (n = 3; random effects POR = 1.15 (0.68, 1.96)). There was no meaningful difference in summary estimate for studies reporting CAL and/or PD endpoint (n = 6; random effects POR = 1.34 (0.93, 1.94)) as opposed to tooth loss (n = 2; random effects POR = 1.33 (0.52, 3.40)).Conclusions: There appears to be a positive association between exposure to ETS and prevalent periodontitis endpoints among nonsmokers, the magnitude of which depended mostly on the method of ETS assessment. Implications: The notoriety of ETS is often discussed in terms of its associations with cancer, chronic conditions like cardiovascular diseases, and respiratory illnesses in children. However, very little attention is paid to its association with oral diseases, especially periodontitis. Periodontitis affects a large proportion of the population and is a major cause of tooth loss. This study summarized the epidemiologic association between exposure to ETS and periodontitis among nonsmokers. Although the findings are consistent with a positive association, methodological weaknesses relating to study design, assessment of ETS, periodontitis, and adjustment covariates were highlighted and recommendations for improvement in future studies provided.

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A Systems Toxicology Approach to Investigating the Cardiovascular Effects of Cigarette Smoke and Environmental Pollutants in ApoE-Deficient Mice

León

Boué

Peitsch

et al. 2015

Methods in Pharmacology and Toxicology

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Association between environmental tobacco smoke and periodontal disease: A systematic review

Cited by 34 publications

References 26 publications

Association Between Periodontal Disease and Erectile Dysfunction: A Systematic Review

Association Between Periodontal Disease and Erectile Dysfunction: A Systematic Review

Systematic Review and Meta-analysis of the Association Between Exposure to Environmental Tobacco Smoke and Periodontitis Endpoints Among Nonsmokers

A Systems Toxicology Approach to Investigating the Cardiovascular Effects of Cigarette Smoke and Environmental Pollutants in ApoE-Deficient Mice

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