Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report of the Joint Workshop by the European Federation of Periodontology (<scp>EFP</scp>) and the European arm of the World Organization of Family Doctors (<scp>WONCA</scp> Europe)

Herrera, David; Sanz, Mariano; Shapira, Lior; Brotons, Carlos; Chapple, Iain; Frese, Thomas; Graziani, Filippo; Hobbs, F D Richard; Huck, Olivier; Hummers, Eva; Jepsen, Søren; Kravtchenko, Oleg; Madianos, Phoebus N.; Molina, Ana; Ungan, Mehmet; Vilaseca, Josep; Windak, Adam; Vinker, Shlomo

doi:10.1111/jcpe.13807

Cited by 45 publications

(10 citation statements)

References 143 publications

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“…A study that utilized data from the 2013–2014 National Healthy and Nutrition Examination Survey (NHANES) in the United States of America examined various chronic diseases, including hypertension, hyperlipidemia, diabetes, arthritis, coronary heart disease, overweight, stroke, asthma, chronic obstructive pulmonary disease, emphysema, chronic bronchitis, cancer, liver condition, thyroid problems, psoriasis, and weak or failing kidneys, and concluded that hypertension and diabetes were only associated with the presence and severity of periodontitis [ 41 ]. Although diabetes mellitus is one of the most well-established risk factors for periodontitis onset and progression [ 42 ], no association between staging, grading, and extent was identified in the present study. Although individuals who self-reported diabetes were more frequently categorized into grades B (10.9%) and C (10.2%) rather than in grade A (5.9%), as well as in stages III (11.6%) and IV (11.6%) rather than in stages I (7.5%) and II (8.4%), these differences did not reach the level of significance.…”

Section: Discussioncontrasting

confidence: 79%

Association between Periodontitis Extent, Severity, and Progression Rate with Systemic Diseases and Smoking: A Retrospective Study

Chatzopoulos

Jiang

Marka

et al. 2023

JPM

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Background: The aim of this study was to analyze the relationship between extent, severity (stage), and rate of progression (grade) of periodontitis with systemic diseases as well as smoking using a large database. Methods: Patients’ records identified in the BigMouth Dental Data Repository with a periodontal diagnosis based on the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions were evaluated. Patients were further categorized based on extent, severity, and rate of progression. Data were extracted from patients’ electronic health records including demographic characteristics, dental procedural codes, and self-reported medical conditions, as well as the number of missing teeth. Results: A total of 2069 complete records were ultimately included in the analysis. Males were more likely to have generalized periodontitis and stage III or IV periodontitis. Older individuals were more likely diagnosed with grade B and stage III or IV periodontitis. Individuals with generalized disease, grade C, and stage IV demonstrated a significantly higher number of missing teeth. Higher numbers of tooth loss reported during supportive periodontal treatment were noted in generalized disease and stage IV periodontitis. Multiple sclerosis and smoking were significantly associated with grade C periodontitis. Conclusions: Within the limitations of this retrospective study that utilized the BigMouth dental data repository, smokers were significantly associated with rapid progression of periodontitis (grade C). Gender, age, number of missing teeth, and number of tooth loss during supportive periodontal treatment were associated with disease characteristics.

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Section: Discussioncontrasting

confidence: 79%

Association between Periodontitis Extent, Severity, and Progression Rate with Systemic Diseases and Smoking: A Retrospective Study

Chatzopoulos

Jiang

Marka

et al. 2023

JPM

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“…The current survey also showed that participants with untreated dental caries were more likely to have moderate or severe periodontitis, indicating probable shared common risk factors and social determinants which could contribute to their co‐occurrence in the same individual 23,24 . As the prevalence of diabetes in Singapore was projected to increase from 9.5% in 2020 3 to 15% in 2050, 25 the high burden of periodontal disease should be of concern to policymakers given its association with diabetes and other chronic diseases 26–29 …”

Section: Discussionmentioning

confidence: 71%

Findings from the 2019 nationally representative oral health survey for adults in Singapore

Sim,

Lee,

Sim

et al. 2024

Comm Dent Oral Epid

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ObjectivesThe aim of this study was to present key findings from the 2019 national adult oral health survey in Singapore (NAOHS).MethodsA multi‐stage stratified sampling method was used to recruit participants for a representative national adult oral health survey. A total of 12 212 households were randomly selected from the National Database on Dwellings in Singapore. Within each household eligible persons aged ≥65 years were automatically invited to participate while a Kish selection method was used to invite those between 21 and 64 years old. The survey comprised a face‐to‐face interview questionnaire and a clinical examination which recorded details of tooth loss, DMFT, DMFS and prevalence of periodontal disease according to the CPITN and the US CDC‐AAP classifications. Weighted analysis was performed to adjust for oversampling, non‐response and post‐stratification. Multivariate regression with backward stepwise selection was carried out to identify predictors of chronic periodontal disease and untreated dental caries.ResultsSix hundred and sixty‐three participants completed both the questionnaires and the clinical examination. The prevalence of edentulousness was 2.7%. Of participants, 34.8% presented with untreated dental caries with a higher proportion found in those who were aged ≥60 years, of Malay ethnicity, living in 1–2‐room public housing and who only visited the dentist when there was a problem. Mean DMFS and DMFT indices were 24.7 and 7.9 respectively. Based on the CDC‐AAP classification, the prevalence of moderate–severe chronic periodontitis was 56.9% and increased with age, with a higher proportion in males. Participants with untreated dental caries were more likely to have moderate or severe periodontal disease.ConclusionsSurvey findings showed high prevalence of dental caries and periodontal disease, at 34.8% and 77.6% respectively. A clear socio‐economic gradient in the distribution of tooth loss, untreated dental caries and moderate‐to‐severe periodontitis was observed.

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“…Epidemiological studies have shown that systemic diseases can increase the susceptibility to periodontitis and the risk of tooth loss (Chapple et al, 2013; Papapanou et al, 2018; Sanz et al, 2018; Sanz, Marco del Castillo, et al, 2020; Sharma et al, 2016; Tonetti et al, 2013). Diabetes control is known to affect the progression of periodontitis and the response to periodontal treatment (Herrera et al, 2023). The quantitative analysis in this review also revealed that greater molar loss occurred in patients with DM.…”

Section: Discussionmentioning

confidence: 99%

The survival of periodontally treated molars in long‐term maintenance: A systematic review and meta‐analysis

Chen,

Xu,

et al. 2024

J Clinic Periodontology

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AimThis systematic review and meta‐analysis aimed to determine the survival of periodontally treated molars during maintenance care and identify the risk factors associated with molar loss among patients with periodontitis who received professional periodontal therapy and maintenance.Materials and MethodsLongitudinal studies with a minimum follow‐up duration of 5 years published until 28 August 2023 were retrieved from the following databases: the Cochrane Library, Embase, MEDLINE and Web of Science. All included studies reported data on molar retention. Meta‐analysis was performed using Review Manager 5.4. A modified version of the Newcastle–Ottawa Scale was used to evaluate the study quality. Statistical results of analyses of the overall survival rate and molar loss are presented as estimated standardized mean differences, whereas the results of the analyses of risk factors are presented as risk ratios with 95% confidence intervals (95% CIs).ResultsFrom among the 1323 potentially eligible reports, 41 studies (5584 patients, 29,908 molars retained at the beginning of maintenance therapy, mean follow‐up duration of 14.7 years) were included. The pooled survival rate of the molars during maintenance therapy was 82% (95% CI: 80%–84%). The average loss of molars was 0.05 per patient per year (95% CI: 0.04–0.06) among the patients receiving long‐term periodontal maintenance (PM) therapy. Fifteen factors were examined in this meta‐analysis. Six patient‐related factors (older age, lack of compliance, smoking, bruxism, diabetes and lack of private insurance) and five tooth‐related factors (maxillary location, high probing pocket depth, furcation involvement, higher mobility and lack of pulpal vitality) were identified as risk factors for molar loss during maintenance therapy.ConclusionsThe findings of the present study suggest that the long‐term retention of periodontally compromised molars can be achieved. The average number of molars lost per decade was <1 among the patients receiving long‐term PM therapy. Older age, noncompliance, smoking, bruxism, diabetes, lack of private insurance coverage, maxillary location, furcation involvement, higher mobility, increase in the probing pocket depth and loss of pulpal vitality are strong risk factors for the long‐term prognosis of molars.

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Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report of the Joint Workshop by the European Federation of Periodontology (EFP) and the European arm of the World Organization of Family Doctors (WONCA Europe)

Abstract: Aim: To explore the implications for dentists and family doctors of the association between periodontal and systemic diseases and the role of dentists and family

Cited by 45 publications

References 143 publications

Association between Periodontitis Extent, Severity, and Progression Rate with Systemic Diseases and Smoking: A Retrospective Study

Association between Periodontitis Extent, Severity, and Progression Rate with Systemic Diseases and Smoking: A Retrospective Study

Findings from the 2019 nationally representative oral health survey for adults in Singapore

The survival of periodontally treated molars in long‐term maintenance: A systematic review and meta‐analysis

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