Association between periodontitis and pulse wave velocity: a systematic review and meta-analysis
Objectives Severe periodontitis has been associated with endothelial dysfunction and arterial stiffness. The present study aimed to provide a critical appraisal and a meta-analysis of the literature investigating pulse wave velocity (PWV) in patients with and without severe periodontitis and to asse...
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| Vydané v: | Clinical oral investigations Ročník 25; číslo 2; s. 393 - 405 |
|---|---|
| Hlavní autori: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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Berlin/Heidelberg
Springer Berlin Heidelberg
01.02.2021
Springer Nature B.V |
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| ISSN: | 1432-6981, 1436-3771, 1436-3771 |
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| Abstract | Objectives
Severe periodontitis has been associated with endothelial dysfunction and arterial stiffness. The present study aimed to provide a critical appraisal and a meta-analysis of the literature investigating pulse wave velocity (PWV) in patients with and without severe periodontitis and to assess whether treatments influence PWV.
Materials and methods
English literature was searched on multiple databases up to April 2020 by two independent reviewers. Studies comparing PWV between patients with and without severe periodontitis or assessing the impact of periodontal treatments on PWV were searched and retrieved. Pool data analyses with random effect models were performed. The risk of bias was assessed using Newcastle–Ottawa Scale and RoB2 tools.
Results
Seventeen studies were selected. Of these, 10 were used for the meta-analysis. Twelve were cross-sectional studies and 5 interventional studies, including 3176 patients, of whom 1894 had severe periodontitis and 1282 were considered as the controls (without severe periodontitis). Based on carotid–femoral PWV measurement, patients with severe periodontitis (
n
= 309) have a significantly higher PVW than patients with non-severe periodontitis (
n
= 213), with a mean difference of 0.84 m/s (95% CI 0.50–1.18;
p
< 0.0001;
I
2
= 5%). Similarly, carotid–radial or brachial–ankle PWV values were significantly higher in patients with severe periodontitis. Results concerning the effect of non-surgical periodontal therapy were not conclusive. Overall, 9 studies (53%) were classified at a low risk of bias.
Conclusions
The present study demonstrates that patients with severe periodontitis have higher PWV compared to patients with non-severe periodontitis.
Clinical significance
Severe periodontitis is associated with arterial stiffness, supporting the mutual involvement of dentists and physicians. |
|---|---|
| AbstractList | Severe periodontitis has been associated with endothelial dysfunction and arterial stiffness. The present study aimed to provide a critical appraisal and a meta-analysis of the literature investigating pulse wave velocity (PWV) in patients with and without severe periodontitis and to assess whether treatments influence PWV.OBJECTIVESSevere periodontitis has been associated with endothelial dysfunction and arterial stiffness. The present study aimed to provide a critical appraisal and a meta-analysis of the literature investigating pulse wave velocity (PWV) in patients with and without severe periodontitis and to assess whether treatments influence PWV.English literature was searched on multiple databases up to April 2020 by two independent reviewers. Studies comparing PWV between patients with and without severe periodontitis or assessing the impact of periodontal treatments on PWV were searched and retrieved. Pool data analyses with random effect models were performed. The risk of bias was assessed using Newcastle-Ottawa Scale and RoB2 tools.MATERIALS AND METHODSEnglish literature was searched on multiple databases up to April 2020 by two independent reviewers. Studies comparing PWV between patients with and without severe periodontitis or assessing the impact of periodontal treatments on PWV were searched and retrieved. Pool data analyses with random effect models were performed. The risk of bias was assessed using Newcastle-Ottawa Scale and RoB2 tools.Seventeen studies were selected. Of these, 10 were used for the meta-analysis. Twelve were cross-sectional studies and 5 interventional studies, including 3176 patients, of whom 1894 had severe periodontitis and 1282 were considered as the controls (without severe periodontitis). Based on carotid-femoral PWV measurement, patients with severe periodontitis (n = 309) have a significantly higher PVW than patients with non-severe periodontitis (n = 213), with a mean difference of 0.84 m/s (95% CI 0.50-1.18; p < 0.0001; I2 = 5%). Similarly, carotid-radial or brachial-ankle PWV values were significantly higher in patients with severe periodontitis. Results concerning the effect of non-surgical periodontal therapy were not conclusive. Overall, 9 studies (53%) were classified at a low risk of bias.RESULTSSeventeen studies were selected. Of these, 10 were used for the meta-analysis. Twelve were cross-sectional studies and 5 interventional studies, including 3176 patients, of whom 1894 had severe periodontitis and 1282 were considered as the controls (without severe periodontitis). Based on carotid-femoral PWV measurement, patients with severe periodontitis (n = 309) have a significantly higher PVW than patients with non-severe periodontitis (n = 213), with a mean difference of 0.84 m/s (95% CI 0.50-1.18; p < 0.0001; I2 = 5%). Similarly, carotid-radial or brachial-ankle PWV values were significantly higher in patients with severe periodontitis. Results concerning the effect of non-surgical periodontal therapy were not conclusive. Overall, 9 studies (53%) were classified at a low risk of bias.The present study demonstrates that patients with severe periodontitis have higher PWV compared to patients with non-severe periodontitis.CONCLUSIONSThe present study demonstrates that patients with severe periodontitis have higher PWV compared to patients with non-severe periodontitis.Severe periodontitis is associated with arterial stiffness, supporting the mutual involvement of dentists and physicians.CLINICAL SIGNIFICANCESevere periodontitis is associated with arterial stiffness, supporting the mutual involvement of dentists and physicians. ObjectivesSevere periodontitis has been associated with endothelial dysfunction and arterial stiffness. The present study aimed to provide a critical appraisal and a meta-analysis of the literature investigating pulse wave velocity (PWV) in patients with and without severe periodontitis and to assess whether treatments influence PWV.Materials and methodsEnglish literature was searched on multiple databases up to April 2020 by two independent reviewers. Studies comparing PWV between patients with and without severe periodontitis or assessing the impact of periodontal treatments on PWV were searched and retrieved. Pool data analyses with random effect models were performed. The risk of bias was assessed using Newcastle–Ottawa Scale and RoB2 tools.ResultsSeventeen studies were selected. Of these, 10 were used for the meta-analysis. Twelve were cross-sectional studies and 5 interventional studies, including 3176 patients, of whom 1894 had severe periodontitis and 1282 were considered as the controls (without severe periodontitis). Based on carotid–femoral PWV measurement, patients with severe periodontitis (n = 309) have a significantly higher PVW than patients with non-severe periodontitis (n = 213), with a mean difference of 0.84 m/s (95% CI 0.50–1.18; p < 0.0001; I2 = 5%). Similarly, carotid–radial or brachial–ankle PWV values were significantly higher in patients with severe periodontitis. Results concerning the effect of non-surgical periodontal therapy were not conclusive. Overall, 9 studies (53%) were classified at a low risk of bias.ConclusionsThe present study demonstrates that patients with severe periodontitis have higher PWV compared to patients with non-severe periodontitis.Clinical significanceSevere periodontitis is associated with arterial stiffness, supporting the mutual involvement of dentists and physicians. Severe periodontitis has been associated with endothelial dysfunction and arterial stiffness. The present study aimed to provide a critical appraisal and a meta-analysis of the literature investigating pulse wave velocity (PWV) in patients with and without severe periodontitis and to assess whether treatments influence PWV. English literature was searched on multiple databases up to April 2020 by two independent reviewers. Studies comparing PWV between patients with and without severe periodontitis or assessing the impact of periodontal treatments on PWV were searched and retrieved. Pool data analyses with random effect models were performed. The risk of bias was assessed using Newcastle-Ottawa Scale and RoB2 tools. Seventeen studies were selected. Of these, 10 were used for the meta-analysis. Twelve were cross-sectional studies and 5 interventional studies, including 3176 patients, of whom 1894 had severe periodontitis and 1282 were considered as the controls (without severe periodontitis). Based on carotid-femoral PWV measurement, patients with severe periodontitis (n = 309) have a significantly higher PVW than patients with non-severe periodontitis (n = 213), with a mean difference of 0.84 m/s (95% CI 0.50-1.18; p < 0.0001; I = 5%). Similarly, carotid-radial or brachial-ankle PWV values were significantly higher in patients with severe periodontitis. Results concerning the effect of non-surgical periodontal therapy were not conclusive. Overall, 9 studies (53%) were classified at a low risk of bias. The present study demonstrates that patients with severe periodontitis have higher PWV compared to patients with non-severe periodontitis. Severe periodontitis is associated with arterial stiffness, supporting the mutual involvement of dentists and physicians. Objectives Severe periodontitis has been associated with endothelial dysfunction and arterial stiffness. The present study aimed to provide a critical appraisal and a meta-analysis of the literature investigating pulse wave velocity (PWV) in patients with and without severe periodontitis and to assess whether treatments influence PWV. Materials and methods English literature was searched on multiple databases up to April 2020 by two independent reviewers. Studies comparing PWV between patients with and without severe periodontitis or assessing the impact of periodontal treatments on PWV were searched and retrieved. Pool data analyses with random effect models were performed. The risk of bias was assessed using Newcastle–Ottawa Scale and RoB2 tools. Results Seventeen studies were selected. Of these, 10 were used for the meta-analysis. Twelve were cross-sectional studies and 5 interventional studies, including 3176 patients, of whom 1894 had severe periodontitis and 1282 were considered as the controls (without severe periodontitis). Based on carotid–femoral PWV measurement, patients with severe periodontitis ( n = 309) have a significantly higher PVW than patients with non-severe periodontitis ( n = 213), with a mean difference of 0.84 m/s (95% CI 0.50–1.18; p < 0.0001; I 2 = 5%). Similarly, carotid–radial or brachial–ankle PWV values were significantly higher in patients with severe periodontitis. Results concerning the effect of non-surgical periodontal therapy were not conclusive. Overall, 9 studies (53%) were classified at a low risk of bias. Conclusions The present study demonstrates that patients with severe periodontitis have higher PWV compared to patients with non-severe periodontitis. Clinical significance Severe periodontitis is associated with arterial stiffness, supporting the mutual involvement of dentists and physicians. |
| Author | Courtet, Alexandre Darnaud, Christelle Carra, Maria Clotilde Schmitt, Audrey Bouchard, Philippe Boutouyrie, Pierre |
| Author_xml | – sequence: 1 givenname: Christelle surname: Darnaud fullname: Darnaud, Christelle organization: Department of Periodontology, Service of Odontology, Rothschild Hospital, AP-HP, Paris 7 - UFR Odontologie-Garancière, University of Paris, UMR-S970, Department of Epidemiology, Paris Cardiovascular Research Center – sequence: 2 givenname: Alexandre orcidid: 0000-0001-7634-0878 surname: Courtet fullname: Courtet, Alexandre organization: Department of Periodontology, Service of Odontology, Rothschild Hospital, AP-HP, Paris 7 - UFR Odontologie-Garancière, University of Paris – sequence: 3 givenname: Audrey surname: Schmitt fullname: Schmitt, Audrey organization: Department of Periodontology, Service of Odontology, Rothschild Hospital, AP-HP, Paris 7 - UFR Odontologie-Garancière, University of Paris – sequence: 4 givenname: Pierre surname: Boutouyrie fullname: Boutouyrie, Pierre organization: UMR-S970, Department of Epidemiology, Paris Cardiovascular Research Center, Medicine Faculty, Paris Descartes - Sorbonne Paris Cité University, AP-HP, Georges Pompidou European Hospital, INSERM U970, Paris 5 - Descartes University – sequence: 5 givenname: Philippe surname: Bouchard fullname: Bouchard, Philippe organization: Department of Periodontology, Service of Odontology, Rothschild Hospital, AP-HP, Paris 7 - UFR Odontologie-Garancière, University of Paris, EA 2496, U.F.R. of Odontology, Paris 5 - Descartes University – sequence: 6 givenname: Maria Clotilde surname: Carra fullname: Carra, Maria Clotilde email: mclotildecarra@gmail.com organization: Department of Periodontology, Service of Odontology, Rothschild Hospital, AP-HP, Paris 7 - UFR Odontologie-Garancière, University of Paris, Population-based Epidemiologic Cohorts Unit, Inserm, UMS 011 |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33415378$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1111_jre_13111 crossref_primary_10_1159_000542965 crossref_primary_10_1016_j_jdiacomp_2023_108580 crossref_primary_10_1111_jre_12977 crossref_primary_10_3390_app15020997 crossref_primary_10_1016_j_cpcardiol_2024_102699 crossref_primary_10_1111_jre_13202 crossref_primary_10_1111_prd_12528 crossref_primary_10_3390_jcm13133781 crossref_primary_10_1111_prd_12451 crossref_primary_10_1186_s12903_022_02502_w crossref_primary_10_1038_s41598_025_92876_y crossref_primary_10_3389_fimmu_2024_1469077 |
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| Snippet | Objectives
Severe periodontitis has been associated with endothelial dysfunction and arterial stiffness. The present study aimed to provide a critical... Severe periodontitis has been associated with endothelial dysfunction and arterial stiffness. The present study aimed to provide a critical appraisal and a... ObjectivesSevere periodontitis has been associated with endothelial dysfunction and arterial stiffness. The present study aimed to provide a critical appraisal... |
| SourceID | proquest pubmed crossref springer |
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| StartPage | 393 |
| SubjectTerms | Ankle Carotid Arteries Cross-Sectional Studies Dentistry Gum disease Humans Medicine Meta-analysis Periodontitis Pulse Wave Analysis Review Risk Factors Vascular Stiffness Velocity |
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| Title | Association between periodontitis and pulse wave velocity: a systematic review and meta-analysis |
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| Volume | 25 |
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