Evidence map›Paper›PMID 11585783›Full record

ReviewClinical microbiology reviews2001

Periodontal disease as a specific, albeit chronic, infection: diagnosis and treatment.

W J Loesche, N S Grossman

2 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 170 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
170citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06250764 completednot on this mapstarted 2020, after this paper: background citation

Investigation the Relationship Between Periodontal Disease and 'Asprosin, Adropin, Irisin' Levels

Typeobservational_patient_registrySponsorAYSAN LEKTEMUR ALPANRan2020 to 2022Enrolled122ConditionsPeriodontal Diseases, Gingivitis, ObesityArmsClinical periodontal measuremenets, ELISA test from gingival crevicular fluid (GCF)
NCT07700628 completednot on this mapstarted 2022, after this paper: background citation

Treatment of Periodontal and Peri-Implant Pockets With a Novel Collagen Hydrogel: A Multicenter Retrospective Study on the Clinical Use of the H42 Medical Device

TypeobservationalSponsorStudio Odontoiatrico Dott. G. TarquiniRan2022 to 2023Enrolled52ConditionsPeriodontal Pocket, Peri-implantitis
3 · Its place in the literature

Who cites it

170 citing papers in PubMed, 1 synthesis or guideline pooled it, 495 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Journal of advanced periodontology & implant dentistry · 2025
    Review
  9. Article
  10. Observational
  11. Review
  12. Review
  13. Frontiers in cellular and infection microbiology · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

110 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

W J LoescheDepartment of Microbiology and Immunology, School of Medicine, University of Michigan, Ann Arbor, Michigan 48109, USA. Wloesche@umich.edu
N S Grossman
University of Michigan–Ann Arbor · US

Funding

TONGUE BACTERIA AND HALITOSIS AND PERIODONTITISR01DE012465 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LOESCHE, WALTER J · 1998 to 2000
$194k
SALIVARY FACTORS AND DENTAL/MEDICAL RISK FACTORSP01DE009142 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TAYLOR, GEORGE WESLEY · 1990 to 1999
–
METRONIDAZOLE THERAPY IN PERIODONTAL DISEASER01DE006030 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LOESCHE, WALTER J · 1985 to 1997
–
NIDCR NIH HHS DE-06030NIDCR NIH HHS DE-09142NIDCR NIH HHS DE-12465
6 · The paper itself

Abstract

Periodontal disease is perhaps the most common chronic infection in adults. Evidence has been accumulating for the past 30 years which indicates that almost all forms of periodontal disease are chronic but specific bacterial infections due to the overgrowth in the dental plaque of a finite number of mostly anaerobic species such as Porphyromonas gingivalis, Bacteroides forsythus, and Treponema denticola. The success of traditional debridement procedures and/or antimicrobial agents in improving periodontal health can be associated with the reduction in levels of these anaerobes in the dental plaque. These findings suggest that patients and clinicians have a choice in the treatment of this overgrowth, either a debridement and surgery approach or a debridement and antimicrobial treatment approach. However, the antimicrobial approach, while supported by a wealth of scientific evidence, goes contrary to centuries of dental teaching that states that periodontal disease results from a "dirty mouth." If periodontal disease is demonstrated to be a risk factor for cardiovascular disease and stroke, it will be a modifiable risk factor since periodontal disease can be prevented and treated. Since the antimicrobial approach may be as effective as a surgical approach in the restoration and maintenance of a periodontally healthy dentition, this would give a cardiac or stroke patient and his or her physician a choice in the implementation of treatment seeking to improve the patient's periodontal condition so as to reduce and/or delay future cardiovascular events.

Indexed as

AnaerobiosisChronic DiseaseDental PlaqueGingivitisHumansModels, BiologicalMouthPeriodontal DiseasesTooth

Identifiers

PMID11585783
PMCPMC89001
OpenAlexW2145966983

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.