Evidence map›Paper›PMID 20639510›Full record

ReviewJournal of dental research2010

"Gum bug, leave my heart alone!"--epidemiologic and mechanistic evidence linking periodontal infections and atherosclerosis.

M Kebschull, R T Demmer, P N Papapanou

Abstract readReview
In one paragraph

Review in Journal of dental research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 202 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
202citing papers in PubMed, 10 pooled it
23.7field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

202 citing papers in PubMed, 10 syntheses or guidelines pooled it, 444 citations in OpenAlex.

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  14. Association of tooth loss and oral hygiene with risk of gastric adenocarcinoma.Cancer prevention research (Philadelphia, Pa.) · 2013
    Trial
  15. Article
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  19. Endodontic Inflammatory Disease: Systemic Consequences.Advances in experimental medicine and biology · 2026
    Review
  20. Article

142 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

3 authors at 2 institutions in 2 countries.

M KebschullDivision of Periodontics, Section of Oral and Diagnostic Sciences, College of Dental Medicine, 630 W 168th Street, PH-7-E-110, New York, NY 10032, USA.
R T Demmer
P N Papapanou
Columbia University · USUniversity of Bonn · DE

Funding

Gene Expression in Chronic and Aggressive PeriodontitisR01DE015649 · NIDCR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PAPAPANOU, PANOS N · 2004 to 2006
$1.8M
Periodontal Infections and Type 2 Diabetes Mellitus RiskR00DE018739 · NIDCR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DEMMER, RYAN T. · 2010 to 2014
$783k
Periodontal Infections and Type 2 Diabetes Mellitus RiskK99DE018739 · NIDCR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DEMMER, RYAN T. · 2008 to 2009
$180k
NCRR NIH HHS RR-025158NIDCR NIH HHS DE-015649NIDCR NIH HHS K99 DE-018739NIDCR NIH HHS K99 DE018739NIDCR NIH HHS R00 DE018739NIDCR NIH HHS R01 DE015649
6 · The paper itself

Abstract

Evidence from epidemiologic studies suggests that periodontal infections are independently associated with subclinical and clinical atherosclerotic vascular disease. Although the strength of the reported associations is modest, the consistency of the data across diverse populations and a variety of exposure and outcome variables suggests that the findings are not spurious or attributable only to the effects of confounders. Analysis of limited data from interventional studies suggests that periodontal treatment generally results in favorable effects on subclinical markers of atherosclerosis, although such analysis also indicates considerable heterogeneity in responses. Experimental mechanistic in vitro and in vivo studies have established the plausibility of a link between periodontal infections and atherogenesis, and have identified biological pathways by which these effects may be mediated. However, the utilized models are mostly mono-infections of host cells by a limited number of 'model' periodontal pathogens, and therefore may not adequately portray human periodontitis as a polymicrobial, biofilm-mediated disease. Future research must identify in vivo pathways in humans that may (i) lead to periodontitis-induced atherogenesis, or (ii) result in treatment-induced reduction of atherosclerosis risk. Data from these studies will be essential for determining whether periodontal interventions have a role in the primary or secondary prevention of atherosclerosis.

Indexed as

AnimalsAtherosclerosisAutoimmunityBacteremiaBrain IschemiaConfounding Factors, EpidemiologicCoronary DiseaseDisease Models, AnimalEffect Modifier, EpidemiologicEndothelium, VascularHumansLipid PeroxidationMonocytesOxidative StressPeriodontitisPlatelet AggregationToll-Like Receptors

Identifiers

PMID20639510
PMCPMC3318075
OpenAlexW2095060158

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.