Evidence map›Paper›PMID 26388299›Full record

ReviewInternational dental journal2015

Systemic effects of periodontitis: lessons learned from research on atherosclerotic vascular disease and adverse pregnancy outcomes.

Panos N Papapanou

Open access · greenAbstract readReview
In one paragraph

Review in International dental journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 4 pooled it
10.1field-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

46 citing papers in PubMed, 4 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
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  8. Impact of Maternal Immune Response on Oral Health and Pregnancy Outcomes.Advances in experimental medicine and biology · 2026
    Review
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  11. Clinical Performance of the BioperioJournal of clinical medicine · 2025
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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

1 author at 1 institution in 1 country.

Panos N PapapanouSection of Oral and Diagnostic Sciences, Division of Periodontics, Columbia University College of Dental Medicine, New York, NY, USA.
New York University · US

Funding

Effects of Periodontal Therapy on Preterm BirthU01DE014338 · NIDCR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MICHALOWICZ, BRYAN S · 2002 to 2008
$12.5M
Gene Expression in Chronic and Aggressive PeriodontitisR01DE015649 · NIDCR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PAPAPANOU, PANOS N · 2004 to 2006
$1.8M
Periodontitis Exposure and Risk of Incident DementiaR56DE022568 · NIDCR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NOBLE, JAMES MCCALLUM, PAPAPANOU, PANOS N · 2013 to 2014
$1.6M
Genomic approaches to the pathobiology and classification of periodontitisR03DE024735 · NIDCR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PAPAPANOU, PANOS N · 2015 to 2016
$480k
MicroRNA expression in gingival tissues in periodontal health and diseaseR21DE021820 · NIDCR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PAPAPANOU, PANOS N · 2012 to 2013
$432k
NIDCR NIH HHS DE014338NIDCR NIH HHS DE015649NIDCR NIH HHS DE021820NIDCR NIH HHS DE022568NIDCR NIH HHS DE024735NIDCR NIH HHS R01 DE015649NIDCR NIH HHS R03 DE024735NIDCR NIH HHS R21 DE021820NIDCR NIH HHS R56 DE022568
6 · The paper itself

Abstract

Studies conducted over the past 25 years have focussed on the role of periodontitis, an inflammatory condition of microbial aetiology that destroys the tooth-supporting tissues, as a systemic inflammatory stressor that can act as an independent risk factor of atherosclerotic vascular disease (AVSD) and adverse pregnancy outcomes (APOs). It has been suggested that periodontitis-associated bacteraemias and systemic dissemination of inflammatory mediators produced in the periodontal tissues may result in systemic inflammation and endothelial dysfunction, and that bacteria of oral origin may translocate into the feto-placental unit. Epidemiological studies largely support an association between periodontitis and ASVD/APOs, independently of known confounders; indeed, periodontitis has been shown to confer statistically significantly elevated risk for clinical events associated with ASVD and APOs in multivariable adjustments. On the other hand, intervention studies demonstrate that although periodontal therapy reduces systemic inflammation and improves endothelial function, it has no positive effect on the incidence of APOs. Studies of the effects of periodontal interventions on ASVD-related clinical events are lacking. This review summarises key findings from mechanistic, association and intervention studies and attempts to reconcile the seemingly contradictory evidence that originates from different lines of investigation.

Indexed as

Pregnancy OutcomeAtherosclerosisBacteremiaFemaleHumansInflammation MediatorsPeriodontitisPregnancyPregnancy ComplicationsRisk FactorsInflammation MediatorscardiovasculargestationInflammationperiodontalreviewtherapy

Identifiers

PMID26388299
PMCPMC4713295
OpenAlexW2144377049

What OpenQuestion holds

Textmetadata
LicenceTDM
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.