Evidence map›Paper›PMID 31560644›Full record

SynthesisPreventing chronic disease2019

Current Knowledge on Correlations Between Highly Prevalent Dental Conditions and Chronic Diseases: An Umbrella Review.

Max W Seitz, Stefan Listl, Andreas Bartols, Ingrid Schubert, Katja Blaschke, Christian Haux, Marieke M Van Der Zande

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Preventing chronic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 2 pooled it
10.3field-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

76 citing papers in PubMed, 2 syntheses or guidelines pooled it, 158 citations in OpenAlex.

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  17. Oral Health: A Major Global Public Health Concern.Journal of clinical medicine · 2025
    Article
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  20. Article

16 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

7 authors at 5 institutions in 2 countries.

Max W SeitzInstitute of Medical Biometry and Informatics, University of Heidelberg, Marsilius-Arkaden Turm West, Im Neuenheimer Feld 130.3, D-69120 Heidelberg, Germany. E-mail: max.seitz@med.uni-heidelberg.de.
Stefan ListlSection for Translational Health Economics, Department of Conservative Dentistry, Heidelberg University, Heidelberg, Germany.
Andreas BartolsDental Academy for Continuing Professional Development, Karlsruhe, Germany.
Ingrid SchubertPMV Research Group, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Katja BlaschkePMV Research Group, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Christian HauxUniversity of Heidelberg, Institute of Medical Biometry and Informatics, Heidelberg, Germany.
Marieke M Van Der ZandeSection for Translational Health Economics, Department of Conservative Dentistry, Heidelberg University, Heidelberg, Germany.
Heidelberg University · DEUniversity Hospital Cologne · DEKiel University · DERadboud University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStudies have investigated the relationships between chronic systemic and dental conditions, but it remains unclear how such knowledge can be used in clinical practice. In this article, we provide an overview of existing systematic reviews, identifying and evaluating the most frequently reported dental-chronic disease correlations and common risk factors.

methodsWe conducted a systematic review of existing systematic reviews (umbrella review) published between 1995 and 2017 and indexed in 4 databases. We focused on the 3 most prevalent dental conditions and 10 chronic systemic diseases with the highest burden of disease in Germany. Two independent reviewers assessed all articles for eligibility and methodologic quality using the AMSTAR criteria and extracted data from the included studies.

resultsOf the initially identified 1,249 systematic reviews, 32 were included for qualitative synthesis. The dental condition with most frequently observed correlations to chronic systemic diseases was periodontitis. The chronic systemic disease with the most frequently observed correlations with a dental condition was type 2 diabetes mellitus (T2DM). Most dental-chronic disease correlations were found between periodontitis and T2DM and periodontitis and cardiovascular disease. Frequently reported common risk factors were smoking, age, sex, and overweight. Using the AMSTAR criteria, 2 studies were assessed as low quality, 26 studies as moderate quality, and 4 studies as high quality.

conclusionThe quality of included systematic reviews was heterogeneous. The most frequently reported correlations were found for periodontitis with T2DM and for periodontitis with cardiovascular disease. However, the strength of evidence for these and other disease correlations is limited, and the evidence to assess the causality of these disease correlations remains unclear. Future research should focus on the causality of disease links in order to provide more decisive evidence with respect to the design of intersectoral care processes.

Indexed as

Coronary DiseaseDental CariesDiabetes Mellitus, Type 2HumansPeriodontal DiseasesStroke

Identifiers

PMID31560644
PMCPMC6795069
OpenAlexW2973974904

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.