Evidence map›Paper›PMID 33515120›Full record

SynthesisClinical oral investigations2021

Non-surgical periodontal treatment improves rheumatoid arthritis disease activity: a meta-analysis.

Jia Sun, Youli Zheng, Xiaowei Bian, Huijian Ge, Jun Wang, Zheng Zhang

Registry-linked trialAbstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05502601 (Impact of Non-surgical Periodontal Therapy in the Systemic and Clinical Conditions of Patients With Rheumatoid Arthritis), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
3.9field-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.

NCT05502601 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Impact of Non-surgical Periodontal Therapy in the Systemic and Clinical Conditions of Patients With Rheumatoid Arthritis: a 6-months Randomized Controlled Trial

TypeinterventionalSponsorFederal University of Rio Grande do SulRan2022 to 2025Enrolled42ConditionsArthritis, Rheumatoid, PeriodontitisArmsNon-surgical periodontal treatment
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Impact of Periodontal Treatment on Early Rheumatoid Arthritis and the Role of Porphyromonas gingivalis Antibody Titers.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  8. Review
  9. Periodontal Treatment to Improve General Health and Manage Systemic Diseases.Advances in experimental medicine and biology · 2025
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
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

6 authors at 4 institutions in 1 country.

Jia Sun *Tianjin Stomatological Hospital, School of Medicine, Nankai University, 75th Dagubei Road, Tianjin, 300041, China.
Youli Zheng *The School and Hospital of Stomatology, Tianjin Medical University, 12th Qixiangtai Road, Tianjin, China.
Xiaowei Bian *The School and Hospital of Stomatology, Tianjin Medical University, 12th Qixiangtai Road, Tianjin, China.
Huijian GeBeijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, 119th Nansihuanxi Road, Beijing, China.
Jun WangTianjin Stomatological Hospital, School of Medicine, Nankai University, 75th Dagubei Road, Tianjin, 300041, China.
Zheng ZhangTianjin Stomatological Hospital, School of Medicine, Nankai University, 75th Dagubei Road, Tianjin, 300041, China. zhangzheng@nankai.edu.cn.ORCID http://orcid.org/0000-0002-6954-8790
Tianjin Medical University · CNTianjin Stomatological Hospital · CNCapital Medical University · CNNankai University · CN

Funding

the Natural Science Foundation of Tianjin, China 20JCQNJC00200the Science and Technology Foundation of Tianjin Health Commission, China KJ20041
6 · The paper itself

Abstract

objectivesThe aim of the meta-analysis was to clarify the efficacy of non-surgical periodontal treatment (NSPT) in improving rheumatoid arthritis (RA) disease activity.

methodsA systematic literature search was conducted using the PubMed, Embase, and Cochrane databases up to October 2020. A total of nine studies were included for the comparison of RA-related indicator changes between the NSPT group and no treatment (NT) group. Mean differences (MD) and 95% confidence intervals (CI) were calculated for disease activity score (DAS28), erythrocyte sedimentation rate (ESR), tender joint counts (TJC), swollen joint counts (SJC), visual analogical scale (VAS), morning stiffness (MS), rheumatoid factor (RF), C-reactive protein (CRP), tumor necrosis factor α (TNF-α), and interleukin-6 (IL-6).

resultsNSPT induced significant reductions of DAS28 (MD: 0.61, 95% CI: 0.37, 0.85, P < 0.001), TJC (MD: 0.65, 95% CI: 0.37, 0.93, P < 0.001), SJC (MD: 0.67, 95% CI: 0.18, 1.17, P = 0.008), VAS (MD: 0.48, 95% CI: 0.08, 0.88, P = 0.02), and CRP (MD: 0.34, 95% CI: 0.07, 0.64, P = 0.01) in RA patients with periodontitis. Other parameters showed a trend toward reduction, but results were not statistically significant.

conclusionsThis meta-analysis indicates that NSPT could improve RA activity as assessed by DAS28, TJC, SJC, VAS, and CRP. CLINICAL RELEVANCE: The results emphasize the effectiveness and need for periodontal diagnosis and periodontal therapy in rheumatoid arthritis patients to reduce disease activity.

Indexed as

Arthritis, RheumatoidC-Reactive ProteinHumansRheumatoid FactorTumor Necrosis Factor-alphaC-Reactive ProteinRheumatoid FactorTumor Necrosis Factor-alphaDisease activityMeta-analysisPeriodontitisRheumatoid arthritisTreatment

Identifiers

PMID33515120
OpenAlexW3122627446

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.