Evidence map›Paper›PMID 37231788›Full record

ArticleCerebrovascular diseases (Basel, Switzerland)2024

Dental Caries a Risk Factor for Intracerebral Hemorrhage.

Elizabeth A LaValley, Souvik Sen, Emma Mason, Makenzie Logue, Tushar Trivedi, Kevin Moss, James Beck, Wayne D Rosamond, Rebecca F Gottesman

Open access · greenAbstract read
In one paragraph

Article in Cerebrovascular diseases (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Oral microbiota and central nervous system diseases: A review.Neuroprotection (Chichester, England) · 2025
    Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Association between dental diseases and stroke.The Saudi dental journal · 2024
    Review
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

9 authors at 3 institutions in 1 country.

Elizabeth A LaValleyDepartment of Neurology, University of South Carolina, School of Medicine, Columbia, South Carolina, USA.
Souvik SenDepartment of Neurology, University of South Carolina, School of Medicine, Columbia, South Carolina, USA.
Emma MasonDepartment of Neurology, University of South Carolina, School of Medicine, Columbia, South Carolina, USA.
Makenzie LogueDepartment of Neurology, University of South Carolina, School of Medicine, Columbia, South Carolina, USA.
Tushar TrivediDepartment of Neurology, Regional Medical Center, Orangeburg, South Carolina, USA.
Kevin MossDivision of Comprehensive Oral Health/Periodontology, University of North Carolina, Chapel Hill, North Carolina, USA.
James BeckDivision of Comprehensive Oral Health/Periodontology, University of North Carolina, Chapel Hill, North Carolina, USA.
Wayne D RosamondDepartment of Epidemiology, Gillings School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.
Rebecca F GottesmanStroke Branch, National Institute of Neurological Disorders and Stroke Intramural Research Program, Bethesda, Maryland, USA.
University of South Carolina · USNational Institute of Neurological Disorders and Stroke · USUniversity of North Carolina at Chapel Hill · US

Funding

Stroke, Cognition and Neuroepidemiology SectionZIANS009435 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI GOTTESMAN, REBECCA F · 2022 to 2025
$8.2M
PeRiodontal treatment to Eliminate Minority InEquality and Rural disparities in Stroke (PREMIERS)R01MD009738 · NIMHD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI SEN, SOUVIK · 2015 to 2019
$3.4M
NIMHD NIH HHS R01 MD009738
6 · The paper itself

Abstract

introductionStreptococcus mutans is a known cause of dental caries that contains a collagen-binding protein, Cnm, and exhibits inhibition of platelet aggregation and matrix metalloproteinase-9 activation. This strain has been linked to aggravation of experimental intracerebral hemorrhage (ICH) and may be a risk factor for ICH. The purpose of this study was to test the association between dental caries and incident ICH.

methodsThe presence of dental caries and periodontal disease was assessed in subjects from the Dental Atherosclerosis Risk in Communities (DARIC) study without prior stroke or ICH. This cohort was followed for incident ICH over a period of 10 years. Cox regression was used to compute crude and adjusted hazards ratio from the dental assessment.

resultsAmong 6,315 subjects, dental surface caries and/or root caries were recorded in 1,338 (27%) subjects. Of those, 7 (0.5%) had incident ICH over a period of 10 years following the visit 4 assessment. Of the remaining 4,977 subjects, 10 (0.2%) had incident ICH. Those with dental caries versus those without dental caries were slightly younger (mean age 62.0 ± 5.7 vs. 62.4 ± 5.6, p = 0.012), had a greater proportion of males (51 vs. 44%, p < 0.001), African Americans (44 vs. 10%, p < 0.001), and were hypertensive (42 vs. 31%, p < 0.001). The association between caries and ICH was significant (crude HR 2.69, 95% CI 1.02-7.06) and strengthened after adjustment for age, gender, race, education level, hypertension, and periodontal disease (adjusted HR 3.88, 95% CI 1.34-11.24).

conclusionDental caries is a potential risk for incident ICH after caries detection. Future studies are needed to determine if treatment of dental caries can reduce the risk of ICH.

Indexed as

Dental CariesHypertensionPeriodontal DiseasesStrokeAgedCerebral HemorrhageHumansMaleMiddle AgedRisk FactorsDental cariesInfectionIntracerebral hemorrhage

Identifiers

PMID37231788
PMCPMC10988391
OpenAlexW4378349323

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.