Evidence map›Paper›PMID 37899063›Full record

SynthesisJournal of Parkinson's disease2023

Is There an Association Between Parkinson's Disease and Periodontitis? A Systematic Review and Meta-Analysis.

Yiqun Chen, Yining Jin, Kun Li, Haojie Qiu, Zihan Jiang, Jinrong Zhu, Siqi Chen, Wei Xie, Guangyong Chen, Dehao Yang

Open access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of Parkinson's disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.7field-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.

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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Association between oral dysbiosis and Parkinson's disease: a systematic review.Frontiers in cellular and infection microbiology · 2025
    Pooled it
  2. Dental Caries Experience in Older Adults With Parkinson's Disease: A Systematic Review and Meta-Analysis.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Pooled it
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  6. Impact of Oral Immunity on Neuroinflammation and Neurodegenerative Diseases.Advances in experimental medicine and biology · 2026
    Review
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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

10 authors at 2 institutions in 1 country.

Yiqun ChenThe First School of Medicine, School of Information and Engineering, Wenzhou Medical University, Wenzhou, China.
Yining JinThe Second School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Kun LiThe First School of Medicine, School of Information and Engineering, Wenzhou Medical University, Wenzhou, China.
Haojie QiuThe Second School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Zihan JiangThe Second School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jinrong ZhuThe Second School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Siqi ChenThe Second School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Wei XieThe First School of Medicine, School of Information and Engineering, Wenzhou Medical University, Wenzhou, China.
Guangyong ChenDepartment of Neurology, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Dehao YangDepartment of Neurology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Wenzhou Medical University · CNSecond Affiliated Hospital of Zhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple observational studies have yielded controversial results regarding the association between Parkinson's disease (PD) and periodontitis.

objectiveThis systematic review and meta-analysis was conducted to ascertain their bidirectional relationship.

methodsA literature search for relevant studies was performed in PubMed, EMBASE, the Cochrane Library, and Web of Science databases from inception to December 19, 2022. Effect sizes (ES) with 95% confidence intervals were pooled under the random-effects model. Then, leave-one-out sensitivity analysis and contour-enhanced funnel plot were applied to assess the stability of the results.

resultsA total of 34 studies and 24 studies were included for systematic review and quantitative meta-analysis, respectively. Pooled ES indicated that periodontitis was not significantly associated with PD risk (HR = 1.13, 95% CI 0.88-1.45, n = 3; OR = 1.94, 95% CI 0.55-6.90, n = 7), while the Mendelian randomization study revealed no association between PD and periodontitis risk (coefficient [B] = -0.0001, standard error = 0.0001, p = 0.19). Furthermore, PD patients exhibited higher levels of periodontal pocket depth (SMD = 1.10, 95% CI 0.53-1.67), clinical attachment level (SMD = 1.40, 95% CI 0.55-2.26), plaque index (SMD = 0.81, 95% CI 0.22-1.39), and Oral Health Impact Profile-14 score (SMD = 0.91, 95% CI 0.33-1.49) compared to healthy controls.

conclusionsOur meta-analysis identified no bidirectional association between PD risk and periodontitis risk, though the prevalence of periodontitis and poorer oral status was higher in PD patients.

Indexed as

Parkinson DiseasePeriodontitisHumansPrevalencemeta-analysisParkinson’s diseaseperiodontitissystematic review

Identifiers

PMID37899063
PMCPMC10657691
OpenAlexW4388014729

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.