Evidence map›Paper›PMID 38943006›Full record

SynthesisGeroScience2024

Impact of periodontal disease on cognitive disorders, dementia, and depression: a systematic review and meta-analysis.

Vittorio Dibello, Carlo Custodero, Raffaele Cavalcanti, Domenico Lafornara, Antonio Dibello, Madia Lozupone, Antonio Daniele, Alberto Pilotto, Francesco Panza, Vincenzo Solfrizzi

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in GeroScience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

36 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Association Between Periodontitis and Mild Cognitive Impairment, Alzheimer's Disease, and Dementia: An Umbrella Review With Evidence Stratification.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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  15. [Aging-Associated Oral Microbiota Dysbiosis and Hypofunction: Their Role in Alzheimer's Disease Pathogenesis].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 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.

Vittorio DibelloDepartment of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-9880-0481
Carlo CustoderoCesare Frugoni" Internal and Geriatric Medicine and Memory Unit, University of Bari "Aldo Moro", Bari, Italy.
Raffaele CavalcantiDepartment of General Surgery and Surgical-Medical Specialties, University of Catania, Catania, Italy.
Domenico LafornaraDivision of Diagnostic Imaging, Department of Surgical and Biomedical Sciences, Santa Maria della Misericordia Hospital, University of Perugia, Perugia, Italy.
Antonio DibelloStella Maris Nursing Home and Day Care Center, Monopoli, Bari, Italy.
Madia LozuponeDepartment of Translational Biomedicine & Neuroscience 'DiBraiN', University of Bari Aldo Moro, Bari, Italy.
Antonio DanieleDepartment of Neuroscience, Catholic University of Sacred Heart, Rome, Italy.
Alberto PilottoCesare Frugoni" Internal and Geriatric Medicine and Memory Unit, University of Bari "Aldo Moro", Bari, Italy.
Francesco PanzaCesare Frugoni" Internal and Geriatric Medicine and Memory Unit, University of Bari "Aldo Moro", Bari, Italy. f_panza@hotmail.com.ORCID 0000-0002-7220-0656
Vincenzo SolfrizziCesare Frugoni" Internal and Geriatric Medicine and Memory Unit, University of Bari "Aldo Moro", Bari, Italy.

Funding

European Commission C2European Commission do not necessarily reflect those of the European Union or the European Commission. Neither the European Union nor the European Commission can be held responsible for them.European Commission Intervention 1.3". The viewsEuropean Commission multi-dimensional sensory impairment score to predict cognitive impairment in an elderly cohort of Southern Italy" funded by the European Union - Next Generation EU - NRRP M6C2 - Investment 2.1 EnhancementEuropean Commission National RecoveryEuropean Commission opinions expressed are only those of the authorsEuropean Commission Resilience Plan (NRRP) - PE8 - Mission 4European Commission Strengthening of NHS biomedical research (Grant Agreement PNRR-MAD-2022-12376656).European Commission This paper was also supported by the Project "Development of an ensemble learning-basedEuropean Commission This paper was developed within the project funded by Next Generation EU - "Age-It - Ageing well in an aging society" project (PE0000015)
6 · The paper itself

Abstract

A growing body of research suggested that there was a link between poor periodontal health and systemic diseases, particularly with the early development of cognitive disorders, dementia, and depression. This is especially true in cases of changes in diet, malnutrition, loss of muscular endurance, and abnormal systemic inflammatory response. Our study aimed to determine the extent of these associations to better target the multi-level healthy aging challenge investigating the impact of periodontal disease on cognitive disorders (cognitive impairment and cognitive decline), dementia, and depression. We conducted a comprehensive literature search up to November 2023 using six different electronic databases. Two independent researchers assessed the eligibility of 7363 records against the inclusion criteria and found only 46 records that met the requirements. The study is registered on PROSPERO (CRD42023485688). We generated random effects pooled estimates and 95% confidence intervals (CI) to evaluate whether periodontal disease increased the risk of the investigated outcomes. The quality assessment revealed moderate quality of evidence and risk of bias. Periodontal disease was found to be associated with both cognitive disorders (relative risk (RR) 1.25, 95% CI 1.11-1.40, in the analysis of cross-sectional studies); cognitive impairment (RR 3.01, 95% CI 1.52-5.95 for longitudinal studies, cognitive decline); and dementia (RR 1.22, 95% CI 1.10-1.36). However, no significant increased risk of depression among subjects with periodontal disease was found (RR 1.07, 95% CI 0.95-1.21). Despite the association with two of the three explored outcomes, the available evidence on periodontal diseases and dementia, cognitive disorders, and depression is controversial due to several limitations. Therefore, further investigations involving validated and standardized tools are required.

Indexed as

DementiaDepressionPeriodontal DiseasesCognition DisordersCognitive DysfunctionHumansAlzheimer’s diseaseCognitive declineCognitive impairmentDementiaDepressionPeriodontal disease

Identifiers

PMID38943006
PMCPMC11336026

What OpenQuestion holds

Textmetadata
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.