Evidence map›Paper›PMID 39578376›Full record

ArticleJournal of periodontal research2025

Severe Periodontitis is Associated With Recurrent Cardiovascular Events-A 10-Year Longitudinal Cohort Study.

Stefan Reichert, Selina Rehm, Axel Schlitt, Susanne Schulz

Registry-linked trialAbstract read
In one paragraph

Article in Journal of periodontal research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01045070 (Periodontitis and Its Microbiological Agents as Prognostic Factors in Patients With Coronary Heart Disease), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

NCT01045070 completednot on this map

Periodontitis and Its Microbiological Agents as Prognostic Factors in Patients With Coronary Heart Disease

TypeobservationalSponsorMartin-Luther-Universität Halle-WittenbergRan2009 to 2012Enrolled960ConditionsPeriodontitis, Coronary Heart Disease
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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  5. Review
  6. 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

4 authors.

Stefan ReichertDepartment of Operative Dentistry and Periodontology, Martin Luther University Halle-Wittenberg, Halle, Germany.ORCID https://orcid.org/0000-0001-5291-5067
Selina RehmDepartment of Operative Dentistry and Periodontology, Martin Luther University Halle-Wittenberg, Halle, Germany.
Axel SchlittDepartment of Internal Medicine III, Martin Luther University Halle-Wittenberg, Halle, Germany.
Susanne SchulzDepartment of Operative Dentistry and Periodontology, Martin Luther University Halle-Wittenberg, Halle, Germany.ORCID https://orcid.org/0000-0003-4541-666X

Funding

Deutsche Herzstiftung
6 · The paper itself

Abstract

aimThe study aimed to elucidate a putative association between severe periodontitis and the incidence of recurrent cardiovascular events in patients with cardiovascular disease (CVD) within 10 years after their initial hospitalisation.

methodsA cohort of 1002 stationary patients with angiographically proven CVD was included. They were examined regarding prevalence of severe periodontitis (≥ 30% of the teeth with proximal attachment loss of ≥ 5 mm), probing depth, clinical attachment loss, bleeding on probing, number of missing teeth and oral care habits. Recurrent events were summarised as combined end point (myocardial infarction, stroke/transitory ischemic attack, cardiovascular death and death caused by stroke). Survival analyses were carried out after a 10-year follow-up period. Hazard ratios (HRs) were adjusted for known cardiac risk factors using Cox regression.

resultsThe follow-up was completed by 792 patients. The overall incidence of the combined end point was 42.8%. Severe periodontitis was associated with recurrent cardiovascular events (adjusted hazard ratio [HR] = 1.26, 95% confidence interval [CI] 1.0-1.58 and Standard error [SE] 0.11), whereas both, tooth brushing more than once a day (adjusted HR = 0.74, 95% CI 0.57-0.97, SE 0.13) and performing interdental hygiene (adjusted HR = 0.71, 95% CI 0.52-0.99, SE 0.16) decreased this risk.

conclusionsSevere periodontitis is a putative risk factor for recurrent cardiovascular events.

trial registrationClinicalTrials.gov identifier: NCT01045070.

Indexed as

Cardiovascular DiseasesPeriodontitisAdultAgedFemaleHumansIncidenceLongitudinal StudiesMaleMiddle AgedMyocardial InfarctionOral HygienePrevalenceRecurrenceRisk FactorsStrokecardiovascular diseaseperiodontal conditionsrecurrent cardiovascular eventssevere periodontitis

Identifiers

PMID39578376
PMCPMC12881882

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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.