Evidence map›Paper›PMID 40375227›Full record

ArticleBMC oral health2025

Oral health in inflammatory bowel disease: the overlooked impact and the potential role of salivary calprotectin.

Cláudio Rodrigues, Ana T P C Gomes, Joana Leal, Pedro Pereira, Pedro C Lopes, Karina Mendes, Maria J Correia, Nélio Veiga, Nuno Rosa, Caroline Soares and 1 more

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  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

11 authors.

Cláudio RodriguesGastroenterology Department, Viseu Dão-Lafões Health Unit, Viseu, Portugal. claudiomelorodrigues@gmail.com.
Ana T P C GomesFaculty of Dental Medicine, Center for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Viseu, 3504-505, Portugal. apgomes@ucp.pt.
Joana LealClinical Pathology Department, Viseu Dão-Lafões Health Unit, Viseu, 3504-509, Portugal.
Pedro PereiraFaculty of Dental Medicine, Universidade Católica Portuguesa, Viseu, 3504-505, Portugal.
Pedro C LopesFaculty of Dental Medicine, Center for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Viseu, 3504-505, Portugal.
Karina MendesFaculty of Dental Medicine, Center for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Viseu, 3504-505, Portugal.
Maria J CorreiaFaculty of Dental Medicine, Center for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Viseu, 3504-505, Portugal.
Nélio VeigaFaculty of Dental Medicine, Center for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Viseu, 3504-505, Portugal.
Nuno RosaFaculty of Dental Medicine, Center for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Viseu, 3504-505, Portugal.
Caroline SoaresGastroenterology Department, Viseu Dão-Lafões Health Unit, Viseu, Portugal.
Paula MinistroGastroenterology Department, Viseu Dão-Lafões Health Unit, Viseu, Portugal.

Funding

Fundação para a Ciência e a Tecnologia UIDP/04279/2020
6 · The paper itself

Abstract

backgroundInflammatory Bowel Disease (IBD), a chronic condition characterized by gastrointestinal inflammation, is influenced by genetic and environmental factors. Emerging evidence suggests a "mouth-gut axis," with the oral cavity reflecting extra-intestinal manifestations of IBD. This study evaluated the oral health status of IBD patients and the potential of salivary calprotectin (SCP) as a biomarker for assessing IBD activity and oral health.

methodsOral health was assessed in 100 IBD patients [60 with Crohn's disease (CD) and 40 with ulcerative colitis (UC)] and 14 controls. Evaluations included the Decayed, Missing, and Filled Teeth (DMFT) Score, Periodontal Diagnosis and the need for dental or prosthetic treatment. Saliva and stool samples were collected to measure SCP and faecal calprotectin (FCP) levels using the Elia Calprotectin 2 Test. IBD activity was evaluated with FCP, the Harvey-Bradshaw Index for CD, and the Partial Mayo Score for UC.

resultsThe DMFT index mean was comparable between IBD patients (mean 7.99, SD 7.73) and controls (mean 10.00, SD 6.49). However, periodontal disease was significantly more prevalent in IBD patients (57% in CD, 70% in UC) than in controls (29%), with severe cases (stages III/IV) more frequent in IBD. Additionally, 89% of IBD patients required dental treatment, and 39% needed prosthetic rehabilitation. SCP levels showed no significant correlation with disease activity or oral health status, while FCP correlated with C-reactive protein and erythrocyte sedimentation rate.

conclusionsThis study underscores the need for improved oral health management in IBD patients and suggests that SCP may not be a reliable biomarker for monitoring IBD or periodontal disease. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Inflammatory Bowel DiseasesLeukocyte L1 Antigen ComplexOral HealthSalivaAdultAgedBiomarkersCase-Control StudiesColitis, UlcerativeCrohn DiseaseDMF IndexFecesFemaleHumansMaleMiddle AgedBiomarkersLeukocyte L1 Antigen ComplexInflammatory bowel diseaseOral healthSalivary calprotectin

Identifiers

PMID40375227
PMCPMC12082920

What OpenQuestion holds

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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.