Evidence map›Paper›PMID 40484932›Full record

ArticleBMC oral health2025

Association of tooth brushing behavior with risks of major chronic health outcomes: a scoping review.

Hee-Jung Park, Nam-Hee Kim, Sun-Jung Shin, Hwa-Young Lee, Jin-Young Jeong

Abstract readScoping Review
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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

5 authors.

Hee-Jung ParkDepartment of Dental Hygiene, College of Health Science, Kangwon National University, Samcheok, South Korea.
Nam-Hee KimDepartment of Dental Hygiene, Yonsei University, Mirae Campus, Wonju, South Korea. nami71@yonsei.ac.kr.
Sun-Jung ShinDepartment of Dental Hygiene, College of Dentistry, Gangneung Wonju National University, Gangneung, South Korea.
Hwa-Young LeeDepartment of Dental Hygiene, Yonsei University, Mirae Campus, Wonju, South Korea.
Jin-Young JeongHallym Research Institute of Clinical Epidemiology, Hallym University, Chuncheon, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral hygiene behavior has been increasingly recognized as a potential contributor to chronic disease prevention. This scoping review aimed to synthesize existing evidence on the associations between tooth brushing behavior (as a proxy for oral hygiene) and major chronic health outcomes, including cardiovascular events (e.g., myocardial infarction, atrial fibrillation, heart failure), stroke (ischemic, hemorrhagic, and subarachnoid), hypertension (HTN), metabolic syndrome (MetS), and chronic kidney disease (CKD).

methodsA comprehensive literature search was conducted using four databases: Ovid-MEDLINE, EMBASE, CINAHL, and the Cochrane Library. The study selection process followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Two reviewers independently screened and selected eligible studies and extracted relevant data. A total of 142 full-text articles were assessed for eligibility.

resultsTwenty-one studies were included in the final review. Most studies reported that a lower frequency of tooth brushing was associated with a higher risk of cardiovascular events, stroke, HTN, MetS, and CKD. Additionally, several studies suggested that maintaining good oral hygiene in individuals with HTN or diabetes mellitus (DM) may be associated with a reduced risk of cardiovascular complications.

conclusionFrequent tooth brushing, as a key component of oral hygiene, may be associated with a reduced risk of several chronic health outcomes, particularly cardiovascular and metabolic diseases. However, the current body of evidence is predominantly based on observational studies. Further longitudinal and interventional research is warranted to clarify the directionality and potential causal pathways linking oral hygiene behavior to systemic health outcomes.

Indexed as

Cardiovascular DiseasesHealth BehaviorToothbrushingChronic DiseaseHumansHypertensionMetabolic SyndromeOral HygieneRenal Insufficiency, ChronicRisk FactorsCardiovascular eventsChronic kidney diseaseHypertensionMetabolic syndromeOral hygiene behaviorStrokeTooth brushing

Identifiers

PMID40484932
PMCPMC12147352

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.