Evidence map›Paper›PMID 40605190›Full record

SynthesisOral diseases2025

Effect of Periodontal Treatment on Metabolic Syndrome Parameters: A Systematic Review.

Anna Simonelli, Filippo Citterio, Fabio Falcone, Francesco D'Aiuto, Nicola Marco Sforza, Salvatore Corrao, Giorgio Sesti, Leonardo Trombelli

Abstract readSystematic Review
In one paragraph

Synthesis in Oral diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

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. Review
  2. Review
  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

8 authors.

Anna SimonelliResearch Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy.ORCID https://orcid.org/0000-0003-2332-7332
Filippo CitterioPrivate Practice in Monza, Monza, Italy.
Fabio FalconeDepartment of Clinical Medicine, Internal Medicine Unit, National Relevance and High Specialization Hospital Trust ARNAS Civico, Di Cristina, Benfratelli, Palermo, Italy.
Francesco D'AiutoPeriodontology Unit, UCL Eastman Dental Institute, London, UK.ORCID https://orcid.org/0000-0001-8654-935X
Nicola Marco SforzaPrivate Practice in Bologna, Bologna, Italy.
Salvatore CorraoDepartment of Clinical Medicine, Internal Medicine Unit, National Relevance and High Specialization Hospital Trust ARNAS Civico, Di Cristina, Benfratelli, Palermo, Italy.
Giorgio SestiDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy.
Leonardo TrombelliResearch Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy.

Funding

This study was funded by the Italian Society of Periodontology and Implantology (SIdP) and Italian Society of Internal Medicine (SIMI).
6 · The paper itself

Abstract

aimTo evaluate the effects of periodontal treatment on metabolic syndrome (MS) parameters and systemic inflammatory biomarker levels in patients affected by both MS and periodontitis.

methodsA systematic search was conducted to identify randomized controlled trials (RCTs) with a follow-up ≥ 1 month comparing a more intense periodontal treatment (test intervention) to either a less intense or no periodontal treatment (control intervention). MS parameters such as triglycerides (TG), high-density lipoprotein cholesterol (HDL), fasting blood glucose (FBG), glycated hemoglobin (HbA1c), systolic blood pressure (SBP), diastolic blood pressure (DBP), waist circumference (WC), and systemic inflammatory biomarkers (i.e., C-reactive protein, CRP) were analyzed. Random-effects meta-regression analyses were conducted at 3- and 6-month follow-ups.

resultsFour RCTs were included. Test intervention resulted in a statistically significant greater SBP reduction at 3 (WMD 1.48) and 6 (WMD 1.88) months compared to control group. A statistically significant difference between groups was observed for FBG at 6 months after treatment, favoring test intervention (WMD 0.61). No differences were observed for the other MS parameters and for CRP at both 3- and 6-month follow-up.

conclusionsPeriodontal treatment seems to have beneficial effects on SBP and FBG in patients with MS and periodontitis at 3-6-month follow-ups.

trial registrationThis systematic review was registered under the protocol registration number CRD42024499854/PROSPERO.

Indexed as

Metabolic SyndromePeriodontitisBiomarkersBlood GlucoseBlood PressureCholesterol, HDLC-Reactive ProteinGlycated HemoglobinHumansRandomized Controlled Trials as TopicTriglyceridesWaist CircumferenceBiomarkersBlood GlucoseCholesterol, HDLC-Reactive ProteinGlycated HemoglobinTriglyceridesmetabolic syndromenon‐surgical periodontal therapyperiodontitissystematic reviewsystemic inflammation

Identifiers

PMID40605190
PMCPMC12989050

What OpenQuestion holds

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Registered trials

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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.