Evidence map›Paper›PMID 40954401›Full record

ReviewOdontology2026

Periodontitis and Metabolic Dysfunction-Associated Steatotic Liver Disease: emphasizing the clinical interplay between hepatologists and dentists.

Nasser Mousa, Alaa Elmetwalli, Ahmed Abdel-Razik, Eman Mousa, Mostafa Abdelsalam, Sherif Elbaz, Niveen El-Wakeel, Waleed Eldars, Elsayed Gad, Mona Arafa and 7 more

Abstract readReview
In one paragraph

Review in Odontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
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

17 authors.

Nasser Mousa *Tropical Medicine Department, Mansoura University, Mansoura, Egypt. mousa_medic@yahoo.com.ORCID http://orcid.org/0000-0001-8329-2587
Alaa Elmetwalli *Prince Fahad bin Sultan Research Chair for Biomedical Research, University of Tabuk, Tabuk, Saudi Arabia. aelmetwalli@ut.edu.sa.ORCID http://orcid.org/0000-0001-5372-4297
Ahmed Abdel-RazikTropical Medicine Department, Mansoura University, Mansoura, Egypt.
Eman MousaFaculty of Dentistry, Mansoura University, Mansoura, Egypt.
Mostafa AbdelsalamInternal Medicine, Nephrology and Dialysis Unit, Mansoura University, Mansoura, Egypt.
Sherif ElbazNephrology Fellow, HCA Houston Healthcare Kingwood/ Houston University, Texas, USA.
Niveen El-WakeelMedical Microbiology and Immunology Department, Mansoura National University, Gamasa City, Egypt.
Waleed EldarsMedical Microbiology and Immunology Department, Mansoura University, Mansoura, Egypt.
Elsayed GadFaculty of Dentistry, Mansoura University, Mansoura, Egypt.
Mona ArafaTropical Medicine Department, Mansoura University, Mansoura, Egypt.
Mohamed AbdelmaksoudTropical Medicine Department, Mansoura University, Mansoura, Egypt.
Mahmoud El-BendaryTropical Medicine Department, Mansoura University, Mansoura, Egypt.
Omar MareiFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Ali El-AssmyFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Aya MousaFaculty of Physical Therapy, Galala University, Galala, Egypt.
Adel El-AssmyFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Gamal ShihaEgyptian Liver Research Institute and Hospital (ELRIAH), Mansoura, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This narrative review aims to elucidate the connection between periodontitis and Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD), which is currently the most prevalent liver disease. By raising awareness of this link, healthcare providers can enhance their knowledge of the relationship between oral health and liver disease, offering valuable guidance to patients seeking advice from medical and dental professionals. A comprehensive search strategy was implemented to gather relevant literature from various databases, including PubMed, Scopus, and Web of Science. Keywords and controlled vocabulary terms related to MASLD, periodontitis, and their potential connections were used. Emphasis was placed on recent publications to incorporate up-to-date research findings. Various types of studies, such as primary research, systematic reviews, meta-analyses, guidelines, consensus statements, and expert opinions, were considered. The selection of studies focused on understanding the association between MASLD and periodontitis, as well as the underlying mechanisms. Special attention was given to studies exploring the oral-gut-liver axis and the pathogenic links between MASLD and periodontitis. Recent research suggests a possible connection between MASLD and periodontitis, as both conditions share common risk factors such as obesity, insulin resistance, and inflammation. Chronic inflammation associated with periodontitis may contribute to the progression of MASLD by promoting insulin resistance and systemic inflammation. The oral microbiome, which plays a crucial role in periodontitis development, may also influence MASLD pathogenesis. Dysbiosis in the oral microbiome can lead to the translocation of oral bacteria into the bloodstream, triggering systemic inflammation and potentially worsening liver damage in individuals with MASLD. Improving periodontal health can impact the progression of MASLD/MAFLD and enhance patient outcomes. Collaborative care models that integrate dental and medical expertise are crucial for optimal health outcomes in individuals with both conditions.

Indexed as

DentistsFatty LiverPeriodontitisGastroenterologyHumansRisk FactorsGut microbiotaMASLDMetabolic-Associated Fatty Liver DiseaseMicrobial dysbiosisNon-Alcoholic Fatty Liver DiseaseOral microbiotaPeriodontal diseasePorphyromonas gingivalis

Identifiers

PMID40954401
PMCPMC13053564

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.