Evidence map›Paper›PMID 42306875›Full record

ArticleOral health & preventive dentistry2026

The Reciprocal Risk Relationship of Dental Caries with NAFLD and Liver Fibrosis: Combined Evidence from the NHANES Study and Mendelian Randomization Analysis.

LiLi Xu, Xiaoyu Wang, Xiaofan Meng, Wenhui Wang, Honglin Liu, Hong Xiao, Chuanhua Zhang

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Article in Oral health & preventive dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

LiLi Xu
Xiaoyu Wang
Xiaofan Meng
Wenhui Wang
Honglin Liu
Hong Xiao
Chuanhua Zhang

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore the relationship between dental caries and non-alcoholic fatty liver disease (NAFLD) and its advanced stage of liver fibrosis, and to confirm causality by employing a bidirectional two-sample Mendelian Randomization (MR) analysis to confirm causality. MATERIALS AND

methods6650 participants of the National Health and Nutrition Examination Survey (NHANES), 2017-2020 were included. Two multivariable logistic regression models were used to evaluate the relationship between untreated dental caries (UDC) and liver conditions of NAFLD and fibrosis, with adjustments for demographics, lifestyle, and medical history. Furthermore, two-sample MR was performed with caries as exposure and NAFLD with NAFLD-related conditions as outcome, and vice versa for bidirectional causality validation.

resultsIn observational research, UDC was notably associated with NAFLD (OR [odds ratio]: 1.40, 95% CI [confidence interval]: 1.06-1.86) and significant fibrosis (SF) (OR: 1.29, 95% CI: 1.03-1.62). NAFLD and SF were statistically significantly associated with UDC (OR: 1.40, 95% CI: 1.08-1.83; OR: 1.62, 95% CI: 1.26-2.08). In the MR analysis, caries posed a statistically non-significant risk for liver conditions. In contrast, liver conditions non-significantly protected against caries (NAFLD: OR: 0.99, 95% CI: 0.98-1.01; fibrosis: OR: 0.99, 95% CI: 0.99-1.00; cirrhosis: OR: 0.99, 95% CI: 0.99-1.00; fibrosis/cirrhosis: OR: 1.00, 95% CI: 0.98-1.02).

conclusionObservational studies suggested a statistically significant association between UDC and liver conditions of NAFLD and fibrosis. However, MR suggested a statistically non-significant causal relationship between caries and liver conditions; in contrast, liver conditions had a non-significant protective effect on caries.

Indexed as

Dental CariesLiver CirrhosisNon-alcoholic Fatty Liver DiseaseAdultFemaleHumansMaleMendelian Randomization AnalysisMiddle AgedNutrition SurveysRisk FactorsUnited Statesdental cariesliver fibrosis/cirrhosisMendelian randomizationNational Health and Nutrition Examination Surveynon-alcoholic fatty liver disease

Identifiers

PMID42306875
PMCPMC13273965

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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.