Evidence map›Paper›PMID 42393662›Full record

SynthesisBMC oral health2026

Periodontitis as an independent risk factor for cardiovascular disease: a systematic review and meta-analysis.

Mohammad Khursheed Alam, Mohammad Younis Hajeer, Huda Abutayyem, Maher Al Shayeb, Ruba Odeh, Nesrine A Elsahn, Hussam M Alqahtani, Suliman Alsaeed

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Mohammad Khursheed AlamPreventive Dentistry Department, Orthodontic Division, College of Dentistry, Jouf University, Sakaka, Aljouf, 72345, Saudi Arabia. mkalam@ju.edu.sa.
Mohammad Younis HajeerDepartment of Orthodontics, University of Damascus Faculty of Dentistry, Damascus, Syria.
Huda AbutayyemDepartment of Clinical Sciences, Center of Medical and Bio-Allied Health Sciences Research, College of Dentistry, Ajman University, P.O. Box 346, Ajman, United Arab Emirates.
Maher Al ShayebDepartment of Clinical Sciences, Center of Medical and Bio-Allied Health Sciences Research, College of Dentistry, Ajman University, P.O. Box 346, Ajman, United Arab Emirates.
Ruba OdehDepartment of Clinical Sciences, Center of Medical and Bio-Allied Health Sciences Research, College of Dentistry, Ajman University, P.O. Box 346, Ajman, United Arab Emirates.
Nesrine A ElsahnDepartment of Clinical Sciences, Center of Medical and Bio-Allied Health Sciences Research, College of Dentistry, Ajman University, P.O. Box 346, Ajman, United Arab Emirates.
Hussam M AlqahtaniPreventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia.
Suliman AlsaeedPreventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia. saeedsu@ksau-hs.edu.sa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA substantial body of evidence suggests that oral health, particularly periodontitis, is closely linked to overall systemic well-being. This systematic review and meta-analysis evaluate the specific relationship between this chronic inflammatory oral condition and the onset of new cardiovascular events.

methodAdhering to PRISMA guidelines, a thorough literature search of major databases from 2000 to 2024 was performed to identify relevant cohort studies involving adults free from pre-existing cardiovascular disease. The methodological rigor of the included studies was appraised using the ROBINS-E tool. The main pooled estimate included all 30 qualifying cohort studies and is therefore reported as a broader periodontal/oral health-related exposure analysis. Restricted sensitivity analyses were conducted for clinically diagnosed or periodontitis-coded exposure and for confirmed major cardiovascular outcomes.

resultsThe analysis found that periodontal/oral health-related exposure was associated with a 31% elevated risk of developing cardiovascular disease (HR = 1.31, 95% CI: 1.13-1.48). The link was most potent for stroke and demonstrated a dose-response pattern, where greater disease severity correlated with higher risk. Interventions like periodontal treatment were correlated with a decrease in risk. Significant heterogeneity was noted, largely due to variations in study design.

conclusionIn conclusion, the broader periodontal/oral health-related analysis showed a 31% elevated risk for cardiovascular disease, although substantial heterogeneity limits the interpretability of this estimate. Nevertheless, the findings underscore the importance of oral health management in comprehensive cardiovascular risk mitigation strategies. PROSPERO: Registration in the PROSPERO database was done before initiating the investigation [CRD420251173688].

Indexed as

Cardiovascular DiseasesHeart Disease Risk FactorsPeriodontitisHumansRisk FactorsCardiovascular diseasesMeta-analysisOral healthPeriodontal diseasesRisk factorsSystematic review

Identifiers

PMID42393662
PMCPMC13591866

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.