The epidemiological evidence behind the association between periodontitis and incident atherosclerotic cardiovascular disease
Identifieur interne : 000283 ( Istex/Corpus ); précédent : 000282; suivant : 000284The epidemiological evidence behind the association between periodontitis and incident atherosclerotic cardiovascular disease
Auteurs : Thomas Dietrich ; Praveen Sharma ; Clemens Walter ; Paul Weston ; James BeckSource :
- Journal of Clinical Periodontology [ 0303-6979 ] ; 2013-04.
English descriptors
- KwdEn :
- Acvd, Ajwani, Alcohol consumption, Alveolar bone loss, American academy, American journal, Andriankaja, Atherosclerotic, Beck, Body mass index, Bone loss score, Cardiac, Cardiac disease, Cardiovascular, Cardiovascular disease, Cerebrovascular, Cerebrovascular disease, Cerebrovascular diseases, Clin periodontol, Clinical periodontology, Cohort, Cohort studies, Coronary heart disease, Dental research, Dental visits, Diabetes, Diastolic blood pressure, Dmft, Dorn, Epidemiological evidence, European federation, Exposure measure, Family history, Fasting glucose level, Glucose, Grau, Heart disease, High density lipoprotein cholesterol, Hour glucose level, Hujoel, Incident acvd, Incident atherosclerotic, Infarction, Jimenez, Marital status, Myocardial infarction, Older individuals, Older subjects, Oral health, Original title, Periapical radiographs, Periodontal, Periodontal disease, Periodontal research, Periodontitis, Periodontology, Periodontology associations, Physical activity, Population characteristics, Publication table, Radiographic assessment, Rare disease, Relative risk estimates, Risk factor, Schei score, Subgroup, Subgroup analyses, Substance word, Systematic review, Systolic blood pressure, Toothbrushing frequency, Total cholesterol, Tuominen, Younger individuals.
- Teeft :
- Acvd, Ajwani, Alcohol consumption, Alveolar bone loss, American academy, American journal, Andriankaja, Atherosclerotic, Beck, Body mass index, Bone loss score, Cardiac, Cardiac disease, Cardiovascular, Cardiovascular disease, Cerebrovascular, Cerebrovascular disease, Cerebrovascular diseases, Clin periodontol, Clinical periodontology, Cohort, Cohort studies, Coronary heart disease, Dental research, Dental visits, Diabetes, Diastolic blood pressure, Dmft, Dorn, Epidemiological evidence, European federation, Exposure measure, Family history, Fasting glucose level, Glucose, Grau, Heart disease, High density lipoprotein cholesterol, Hour glucose level, Hujoel, Incident acvd, Incident atherosclerotic, Infarction, Jimenez, Marital status, Myocardial infarction, Older individuals, Older subjects, Oral health, Original title, Periapical radiographs, Periodontal, Periodontal disease, Periodontal research, Periodontitis, Periodontology, Periodontology associations, Physical activity, Population characteristics, Publication table, Radiographic assessment, Rare disease, Relative risk estimates, Risk factor, Schei score, Subgroup, Subgroup analyses, Substance word, Systematic review, Systolic blood pressure, Toothbrushing frequency, Total cholesterol, Tuominen, Younger individuals.
Abstract
The objective of this study was to systematically review the epidemiological evidence for an association between periodontitis (PD) and incident atherosclerotic cardiovascular disease (ACVD), including coronary heart disease (CHD), cerebrovascular disease and peripheral arterial disease.
Url:
DOI: 10.1111/jcpe.12062
Links to Exploration step
ISTEX:4EDBB9197F134D5AFCD807A5B3677EB4A81005A0Le document en format XML
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UK</mods:affiliation></affiliation><affiliation><mods:affiliation>Address:NIHR Academic Clinical Fellow (Birmingham Community Healthcare NHS Trust)Birmingham Dental HospitalSt Chad's QueenswayBirmingham B4 6NNE‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: praveen.sharma@nhs.net</mods:affiliation></affiliation></author><author><name sortKey="Walter, Clemens" sort="Walter, Clemens" uniqKey="Walter C" first="Clemens" last="Walter">Clemens Walter</name><affiliation><mods:affiliation>Periodontal Research Group, The University of Birmingham, Birmingham, UK</mods:affiliation></affiliation></author><author><name sortKey="Weston, Paul" sort="Weston, Paul" uniqKey="Weston P" first="Paul" last="Weston">Paul Weston</name><affiliation><mods:affiliation>Department of Periodontology, Endodontology and Cariology, University of Basel, Basel, Switzerland</mods:affiliation></affiliation></author><author><name sortKey="Beck, James" sort="Beck, James" uniqKey="Beck J" 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Periodontology</title><title level="j" type="sub">Periodontitis and Systemic Diseases ‐ Proceedings of a workshop jointly held by the European Federation of Periodontology and American Academy of Periodontology. Co‐edited by Maurizio Tonetti and Kenneth S. Kornman. The workshop was funded by an unrestricted educational grant from Colgate‐Palmolive to the European Federation of Periodontology and the American Academy of Periodontology. All manuscripts were fully peer‐reviewed.</title><title level="j" type="alt">JOURNAL OF CLINICAL PERIODONTOLOGY</title><idno type="ISSN">0303-6979</idno><idno type="eISSN">1600-051X</idno><imprint><biblScope unit="vol">40</biblScope><biblScope unit="page" from="S70">S70</biblScope><biblScope unit="page" to="S84">S84</biblScope><biblScope unit="page-count">15</biblScope><date type="published" when="2013-04">2013-04</date></imprint><idno type="ISSN">0303-6979</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0303-6979</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acvd</term><term>Ajwani</term><term>Alcohol consumption</term><term>Alveolar bone loss</term><term>American academy</term><term>American journal</term><term>Andriankaja</term><term>Atherosclerotic</term><term>Beck</term><term>Body mass index</term><term>Bone loss score</term><term>Cardiac</term><term>Cardiac disease</term><term>Cardiovascular</term><term>Cardiovascular disease</term><term>Cerebrovascular</term><term>Cerebrovascular disease</term><term>Cerebrovascular diseases</term><term>Clin periodontol</term><term>Clinical periodontology</term><term>Cohort</term><term>Cohort studies</term><term>Coronary heart disease</term><term>Dental research</term><term>Dental visits</term><term>Diabetes</term><term>Diastolic blood pressure</term><term>Dmft</term><term>Dorn</term><term>Epidemiological evidence</term><term>European federation</term><term>Exposure measure</term><term>Family history</term><term>Fasting glucose level</term><term>Glucose</term><term>Grau</term><term>Heart disease</term><term>High density lipoprotein cholesterol</term><term>Hour glucose level</term><term>Hujoel</term><term>Incident acvd</term><term>Incident atherosclerotic</term><term>Infarction</term><term>Jimenez</term><term>Marital status</term><term>Myocardial infarction</term><term>Older individuals</term><term>Older subjects</term><term>Oral health</term><term>Original title</term><term>Periapical radiographs</term><term>Periodontal</term><term>Periodontal disease</term><term>Periodontal research</term><term>Periodontitis</term><term>Periodontology</term><term>Periodontology associations</term><term>Physical activity</term><term>Population characteristics</term><term>Publication table</term><term>Radiographic assessment</term><term>Rare disease</term><term>Relative risk estimates</term><term>Risk factor</term><term>Schei score</term><term>Subgroup</term><term>Subgroup analyses</term><term>Substance word</term><term>Systematic review</term><term>Systolic blood pressure</term><term>Toothbrushing frequency</term><term>Total cholesterol</term><term>Tuominen</term><term>Younger individuals</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Acvd</term><term>Ajwani</term><term>Alcohol consumption</term><term>Alveolar bone loss</term><term>American academy</term><term>American journal</term><term>Andriankaja</term><term>Atherosclerotic</term><term>Beck</term><term>Body mass index</term><term>Bone loss score</term><term>Cardiac</term><term>Cardiac disease</term><term>Cardiovascular</term><term>Cardiovascular disease</term><term>Cerebrovascular</term><term>Cerebrovascular disease</term><term>Cerebrovascular diseases</term><term>Clin periodontol</term><term>Clinical periodontology</term><term>Cohort</term><term>Cohort studies</term><term>Coronary heart disease</term><term>Dental research</term><term>Dental visits</term><term>Diabetes</term><term>Diastolic blood pressure</term><term>Dmft</term><term>Dorn</term><term>Epidemiological evidence</term><term>European federation</term><term>Exposure measure</term><term>Family history</term><term>Fasting glucose level</term><term>Glucose</term><term>Grau</term><term>Heart disease</term><term>High density lipoprotein cholesterol</term><term>Hour glucose level</term><term>Hujoel</term><term>Incident acvd</term><term>Incident atherosclerotic</term><term>Infarction</term><term>Jimenez</term><term>Marital status</term><term>Myocardial infarction</term><term>Older individuals</term><term>Older subjects</term><term>Oral health</term><term>Original title</term><term>Periapical radiographs</term><term>Periodontal</term><term>Periodontal disease</term><term>Periodontal research</term><term>Periodontitis</term><term>Periodontology</term><term>Periodontology associations</term><term>Physical activity</term><term>Population characteristics</term><term>Publication table</term><term>Radiographic assessment</term><term>Rare disease</term><term>Relative risk estimates</term><term>Risk factor</term><term>Schei score</term><term>Subgroup</term><term>Subgroup analyses</term><term>Substance word</term><term>Systematic review</term><term>Systolic blood pressure</term><term>Toothbrushing frequency</term><term>Total cholesterol</term><term>Tuominen</term><term>Younger individuals</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">The objective of this study was to systematically review the epidemiological evidence for an association between periodontitis (PD) and incident atherosclerotic cardiovascular disease (ACVD), including coronary heart disease (CHD), cerebrovascular disease and peripheral arterial disease.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>periodontology</json:string><json:string>periodontal</json:string><json:string>acvd</json:string><json:string>periodontitis</json:string><json:string>periodontal disease</json:string><json:string>cerebrovascular</json:string><json:string>cohort</json:string><json:string>european federation</json:string><json:string>coronary heart disease</json:string><json:string>american academy</json:string><json:string>atherosclerotic</json:string><json:string>cerebrovascular disease</json:string><json:string>clinical 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periodontitis (PD) and incident atherosclerotic cardiovascular disease (ACVD), including coronary heart disease (CHD), cerebrovascular disease and peripheral arterial disease.</abstract><qualityIndicators><score>7.42</score><pdfWordCount>7710</pdfWordCount><pdfCharCount>52173</pdfCharCount><pdfVersion>1.6</pdfVersion><pdfPageCount>15</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>35</abstractWordCount><abstractCharCount>288</abstractCharCount><keywordCount>6</keywordCount></qualityIndicators><title>The epidemiological evidence behind the association between periodontitis and incident atherosclerotic cardiovascular disease</title><pmid><json:string>23627335</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Journal of Clinical 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atherosclerotic cardiovascular disease</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Publishing Ltd</publisher><availability><licence>© 2013 European Federation of Periodontology and American Academy of Periodontology</licence></availability><date type="published" when="2013-04"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">The epidemiological evidence behind the association between periodontitis and incident atherosclerotic cardiovascular disease</title><author xml:id="author-0000"><persName><forename type="first">Thomas</forename><surname>Dietrich</surname></persName><affiliation><orgName>Department of Oral Surgery</orgName><orgName>The School of Dentistry</orgName><orgName>University of Birmingham</orgName><address><settlement type="city">Birmingham</settlement><country key="GB">UK</country></address></affiliation><affiliation><orgName>Department of Health Policy and Health Services Research</orgName><orgName>Boston University Goldman School of Dental Medicine</orgName><address><settlement type="city">Boston</settlement><region>MA</region><country key="US">USA</country></address></affiliation></author><author xml:id="author-0001" role="corresp"><persName><forename type="first">Praveen</forename><surname>Sharma</surname></persName><affiliation><orgName>Birmingham Dental Hospital</orgName><orgName>Birmingham Community Healthcare NHS Trust</orgName><address><settlement type="city">Birmingham</settlement><country key="GB">UK</country></address></affiliation><affiliation>Address: Praveen Sharma NIHR Academic Clinical Fellow (Birmingham Community Healthcare NHS Trust) Birmingham Dental Hospital St Chad's Queensway Birmingham B4 6NN UK E‐mail: praveen.sharma@nhs.net</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Clemens</forename><surname>Walter</surname></persName><affiliation><orgName>Periodontal Research Group</orgName><orgName>The University of Birmingham</orgName><address><settlement type="city">Birmingham</settlement><country key="GB">UK</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Paul</forename><surname>Weston</surname></persName><affiliation><orgName>Department of Periodontology, Endodontology and Cariology</orgName><orgName>University of Basel</orgName><address><settlement type="city">Basel</settlement><country key="CH">Switzerland</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">James</forename><surname>Beck</surname></persName><affiliation><orgName>Department of Dental Ecology</orgName><orgName>University of North Carolina</orgName><address><settlement type="city">Chapel Hill</settlement><region>NC</region><country key="US">USA</country></address></affiliation></author><idno type="istex">4EDBB9197F134D5AFCD807A5B3677EB4A81005A0</idno><idno type="ark">ark:/67375/WNG-8MFL72S7-X</idno><idno type="DOI">10.1111/jcpe.12062</idno><idno type="unit">JCPE12062</idno><idno type="toTypesetVersion">file:JCPE.JCPE12062.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Clinical Periodontology</title><title level="j" type="sub">Periodontitis and Systemic Diseases ‐ Proceedings of a workshop jointly held by the European Federation of Periodontology and American Academy of Periodontology. Co‐edited by Maurizio Tonetti and Kenneth S. Kornman. The workshop was funded by an unrestricted educational grant from Colgate‐Palmolive to the European Federation of Periodontology and the American Academy of Periodontology. All manuscripts were fully peer‐reviewed.</title><title level="j" type="alt">JOURNAL OF CLINICAL PERIODONTOLOGY</title><idno type="pISSN">0303-6979</idno><idno type="eISSN">1600-051X</idno><idno type="book-DOI">10.1111/(ISSN)1600-051X</idno><idno type="book-part-DOI">10.1111/jcpe.2013.40.issue-s14</idno><idno type="product">JCPE</idno><imprint><biblScope unit="vol">40</biblScope><biblScope unit="page" from="S70">S70</biblScope><biblScope unit="page" to="S84">S84</biblScope><biblScope unit="page-count">15</biblScope><date type="published" when="2013-04"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main" xml:id="jcpe12062-abs-0001"><head>Abstract</head>
Objectives
<p>The objective of this study was to systematically review the epidemiological evidence for an association between periodontitis (<hi rend="fc">PD</hi>) and incident atherosclerotic cardiovascular disease (<hi rend="fc">ACVD</hi>), including coronary heart disease (CHD), cerebrovascular disease and peripheral arterial disease.</p>
Methods
<p>Systematic review of cohort and case‐control studies on the association of clinically or radiographically diagnosed <hi rend="fc">PD</hi> and <hi rend="fc">ACVD</hi>.</p>
Results
<p>Overall, 12 studies were included in this study (six studies on CHD, three studies on cerebrovascular disease, two studies on both coronary heart and cerebrovascular disease mortality and one study on peripheral arterial disease). All but one study reported positive associations between various periodontal disease measures and the incidence of <hi rend="fc">ACVD</hi>, at least in specific subgroups. The association was stronger in younger adults and there was no evidence for an association between <hi rend="fc">PD</hi> and incident CHD in subjects older than 65 years. Only one study evaluated the association between <hi rend="fc">PD</hi> and secondary cardiovascular events.</p>
Conclusions
<p>There is evidence for an increased risk of <hi rend="fc">ACVD</hi> in patients with <hi rend="fc">PD</hi> compared to patients without. However, this may not apply to all groups of the population. There is insufficient evidence for an association between <hi rend="fc">PD</hi> and the incidence of secondary cardiovascular events.</p></abstract><textClass><keywords><term xml:id="jcpe12062-kwd-0001">atherosclerosis</term><term xml:id="jcpe12062-kwd-0002">cardiovascular disease</term><term xml:id="jcpe12062-kwd-0003">epidemiology</term><term xml:id="jcpe12062-kwd-0004">periodontal disease</term><term xml:id="jcpe12062-kwd-0005">periodontitis</term><term xml:id="jcpe12062-kwd-0006">systematic review</term></keywords><keywords rend="articleCategory"><term>Supplement Article</term></keywords><keywords rend="tocHeading1"><term>Periodontitis and Systemic Diseases ‐ Proceedings of a workshop jointly held by the European Federation of Periodontology and American Academy of Periodontology. Co‐edited by Maurizio Tonetti and Kenneth S. Kornman. The workshop was funded by an unrestricted educational grant from Colgate‐Palmolive to the European Federation of Periodontology and the American Academy of Periodontology. All manuscripts were fully peer‐reviewed.</term></keywords><keywords rend="tocHeading2"><term>Supplement articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/4EDBB9197F134D5AFCD807A5B3677EB4A81005A0/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="jcpe12062" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-051X</doi><issn type="print">0303-6979</issn><issn type="electronic">1600-051X</issn><idGroup><id type="product" value="JCPE"></id></idGroup><titleGroup><title sort="JOURNAL OF CLINICAL PERIODONTOLOGY" type="main">Journal of Clinical Periodontology</title><title type="short">J Clin Periodontol</title></titleGroup></publicationMeta><publicationMeta level="part" position="35"><doi origin="wiley">10.1111/jcpe.2013.40.issue-s14</doi><titleGroup><title type="specialIssueTitle">Periodontitis and Systemic Diseases ‐ Proceedings of a workshop jointly held by the European Federation of Periodontology and American Academy of Periodontology. Co‐edited by Maurizio Tonetti and Kenneth S. Kornman. The workshop was funded by an unrestricted educational grant from Colgate‐Palmolive to the European Federation of Periodontology and the American Academy of Periodontology. All manuscripts were fully peer‐reviewed.</title>
</titleGroup><copyright ownership="publisher">Copyright © 2013 John Wiley & Sons A/S</copyright><numberingGroup><numbering number="40" type="journalVolume">40</numbering><numbering type="supplement">s14</numbering></numberingGroup><coverDate startDate="2013-04">April 2013</coverDate></publicationMeta><publicationMeta level="unit" position="70" status="forIssue" type="article"><doi>10.1111/jcpe.12062</doi><idGroup><id type="unit" value="JCPE12062"></id></idGroup><countGroup><count number="15" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Supplement Article</title><title type="tocHeading1">Periodontitis and Systemic Diseases ‐ Proceedings of a workshop jointly held by the European Federation of Periodontology and American Academy of Periodontology. Co‐edited by Maurizio Tonetti and Kenneth S. Kornman. The workshop was funded by an unrestricted educational grant from Colgate‐Palmolive to the European Federation of Periodontology and the American Academy of Periodontology. All manuscripts were fully peer‐reviewed.</title><title type="tocHeading2">Supplement articles</title></titleGroup><copyright ownership="thirdParty">© 2013 European Federation of Periodontology and American Academy of Periodontology</copyright><eventGroup><event date="2012-10-09" type="manuscriptReceived"></event><event date="2012-12-19" type="manuscriptRevised"></event><event date="2012-11-14" type="manuscriptAccepted"></event><event agent="SPS" date="2013-02-05" type="xmlCreated"></event><event agent="SPS" date="2013-07-24" type="xmlCorrected"></event><event type="publishedOnlineFinalForm" date="2013-04-30"></event><event type="firstOnline" date="2013-04-30"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-19"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-02"></event></eventGroup><numberingGroup><numbering type="pageFirst">S70</numbering><numbering type="pageLast">S84</numbering></numberingGroup><correspondenceTo><lineatedText><line>Address:</line><line><i>Praveen Sharma</i></line><line>NIHR Academic Clinical Fellow (Birmingham Community Healthcare NHS Trust)</line><line>Birmingham Dental Hospital</line><line>St Chad's Queensway</line><line>Birmingham B4 6NN</line><line><i>UK</i></line><line>E‐mail: <email>praveen.sharma@nhs.net</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="jcpe12062-cit-1001"><author><givenNames>Dietrich</givenNames> <familyName>T</familyName></author>, <author><givenNames>Sharma</givenNames> <familyName>P</familyName></author>, <author><givenNames>Walter</givenNames> <familyName>C</familyName></author>, <author><givenNames>Weston</givenNames> <familyName>P</familyName></author>, <author><givenNames>Beck</givenNames> <familyName>J</familyName></author> .<articleTitle>The epidemiological evidence behind the association between periodontitis and incident atherosclerotic cardiovascular disease</articleTitle>. <journalTitle>J Clin Periodontol</journalTitle><pubYear year="2013">2013</pubYear>;<vol>40</vol> (<issue>suppl. 14</issue>): <pageFirst>S70</pageFirst>–<pageLast>S84</pageLast>. doi: <accessionId ref="info:doi/10.1111/jcpe.12062">10.1111/jcpe.12062</accessionId></citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:JCPE.JCPE12062.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">The epidemiological evidence behind the association between periodontitis and incident atherosclerotic cardiovascular disease</title><title type="shortAuthors">Dietrich et al.</title></titleGroup><creators><creator affiliationRef="#jcpe12062-aff-0001 #jcpe12062-aff-0002" creatorRole="author" xml:id="jcpe12062-cr-0001"><personName><givenNames>Thomas</givenNames> <familyName>Dietrich</familyName></personName></creator><creator affiliationRef="#jcpe12062-aff-0003" corresponding="yes" creatorRole="author" xml:id="jcpe12062-cr-0002"><personName><givenNames>Praveen</givenNames> <familyName>Sharma</familyName></personName></creator><creator affiliationRef="#jcpe12062-aff-0004" creatorRole="author" xml:id="jcpe12062-cr-0003"><personName><givenNames>Clemens</givenNames> <familyName>Walter</familyName></personName></creator><creator affiliationRef="#jcpe12062-aff-0005" creatorRole="author" xml:id="jcpe12062-cr-0004"><personName><givenNames>Paul</givenNames> <familyName>Weston</familyName></personName></creator><creator affiliationRef="#jcpe12062-aff-0006" creatorRole="author" xml:id="jcpe12062-cr-0005"><personName><givenNames>James</givenNames> <familyName>Beck</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="GB" type="organization" xml:id="jcpe12062-aff-0001"><orgDiv>Department of Oral Surgery</orgDiv> <orgDiv>The School of Dentistry</orgDiv> <orgName>University of Birmingham</orgName> <address><city>Birmingham</city> <country>UK</country></address></affiliation><affiliation countryCode="US" type="organization" xml:id="jcpe12062-aff-0002"><orgDiv>Department of Health Policy and Health Services Research</orgDiv> <orgName>Boston University Goldman School of Dental Medicine</orgName> <address><city>Boston</city> <countryPart>MA</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="GB" type="organization" xml:id="jcpe12062-aff-0003"><orgDiv>Birmingham Dental Hospital</orgDiv> <orgName>Birmingham Community Healthcare NHS Trust</orgName> <address><city>Birmingham</city> <country>UK</country></address></affiliation><affiliation countryCode="GB" type="organization" xml:id="jcpe12062-aff-0004"><orgDiv>Periodontal Research Group</orgDiv> <orgName>The University of Birmingham</orgName> <address><city>Birmingham</city> <country>UK</country></address></affiliation><affiliation countryCode="CH" type="organization" xml:id="jcpe12062-aff-0005"><orgDiv>Department of Periodontology, Endodontology and Cariology</orgDiv> <orgName>University of Basel</orgName> <address><city>Basel</city> <country>Switzerland</country></address></affiliation><affiliation countryCode="US" type="organization" xml:id="jcpe12062-aff-0006"><orgDiv>Department of Dental Ecology</orgDiv> <orgName>University of North Carolina</orgName> <address><city>Chapel Hill</city> <countryPart>NC</countryPart> <country>USA</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="jcpe12062-kwd-0001">atherosclerosis</keyword><keyword xml:id="jcpe12062-kwd-0002">cardiovascular disease</keyword><keyword xml:id="jcpe12062-kwd-0003">epidemiology</keyword><keyword xml:id="jcpe12062-kwd-0004">periodontal disease</keyword><keyword xml:id="jcpe12062-kwd-0005">periodontitis</keyword><keyword xml:id="jcpe12062-kwd-0006">systematic review</keyword></keywordGroup><supportingInformation><supportingInfoItem><mediaResource alt="supporting" mimeType="application/msword" href="urn-x:wiley:03036979:media:jcpe12062:jcpe12062-sup-0001-tables1-s5"></mediaResource><caption><p><b>Table S1</b>. Full texts excluded including reasons.</p><p><b>Table S2</b>. (a) Outcome Coronary Heart Disease‐Study/population characteristics. (b) Outcome Coronary Heart Disease‐ Demographics.</p><p><b>Table S3</b>. (a) Outcome Cerebrovascular Disease‐ Study/population characteristics. (b) Outcome Cerebrovascular Disease‐ Demographics.</p><p><b>Table S4</b>. (a) Outcome cardiovascular and cerebrovascular diseases‐ Study/population characteristics. (b) Outcome cardiovascular and cerebrovascular diseases‐ Demographics.</p><p><b>Table S5</b>. (a) Outcome peripheral arterial diseases‐ Study/population characteristics. (b) Outcome peripheral arterial diseases‐ Demographics.</p></caption></supportingInfoItem></supportingInformation><abstractGroup><abstract type="main" xml:id="jcpe12062-abs-0001" xml:lang="en"><title type="main">Abstract</title><section xml:id="jcpe12062-sec-0001"><title type="main">Objectives</title><p>The objective of this study was to systematically review the epidemiological evidence for an association between periodontitis (<fc>PD</fc>) and incident atherosclerotic cardiovascular disease (<fc>ACVD</fc>), including coronary heart disease (CHD), cerebrovascular disease and peripheral arterial disease.</p></section><section xml:id="jcpe12062-sec-0002"><title type="main">Methods</title><p>Systematic review of cohort and case‐control studies on the association of clinically or radiographically diagnosed <fc>PD</fc> and <fc>ACVD</fc>.</p></section><section xml:id="jcpe12062-sec-0003"><title type="main">Results</title><p>Overall, 12 studies were included in this study (six studies on CHD, three studies on cerebrovascular disease, two studies on both coronary heart and cerebrovascular disease mortality and one study on peripheral arterial disease). All but one study reported positive associations between various periodontal disease measures and the incidence of <fc>ACVD</fc>, at least in specific subgroups. The association was stronger in younger adults and there was no evidence for an association between <fc>PD</fc> and incident CHD in subjects older than 65 years. Only one study evaluated the association between <fc>PD</fc> and secondary cardiovascular events.</p></section><section xml:id="jcpe12062-sec-0004"><title type="main">Conclusions</title><p>There is evidence for an increased risk of <fc>ACVD</fc> in patients with <fc>PD</fc> compared to patients without. However, this may not apply to all groups of the population. There is insufficient evidence for an association between <fc>PD</fc> and the incidence of secondary cardiovascular events.</p></section></abstract></abstractGroup></contentMeta><noteGroup xml:id="jcpe12062-ntgp-0001"><note numbered="no" xml:id="jcpe12062-note-0001"><p><b>Conflict of interest and source of funding statement</b></p><p>The authors declare no conflict of interest. The workshop was funded by an unrestricted educational grant from Colgate‐Palmolive to the European Federation of Periodontology and the American Academy of Periodontology.</p></note><note numbered="no" xml:id="jcpe12062-note-0101">The proceedings of the workshop were jointly and simultaneously published in the <url href="http://onlinelibrary.wiley.com/doi/10.1111/jcpe.12062/abstract">Journal of Clinical Periodontology</url> and <url href="http://www.joponline.org/doi/abs/10.1902/jop.2013.134008">Journal of Periodontology</url>.</note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The epidemiological evidence behind the association between periodontitis and incident atherosclerotic cardiovascular disease</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>The epidemiological evidence behind the association between periodontitis and incident atherosclerotic cardiovascular disease</title></titleInfo><name type="personal"><namePart type="given">Thomas</namePart><namePart type="family">Dietrich</namePart><affiliation>Department of Oral Surgery, The School of Dentistry, University of Birmingham, Birmingham, UK</affiliation><affiliation>Department of Health Policy and Health Services Research, Boston University Goldman School of Dental Medicine, MA, Boston, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Praveen</namePart><namePart type="family">Sharma</namePart><affiliation>Birmingham Dental Hospital, Birmingham Community Healthcare NHS Trust, Birmingham, UK</affiliation><affiliation>Address:NIHR Academic Clinical Fellow (Birmingham Community Healthcare NHS Trust)Birmingham Dental HospitalSt Chad's QueenswayBirmingham B4 6NNE‐mail:</affiliation><affiliation>E-mail: praveen.sharma@nhs.net</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Clemens</namePart><namePart type="family">Walter</namePart><affiliation>Periodontal Research Group, The University of Birmingham, Birmingham, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Paul</namePart><namePart type="family">Weston</namePart><affiliation>Department of Periodontology, Endodontology and Cariology, University of Basel, Basel, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">James</namePart><namePart type="family">Beck</namePart><affiliation>Department of Dental Ecology, University of North Carolina, NC, Chapel Hill, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2013-04</dateIssued><dateCreated encoding="w3cdtf">2013-02-05</dateCreated><dateCaptured encoding="w3cdtf">2012-10-09</dateCaptured><dateValid encoding="w3cdtf">2012-11-14</dateValid><edition>Dietrich T, Sharma P, Walter C, Weston P, Beck J .The epidemiological evidence behind the association between periodontitis and incident atherosclerotic cardiovascular disease. J Clin Periodontol2013;40 (suppl. 14): S70–S84. doi: 10.1111/jcpe.12062</edition><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>The objective of this study was to systematically review the epidemiological evidence for an association between periodontitis (PD) and incident atherosclerotic cardiovascular disease (ACVD), including coronary heart disease (CHD), cerebrovascular disease and peripheral arterial disease.</abstract><abstract>Systematic review of cohort and case‐control studies on the association of clinically or radiographically diagnosed PD and ACVD.</abstract><abstract>Overall, 12 studies were included in this study (six studies on CHD, three studies on cerebrovascular disease, two studies on both coronary heart and cerebrovascular disease mortality and one study on peripheral arterial disease). All but one study reported positive associations between various periodontal disease measures and the incidence of ACVD, at least in specific subgroups. The association was stronger in younger adults and there was no evidence for an association between PD and incident CHD in subjects older than 65 years. Only one study evaluated the association between PD and secondary cardiovascular events.</abstract><abstract>There is evidence for an increased risk of ACVD in patients with PD compared to patients without. However, this may not apply to all groups of the population. There is insufficient evidence for an association between PD and the incidence of secondary cardiovascular events.</abstract><note type="additional physical form">Table S1. Full texts excluded including reasons. Table S2. (a) Outcome Coronary Heart Disease‐Study/population characteristics. (b) Outcome Coronary Heart Disease‐ Demographics. Table S3. (a) Outcome Cerebrovascular Disease‐ Study/population characteristics. (b) Outcome Cerebrovascular Disease‐ Demographics. Table S4. (a) Outcome cardiovascular and cerebrovascular diseases‐ Study/population characteristics. (b) Outcome cardiovascular and cerebrovascular diseases‐ Demographics. Table S5. (a) Outcome peripheral arterial diseases‐ Study/population characteristics. (b) Outcome peripheral arterial diseases‐ Demographics.</note><subject><genre>keywords</genre><topic>atherosclerosis</topic><topic>cardiovascular disease</topic><topic>epidemiology</topic><topic>periodontal disease</topic><topic>periodontitis</topic><topic>systematic review</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Clinical Periodontology</title></titleInfo><titleInfo type="abbreviated"><title>J Clin Periodontol</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Supplement Article</topic></subject><identifier type="ISSN">0303-6979</identifier><identifier type="eISSN">1600-051X</identifier><identifier type="DOI">10.1111/(ISSN)1600-051X</identifier><identifier type="PublisherID">JCPE</identifier><part><date>2013</date><detail type="title"><title>Periodontitis and Systemic Diseases ‐ Proceedings of a workshop jointly held by the European Federation of Periodontology and American Academy of Periodontology. 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