General

Association Between Neutrophil Percentage-to-Albumin Ratio and Periodontitis: A Cross-Sectional Study

Our results suggest that Neutrophil percentage-to-albumin ratio (NPAR) is significantly linked to poor periodontal health. However, owing to the cross-section design of this study, additional longitudinal studies are necessary to further enhance our comprehension of the impact of NPAR on periodontal status.

International Dental Journal

2025

Association Between Neutrophil Percentage-to-Albumin Ratio and Periodontitis: A Cross-Sectional Study

Our results suggest that Neutrophil percentage-to-albumin ratio (NPAR) is significantly linked to poor periodontal health. However, owing to the cross-section design of this study, additional longitudinal studies are necessary to further enhance our comprehension of the impact of NPAR on periodontal status.

International Dental Journal

2025

Patients’ awareness of the association between periodontitis and other diseases: Still a long way to go

These findings demonstrate that approximately 75% of patients, independently from their socio-economic status, periodontal health status, frequency of dental visits and perceived access to care, still ignored the link between periodontitis and other diseases. The level of awareness was low even among patients suffering from periodontitis or from cardiovascular diseases, cancer and diabetes, which have been extensively associated with periodontitis

Periodontology

2024

The value-for money of preventing and managing periodontitis: Opportunities and challenges

This article gives an overview of the societal and economic aspects of periodontitis and periodontal care.

Periodontology

2024

Self-reported oral health is associated with systemic health outcomes and all-cause mortality

Self-reported oral health had a similar magnitude of associations with systemic comorbidities as established with periodontal disease previously. Moreover, self-rated fair or poor oral health, suboptimal dental visits, or infrequent flossing were associated with increased all-cause mortality.

JADA

2024

Oral Health and Mortality Among Older Adults: A Doubly Robust Survival Analysis

This study aims to investigate the link between oral health and mortality in community-dwelling older adults by adjusting for confounding factors with a doubly robust survival estimation. Edentulism was associated with a reduction in survival time.

American Journal of Preventive Medicine

2022

Periodontitis is associated with an increased hazard of mortality in a longitudinal cohort study over 50 years

Time-varying periodontal status assessed using radiographic alveolar bone loss (ABL) was positively associated with all-cause mortality even after confounder adjustment.

Journal of Clinical Periodontology

2022

Association Between Preventive Dental Care and Healthcare Cost for Enrollees With Diabetes or Coronary Artery Disease: 5-Year Experience

Preventive dental care is strongly associated with significant savings for diabetes and CAD patients, and such savings were highest for diabetes + CAD patients, followed by patients with only CAD and only diabetes. Most of these savings originated in costs associated with inpatient admissions, which were between 25% and 36% for all disease classifications for all years.

Compendium of Continuing Education in Dentistry

2022

Article: Maintaining Oral Health Is Essential to Well-Being

Maintaining oral health is essential to general health and well-being. Oral conditions affect more than just the mouth and teeth. Poor oral health increases the risk of developing chronic conditions, such as cardiovascular disease and diabetes.

Pharmacy Times

2022

Burden of chronic diseases associated with periodontal diseases: a retrospective cohort study using UK primary care dataArticle: Maintaining Oral Health Is Essential to Well-Being

In this cohort, periodontal diseases appeared to be associated with an increased risk of developing cardiovascular, cardiometabolic, autoimmune diseases and mental ill health. Periodontal diseases are very common; therefore, an increased risk of other chronic diseases represent a substantial public health burden.

BMJ Journals

2021

Human variation in gingival inflammation

Article: Study reveals new aspects of gingivitis and the body’s response

Sheds important new light on why some people may be more prone to serious conditions that lead to tooth loss and other problems.

PNAS

2021

Dental Services and Health Outcomes in the New York State Medicaid Program

Observed that accessing preventive dental care by a large cohort of publicly insured individuals in New York State was associated with better health care outcomes, most notably for the rates and costs of inpatient admissions.

Journal of Dental Research

2021

Periodontal Inflammation Primes the Systemic Innate Immune Response

Provides clinical rationale for perio-systemic disease links

Journal of Dental Research

2020

Current Knowledge on Correlations Between Highly Prevalent Dental Conditions and Chronic Diseases: An Umbrella Review

Provides support of correlative; not causative perio-systemic links

CDC – Systematic Review (Volume 16)

2019

Back to top Periodontitis and Diabetes Complications: A Danish Population-Based Study

Diabetic neuropathy and retinopathy, individually and combined, were associated with moderate/severe periodontitis. In addition, dyslipidemia had an additive positive effect modification on diabetic microvascular complications, elevating the odds of moderate/severe periodontitis.

Sage Journals

2024

Periodontal Disease and Metabolic Syndrome in Women at Prior High Risk for Gestational Diabetes

Periodontal disease was associated with insulin resistance and metabolic syndrome (MetS) in women at prior high risk of developing gestational diabetes.

Clinical and Experimental Dental Research

2024

Assessing the relationship between diabetes mellitus and dental caries among US adults: The National Health and Nutrition Examination Survey (NHANES) 2013-20

Diabetes prevalence was associated with higher dental caries experience.

Elsevier Public Health

2025

Differences in health care expenditure due to the comorbidity status of periodontal disease and diabetes mellitus

This study provides a significant contribution of periodontal disease (PD) to the increase in health care expenditure (HCE), particularly in individuals with diabetes mellitus (DM).

Journal of Periodontology

2025

Use of oral health services among pregnant women and associations with gestational diabetes and hypertensive disorders of pregnancy

Using oral health care preventive services and visits to a dentist or dental clinic for problems during pregnancy was associated with decreased odds of having gestational diabetes and hypertensive disorders of pregnancy.

Journal of the American Dental Association (JADA)

2025

Analysis of the impact of periodontal disease management before the onset of type 2 diabetes mellitus on medical costs using administrative claims database

Regular periodontal disease prevention and management under professional care before type 2 diabetes mellitus onset contribute to improved health and reduced medical costs.
Primary Care Diabetes (PCDE)

 

2024

Association between periodontal disease and gestational diabetes: Systematic review and meta-analysis

Periodontal disease (PD) poses a high risk of suffering from gestational diabetes mellitus (GDM). The development of oral health programs in women who wish to conceive is essential to improve metabolic control and reduce obstetric and perinatal complications.
Primary Care Diabetes (PCDE)

 

2024

Insulin resistance and periodontitis: Mediation by blood pressure

The triglyceride-glucose (TyG) index was associated with increased odds of moderate / severe periodontitis, especially in individuals with obesity, hypertension, and dyslipidemia. Systolic blood pressure (SBP) levels partially mediated this association.

Journal of Periodontal Research

2024

Effects of mouthwash on periodontal pathogens and glycemic control in patients with type 2 diabetes mellitus

Results suggest that gargling with mouthwash reduces the number of red complex species and improves the hyperglycemic status in patients with type 2 diabetes mellitus, especially younger patients.

Scientific Reports

2024

Treatment of periodontitis for glycaemic control in people with diabetes mellitus

We included 35 studies, which randomised 3249 participants to periodontal treatment or control.

Cochrane Library

2022

Type 1 diabetes mellitus negatively affects tooth enamel and dentine microhardness: An in-vivo study

T1DM negatively affected enamel and dentine microhardness, and enamel was influenced much more negatively and rapidly compared with dentine in diabetic groups.

Archives of Oral Biology

2022

Association Between Preventive Dental Care and Healthcare Cost for Enrollees With Diabetes or Coronary Artery Disease: 5-Year Experience

Preventive dental care is strongly associated with significant savings for diabetes and CAD patients, and such savings were highest for diabetes + CAD patients, followed by patients with only CAD and only diabetes.

Compendium of Continuing Education in Dentistry

2022

Association between type 2 diabetes (T2D) and tooth loss: a systematic review and meta-analysis

The findings suggest that T2D is associated with increased risk of tooth loss.

BMC Endocrine Disorders

2022

Associations of oral hygiene with incident hypertension and type 2 diabetes mellitus: A population based cohort study in Southwest China

Frequent tooth brushing was associated with reduced risks of incident hypertension and T2DM. Tooth brushing at least twice a day may prevent future hypertension and T2DM events.

Journal of Hypertension

2022

Number of teeth and masticatory function are associated with sarcopenia and diabetes mellitus status among community-dwelling older adults: A Shimane CoHRE study

Findings suggest that improvement in oral health, including the maintenance of masticatory function and remaining teeth, may contribute to the prevention of sarcopenia and diabetes mellitus in older adults.

PLOS One

2021

The risk of tooth loss in patients with diabetes: a systematic review and meta-analysis

There is moderate certainty for a small but significantly higher risk of tooth loss in Diabetes patients as compared to those without Diabetes.

International Journal of Dental Hygiene

2021

Effect of Diabetes on Rotary Instrumentation of Dentin

Diabetes mellitus may affect the physical and mechanical properties of dentin, which could potentially have an impact on root canal procedures.

Journal of Endodontics

2021

Implementation of an Oral Care Protocol for Primary Diabetes Care: A Pilot Cluster-Randomized Controlled Trial

Implementation of an oral care protocol in primary diabetes care improved oral health-related quality of life in patients with type 2 diabetes

Annals of Family Medicine

2021

Improved oral hygiene is associated with decreased risk of new-onset

Diabetes: a nationwide population-based cohort study

 

Provides evidence that oral hygiene reduces new onset T2D

Springer Verlag

2020

Does diabetes increase the risk of periodontitis? A systematic review and meta-regression analysis of longitudinal prospective studies

Provides evidence that diabetes increases perio risk

National Library of Medicine

2018

The effect of periodontal therapy on glycemic control and fasting plasma glucose level in type 2 diabetic patients

In this systematic review and meta-analysis, there is a significant reduction of Glycated hemoglobin and Fasting plasma glucose level on type 2 diabetic and periodontal patients with non-surgical periodontal therapy.

BMC Oral Health

2016

Evidence that periodontal treatment improves diabetes outcomes: a systematic review and meta-analysis.

Supporting evidence that perio treatment improves T2D control

Journal of Clinical Periodontology

2013

Effect of periodontal disease on diabetes: systematic review of epidemiologic observational evidence

Provides evidence to suggest that perio disease adversely affects diabetes outcomes

Journal of Clinical Periodontology

2013

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