Non-Cochrane · aetiology · PM37972211

Is there an association between periodontal disease and root caries? A systematic review and meta-analysis.

Nazário Rayssa Maitê Farias, Frazão Deborah Ribeiro, Peinado Beatriz Rodrigues Risuenho, et al. · PloS one · 2023 · PubMed · doi:10.1371/journal.pone.0285955

Full textEvery question was extracted from the full text, figures and supplements by two independent LLM extractors, disagreements adjudicated. Rows cite where in the review the value comes from.
Questions
1
current version
GRADE rated
1
No studies
0
Included studies
4
linked below
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 100%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Review question

ElementPlanned (methods)Found (results)
PopulationAdult patientsAdults (4 studies; 18,724 participants total; mean age ~53 years; China, England, Japan, Finland)
InterventionPeriodontal disease (periodontitis, gingival disease) as exposurePeriodontal disease by clinical exam (CAL, pocket depth, gingival inflammation, BPE) (n=4 studies)
ComparisonAdults without periodontal disease (healthy periodontal status)Participants without periodontal disease / healthy periodontal status (2 studies pooled: periodontal disease n=3677 vs control n=3987)
OutcomesRoot cariesRoot caries (assessed by RCI, root DMFT/DFT indices); pooled OR 1.38 (1.25-1.53)
Study designsProspective or retrospective observational studies (PECO)4 observational (cross-sectional) studies; 2 entered the meta-analysis
TimingNot specified (no year restriction)Cross-sectional (single time point)

Search date: April 2023 (searches updated until April 2023). Databases: Cochrane Library; LILACS; MedLine (via PubMed); Scopus; Web of Science; Google Scholar; Open Grey (grey literature)

Questions and results

Periodontal disease (periodontitis; clinical attachment loss >=4 mm) vs Adults without periodontal disease (healthy periodontal status; CAL <=3 mm)

Population: Adults (mean age ~53 years)
1 question
OutcomeEffectEvidenceStatus / GRADE
Root caries (presence of root caries)
Adults with periodontal disease had significantly higher odds of root caries than those without (pooled OR 1.38, 95% CI 1.25 to 1.53; 2 observational studies; low certainty).
Source: Fig 2 (forest plot); Table 6 (GRADE evidence profile); Results 'Data synthesis and meta-analysis' and 'Certainty of evidence'; Abstract · same question in other reviews
OR 1.38 [1.25, 1.53]2 studies · 7664 participantsLow

Included primary studies 4

Open as a trial list
StudyAlso included byOutcomes it informs hereTrial PICOResults
Yu et al. 2021
The relationship between different types of caries and periodontal disease severity in middle-aged and elderly people: findings from the…
PMID:33941169
1 other reviewRoot caries (presence of root caries)not extracted yetnot extracted yet
AlQobaly & Sabbah 2020
The association between periodontal disease and root/coronal caries
DOI:10.1111/idh.12422
this review onlyRoot caries (presence of root caries)not extracted yetnot extracted yet
Saotome et al. 2006
Relationship of cariogenic bacteria levels with periodontal status and root surface caries in elderly Japanese
DOI:10.1111/j.1741-2358.2006.00127.x
this review onlyRoot caries (presence of root caries)not extracted yetnot extracted yet
Vehkalahti & Paunio 1994
Association between Root Caries Occurrence and Periodontal State
DOI:10.1159/000261990
this review onlyRoot caries (presence of root caries)not extracted yetnot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match).