Treating periodontitis to prevent heart disease – evidence unclear

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Only 1 trial at high risk of bias was included in this recent update of a 2014 Cochrane review of periodontal therapy for preventing cardiovascular disease (CVD) providing insufficient evidence to support or refute whether periodontal therapy can prevent the recurrence of CVD in the long term in patients with chronic periodontitis.

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Periodontitis and type II diabetes

The prevalence of type 2 diabetes in patients with schizophrenia is about one-third higher than in the general population.

This prospective cohort study included 1331 58–72-year old men from Northern Ireland suggests an association between moderate to severe periodontitis and type II diabetes.

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Depression and coronary heart disease: reasons to remain UPBEAT-UK

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Kirsten Lawson summarises the UPBEAT-UK programme of research into the relationship between coronary heart disease and depression and anxiety in primary care patients.

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The apples and oranges of social relationships: what are we measuring and how?

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Farhana Mann presents a helpful summary of a number of different tools that have been used in the study of social relationships, as they relate to health and social service use and cardiovascular outcomes.

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Atherosclerosis and periodontal disease is there an association?

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This review looked at the evidence linking carotid atherosclerosis with periodontal disease 15 studies involving 17,330 patients were included. The overall pooled result showed periodontal disease was associated with carotid atherosclerosis, OR=1.27 (95% C; 1.14–1.41; P = 0.001). However, once adjusted for smoking and diabetes mellitus, this reduced to borderline significance OR=1.08 (95% CI; 1.00–1.18; P = 0.05).

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Collaboration, collaboration, collaboration

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Kirsten Lawson explores the benefits of working across professional and therapeutic boundaries, highlighted beautifully by the recent COINCIDE RCT of collaborative care for patients with depression comorbid with diabetes or cardiovascular disease.

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Periodontal disease and coronary disease risk

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15 prospective studies were included in this review of periodontal disease (PD) & coronary disease risk. PD was associated with an increased risk of coronary disease RR=1.19; (95% CI; 1.13–1.26).

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How much impact can optimism and positivity have on clinical outcomes in cardiovascular disease?

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Jake Crawshaw summarises a systematic review which investigates the relationships between positive psychological constructs and health outcomes in cardiovascular disease.

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Periodontitis: review suggests association with increased carotid intima-media thickness

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We look at another new review that considers an association between periodontitis and a surrogate marker of cardiovascular disease. Most of the included studies are observational and they suggests an association between increased carotid intima-media thickness and periodontitis

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Can treating periodontitis help prevent heart disease?

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Periodontal disease is associated with cardiovascular disease. This Cochrane review looks at whether treating periodontal disease can prevent further heart disease. Unfortunately the available evidence is limited to a single trial at high risk of bias.

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