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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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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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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Jake Crawshaw summarises a systematic review which investigates the relationships between positive psychological constructs and health outcomes in cardiovascular disease.
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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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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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There are many interfaces in mental health services, such as the one between physical and mental health. Where there are interfaces, there are inevitably gaps for patients to fall through. Consequently opportunities are missed to treat mental health problems in those with physical health problems. There is mounting evidence for the effectiveness of Collaborative Care (CC) [read the full story…]
In recent years that has been increasing interest in the associations between periodontal disease and a range of systematic diseases. Towards the end of last year a joint workshop organized by the European Federation of Periodontology (EFP) and the American Academy of Periodontology (AAP) took place in Spain. The full papers from that meeting are [read the full story…]
The lines between physical health and mental health are blurred in lots of ways, and one example is the fact that people with chronic physical conditions are also more likely to suffer from depression. As well as adding to their burden of illness, there’s also some evidence that those patients with comorbid depression have worse [read the full story…]
Individuals with severe mental illness (SMI) have shortened life expectancies compared to the general population. This is partly down to higher rates of chronic physical illness. Cardiovascular disease (CVD) is the leading cause of death among patients using mental health services. It is assumed that interventions used to reduce CVD are similarly effective in patients with [read the full story…]
