Universität zu Köln

Seitz, Max W., Listl, Stefan ORCID: 0000-0002-8176-3397, Bartols, Andreas, Schubert, Ingrid, Blaschke, Katja, Haux, Christian and Van Der Zande, Marieke M. (2019). Current Knowledge on Correlations Between Highly Prevalent Dental Conditions and Chronic Diseases: An Umbrella Review. Prev. Chronic Dis., 16. ATLANTA: CENTERS DISEASE CONTROL & PREVENTION. ISSN 1545-1151

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Abstract

Introduction Studies have investigated the relationships between chronic systemic and dental conditions, but it remains unclear how such knowledge can be used in clinical practice. In this article, we provide an overview of existing systematic reviews, identifying and evaluating the most frequently reported dental-chronic disease correlations and common risk factors. Methods We conducted a systematic review of existing systematic reviews (umbrella review) published between 1995 and 2017 and indexed in 4 databases. We focused on the 3 most prevalent dental conditions and 10 chronic systemic diseases with the highest burden of disease in Germany. Two independent reviewers assessed all articles for eligibility and methodologic quality using the AMSTAR criteria and extracted data from the included studies. Results Of the initially identified 1,249 systematic reviews, 32 were included for qualitative synthesis. The dental condition with most frequently observed correlations to chronic systemic diseases was periodontitis. The chronic systemic disease with the most frequently observed correlations with a dental condition was type 2 diabetes mellitus (T2DM). Most dental-chronic disease correlations were found between periodontitis and T2DM and periodontitis and cardiovascular disease. Frequently reported common risk factors were smoking, age, sex, and overweight. Using the AMSTAR criteria, 2 studies were assessed as low quality, 26 studies as moderate quality, and 4 studies as high quality. Conclusion The quality of included systematic reviews was heterogeneous. The most frequently reported correlations were found for periodontitis with T2DM and for periodontitis with cardiovascular disease. However, the strength of evidence for these and other disease correlations is limited, and the evidence to assess the causality of these disease correlations remains unclear. Future research should focus on the causality of disease links in order to provide more decisive evidence with respect to the design of intersectoral care processes.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Seitz, Max W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Listl, Stefan UNSPECIFIED orcid.org/0000-0002-8176-3397 UNSPECIFIED Bartols, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Schubert, Ingrid UNSPECIFIED UNSPECIFIED UNSPECIFIED Blaschke, Katja UNSPECIFIED UNSPECIFIED UNSPECIFIED Haux, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Van Der Zande, Marieke M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-142339
DOI:	10.5888/pcd16.180641
Journal or Publication Title:	Prev. Chronic Dis.
Volume:	16
Date:	2019
Publisher:	CENTERS DISEASE CONTROL & PREVENTION
Place of Publication:	ATLANTA
ISSN:	1545-1151
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ANTIMICROBIAL PHOTODYNAMIC THERAPY; CORONARY-HEART-DISEASE; PERIODONTAL-DISEASE; GLOBAL BURDEN; ORAL-HEALTH; SYSTEMATIC REVIEWS; DIABETES-MELLITUS; LIFE EXPECTANCY; GLYCEMIC CONTROL; METAANALYSIS Multiple languages Public, Environmental & Occupational Health Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14233