Treatment of periodontitis and C-reactive protein: A systematic review and meta-analysis of randomized clinical trials.
J Clin Periodontol
; 50(1): 45-60, 2023 01.
Article
in En
| MEDLINE
| ID: mdl-35946825
ABSTRACT
BACKGROUND:
Systemic inflammation is implicated in the onset and progression of several chronic diseases. Periodontitis is a potential trigger of systemic inflammation.PURPOSE:
To comprehensively appraise all the evidence on the effects of the treatment of periodontitis on systemic inflammation assessed by serum C-reactive protein (CRP) levels. DATA SOURCES Six electronic databases were searched up to 10 February 2022 to identify and select articles in English language only. STUDY SELECTION Twenty-six randomized controlled clinical trials reporting changes amongst 2579 participants about CRP levels at 6 months or more after treatment. DATA EXTRACTION Two reviewers independently extracted data and rated the quality of studies. Meta-analyses were performed using random and fixed effect models. RISK OF BIAS Risk of bias (RoB 2.0 tool) and quality of evidence (GRADEpro GDT tool) analyses were completed. DATASYNTHESIS:
Treatment of periodontitis reduced CRP levels by 0.69 mg/L (95% confidence interval -0.97 to -0.40) after 6 months, but limited evidence was retrieved from studies with longer follow-ups. Similar findings were observed in participants with other co-morbidities in addition to periodontitis. Greatest reductions were observed in participants with concentrations of CRP >3 mg/L at baseline.LIMITATIONS:
High level of heterogeneity.CONCLUSIONS:
Treatment of periodontitis reduces serum CRP levels (up to 6 months follow-up) to a degree equivalent to that observed after traditional lifestyle or drug interventions. This evidence supports a causal association between periodontitis and systemic inflammation.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Periodontitis
/
C-Reactive Protein
Type of study:
Clinical_trials
/
Prognostic_studies
/
Systematic_reviews
Limits:
Humans
Language:
En
Year:
2023
Type:
Article