Could Periodontitis Aggravate Psoriasis?—An Update by Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Search Strategy
2.2. Selection of Articles and Eligibility Criteria
2.3. Quality Control of Articles
3. Results
3.1. Periodontal Parameters
3.2. Epidemiological Parameters
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Author, Year | Selection Items | Comparability Item | Exposure Items | Total | |||||
---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | ||
Sezer et al., 2016 | * | * | * | * | * | 6/9 | |||
Painsi et al., 2017 | * | * | * | * | 4/9 | ||||
Sarac et al., 2017 | * | * | * | * | * | * | 6/9 | ||
Woeste et al., 2019 | * | * | * | * | * | * | 6/9 | ||
Macklis et al., 2019 | * | * | * | * | * | 5/9 | |||
Mendes et al., 2019 | * | * | * | * | * | * | 6/9 | ||
Barros et al., 2020 | * | * | * | * | * | 5/9 | |||
Belstrøm et al., 2020 | * | * | * | * | 4/9 | ||||
Skutnik-Radziszewska et al., 2020 | * | * | * | * | * | 5/9 |
Author, Year | Selection Items | Comparability Item | Outcome Items | Total | ||||
---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | ||
Ligia et al., 2019 | * | ** | * | ** | 6/9 |
Author, Year | Selection Items | Comparability Item | Outcome Items | Total | |||||
---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | ||
Egeberg et al., 2017 | * | * | * | ** | * | * | 7/9 |
Author, Year | Type of Study | Sample Size | Periodontal Evaluation | Conclusions |
---|---|---|---|---|
Sezer et al., 2016 | Case–control | 100 cases 20 controls | PI, PD, CAL, and BOP% | There were no differences between periodontitis (systemically healthy-chronic periodontitis, psoriasis-chronic periodontitis, psoriatic arthritis-chronic periodontitis) groups |
Painsi et al., 2017 | Case–control | 209 cases 91 controls | Data from patient who underwent an inflammatory focus screening, including a dental check up | Higher periodontitis prevalence in psoriasis patients compared with chronic spontaneous urticaria (OR = 3.76; 95% CI 1.60–10.27; p = 0.001) |
Sarac et al., 2017 | Case–control | 76 cases 76 controls | CPITN | In the psoriasis group, there were higher values in CPITN |
Woeste et al., 2019 | Case–control | 100 cases 101 controls | BOP, CPITN, and dental parameters according to the DMFTI | The author found higher values in BOP and CPITN in psoriasis group. There were no differences for DMFTI. Periodontitis could aggravate psoriasis simptosms. |
Macklis et al., 2019 | Case–control | 100 cases 165 controls | Validated WHO survey for adult oral hygiene practices including gingivitis and periodontitis signs | Patients who reported poor or very poor gum health showed more symptoms of severe psoriasis. Periodontitis could aggravate psoriasis simptosms. |
Mendes et al., 2019 | Case–control | 397 cases 325 controls | PI, PD, CAL, and BOP | Psoriasis patients had higher PI, PD, BOP, and CAL values. Psoriasis individuals showed more probability of suffering periodontitis when compared with controls (OR = 1.72; 95% CI 1.28–2.32; p < 0.001). |
Barros et al., 2020 | Case–control | 69 cases 74 controls | PI, PD, CAL, BOP, and DMFTI | Psoriasis patients had lower PI values, higher CAL and DMFT values, and fewer teeth. More prevalence of severe and generalized periodontitis. Severe periodontitis can be considered a risk factor for psoriasis (OR = 3.7; 95% CI 1.5–9.0; p < 0.003). BOP was not significantly different. |
Belstrøm et al., 2020 | Case–control | 85 cases 52 controls | PI, BOP, PD, and CAL | Patients with psoriasis had good periodontal health (regularly attending dental care). No differences in missing teeth, PD, or CAL. Relatively high percentages of BOP and PI. Lower salivary levels of NGAL and transferrin. |
Skutnik-Radziszewska et al., 2020 | Case–control | 40 cases 40 controls | Dental status, DMFTI, PBI, and GI | There were no differences in the values of DMFTI, PBI, or GI |
Ligia et al., 2019 | Cross-sectional | 71 participants | PI, BOP, CAL, and PD | Periodontal disease was frequent in patients with psoriasis. Nevertheless, there was no statistically significant (small sample). No data for periodontal indexes. |
Egeberg et al., 2017 | Cohort | 5,470,428 participants | Patients with periodontitis were identified by their first inpatient or outpatient (ambulatory) hospital diagnosis of periodontitis | Increased risk of periodontitis in mild psoriasis (IRR: 1.66; 95% CI 1.43–1.94; p < 0.001), severe psoriasis (IRR: 2.24; 95% CI 1.46–3.44; p < 0.001) and psoriatic arthritis (IRR: 3.48; 95% CI 2.46–4.92; p < 0.001). Periodontitis could agravate psoriasis simptosms. |
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Meneu, J.J.; Márquez-Arrico, C.F.; Silvestre, F.J.; Silvestre-Rangil, J. Could Periodontitis Aggravate Psoriasis?—An Update by Systematic Review. Oral 2023, 3, 57-66. https://doi.org/10.3390/oral3010006
Meneu JJ, Márquez-Arrico CF, Silvestre FJ, Silvestre-Rangil J. Could Periodontitis Aggravate Psoriasis?—An Update by Systematic Review. Oral. 2023; 3(1):57-66. https://doi.org/10.3390/oral3010006
Chicago/Turabian StyleMeneu, Juan José, Cecilia Fabiana Márquez-Arrico, Francisco Javier Silvestre, and Javier Silvestre-Rangil. 2023. "Could Periodontitis Aggravate Psoriasis?—An Update by Systematic Review" Oral 3, no. 1: 57-66. https://doi.org/10.3390/oral3010006
APA StyleMeneu, J. J., Márquez-Arrico, C. F., Silvestre, F. J., & Silvestre-Rangil, J. (2023). Could Periodontitis Aggravate Psoriasis?—An Update by Systematic Review. Oral, 3(1), 57-66. https://doi.org/10.3390/oral3010006