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Association of Chronic Periodontitis with Helicobacter pylori Infection in Stomach or Mouth: A Systematic Review and Meta-Analysis

Title: Association of Chronic Periodontitis with Helicobacter pylori Infection in Stomach or Mouth: A Systematic Review and Meta-Analysis
Authors: Tsimpiris, Athanasios; Tsolianos, Ioannis; Grigoriadis, Andreas; Moschos, Ioannis; Goulis, Dimitrios G.; Kouklakis, Georgios
Source: European Journal of Dentistry ; volume 17, issue 02, page 270-282 ; ISSN 1305-7456 1305-7464
Publisher Information: Georg Thieme Verlag KG
Publication Year: 2022
Description: Helicobacter pylori (H. pylori) infection and periodontitis are both inflammatory conditions associated with systemic diseases. Researchers have attempted to investigate the correlation between them. This systematic review and meta-analyses were conducted to investigate the association of H. pylori infection in the stomach and/or in subgingival plaque and gingival crevicular fluid with chronic periodontitis. The protocol was created according to the Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) statement. The study was designed according to the Cochrane criteria. A comprehensive literature search was performed in MEDLINE, Scopus, and CENTRAL, combined with hand-searching and assessment of gray literature. The meta-analysis of the included studies was made by the Review Manager (RevMan) 5.4 software. The effect measure of the outcome was odds ratios with 95% confidence intervals. Heterogeneity was assessed by chi-square and I2. Four observational studies involving 818 subjects were included in this meta-analysis. The odds of oral H. pylori presence were higher in patients with chronic periodontitis, compared to healthy controls, with an odds ratio of 1.87 (95% confidence interval 0.85–4.10; p = 0.12). The odds of the presence of H. pylori in the stomach also were higher in patients with chronic periodontitis, with an odds ratio of 1.80 (95% confidence interval 0.82–3.95; p = 0.15). There is no evidence for an association between chronic periodontitis and the prevalence of H. pylori, detected either in subgingival plaque and gingival crevicular fluid or in the stomach.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1055/s-0042-1756690
DOI: 10.1055/s-0042-1756690.pdf
Availability: https://doi.org/10.1055/s-0042-1756690; http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0042-1756690.pdf
Rights: https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.2B6F6142
Database: BASE