Evaluation of the association between periodontitis and inflammatory bowel disease: A systematic review and Meta-analysis

Abstract Objectives Several studies have shown a connection between periodontal diseases and conditions such as heart disease, diabetes, and pregnancy. This study aimed to investigate the relationship between inflammatory bowel disease (IBD), including ulcerative colitis (UC), Crohn’s disease (CD),...

Full description

Saved in:
Bibliographic Details
Main Authors: Narges Naghsh, Faezeh Karimi, Moammad Javad Tarrahi, Alireza Rahimi
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Gastroenterology
Subjects:
Online Access:https://doi.org/10.1186/s12876-025-04181-7
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849226216118157312
author Narges Naghsh
Faezeh Karimi
Moammad Javad Tarrahi
Alireza Rahimi
author_facet Narges Naghsh
Faezeh Karimi
Moammad Javad Tarrahi
Alireza Rahimi
author_sort Narges Naghsh
collection DOAJ
description Abstract Objectives Several studies have shown a connection between periodontal diseases and conditions such as heart disease, diabetes, and pregnancy. This study aimed to investigate the relationship between inflammatory bowel disease (IBD), including ulcerative colitis (UC), Crohn’s disease (CD), and periodontitis. Methods A systematic study was conducted in seven databases (PubMed, Scopus, Web of Science, ProQuest, Embase, Cochrane, and ScienceDirect) from 1960 to December 30, 2024. Articles investigating the relationship between periodontitis and IBD were selected based on established inclusion and exclusion criteria. The quality of the selected articles was assessed using the Newcastle-Ottawa checklist. The prevalence of periodontitis in individuals with and without IBD, as well as in each subgroup (UC and CD), was reported in terms of odds ratio (OR). Data analysis was conducted using Comprehensive Meta Analysis (CMA) software. Results Eleven studies were included in this systematic review. Statistical analysis of 10 studies revealed that, compared to the control group (without IBD), IBD patients had a significantly higher likelihood of periodontitis (OR: 2.28; 95% confidence interval [CI]: 1.73–3). Within each IBD subgroup, the likelihood of periodontitis was higher compared to the control group. The risk of developing periodontitis in patients diagnosed with UC and CD was found to be (OR: 3.14; 95% CI: 2.11–4.66) and (OR: 1.99; 95% CI: 1.4–2.83), respectively. However, this discrepancy was not statistically significant (P = 0.09). Conclusions IBD was associated with a higher likelihood of periodontitis compared to non-IBD patients. However, However, additional longitudinal research studies with larger sample sizes are necessary to validate this association and potentially reveal shared underlying mechanisms.
format Article
id doaj-art-7480b180980849d48548e10ae55e57ea
institution Kabale University
issn 1471-230X
language English
publishDate 2025-08-01
publisher BMC
record_format Article
series BMC Gastroenterology
spelling doaj-art-7480b180980849d48548e10ae55e57ea2025-08-24T11:33:06ZengBMCBMC Gastroenterology1471-230X2025-08-0125111910.1186/s12876-025-04181-7Evaluation of the association between periodontitis and inflammatory bowel disease: A systematic review and Meta-analysisNarges Naghsh0Faezeh Karimi1Moammad Javad Tarrahi2Alireza Rahimi3Dental Implants Research Center, Department of Periodontics, School of Dentistry, Isfahan University of Medical SciencesDental Students’ Research Committee, School of Dentistry, Isfahan University of Medical SciencesDepartment of Biotatistics and Epidemiology, School of Health, Isfahan University of Medical SciencesHead of Clinical Informationist Research Group, Health Information Technology Research Center, Isfahan University of Medical SciencesAbstract Objectives Several studies have shown a connection between periodontal diseases and conditions such as heart disease, diabetes, and pregnancy. This study aimed to investigate the relationship between inflammatory bowel disease (IBD), including ulcerative colitis (UC), Crohn’s disease (CD), and periodontitis. Methods A systematic study was conducted in seven databases (PubMed, Scopus, Web of Science, ProQuest, Embase, Cochrane, and ScienceDirect) from 1960 to December 30, 2024. Articles investigating the relationship between periodontitis and IBD were selected based on established inclusion and exclusion criteria. The quality of the selected articles was assessed using the Newcastle-Ottawa checklist. The prevalence of periodontitis in individuals with and without IBD, as well as in each subgroup (UC and CD), was reported in terms of odds ratio (OR). Data analysis was conducted using Comprehensive Meta Analysis (CMA) software. Results Eleven studies were included in this systematic review. Statistical analysis of 10 studies revealed that, compared to the control group (without IBD), IBD patients had a significantly higher likelihood of periodontitis (OR: 2.28; 95% confidence interval [CI]: 1.73–3). Within each IBD subgroup, the likelihood of periodontitis was higher compared to the control group. The risk of developing periodontitis in patients diagnosed with UC and CD was found to be (OR: 3.14; 95% CI: 2.11–4.66) and (OR: 1.99; 95% CI: 1.4–2.83), respectively. However, this discrepancy was not statistically significant (P = 0.09). Conclusions IBD was associated with a higher likelihood of periodontitis compared to non-IBD patients. However, However, additional longitudinal research studies with larger sample sizes are necessary to validate this association and potentially reveal shared underlying mechanisms.https://doi.org/10.1186/s12876-025-04181-7Inflammatory bowel diseasesCrohn diseaseColitisUlcerativePeriodontitis
spellingShingle Narges Naghsh
Faezeh Karimi
Moammad Javad Tarrahi
Alireza Rahimi
Evaluation of the association between periodontitis and inflammatory bowel disease: A systematic review and Meta-analysis
BMC Gastroenterology
Inflammatory bowel diseases
Crohn disease
Colitis
Ulcerative
Periodontitis
title Evaluation of the association between periodontitis and inflammatory bowel disease: A systematic review and Meta-analysis
title_full Evaluation of the association between periodontitis and inflammatory bowel disease: A systematic review and Meta-analysis
title_fullStr Evaluation of the association between periodontitis and inflammatory bowel disease: A systematic review and Meta-analysis
title_full_unstemmed Evaluation of the association between periodontitis and inflammatory bowel disease: A systematic review and Meta-analysis
title_short Evaluation of the association between periodontitis and inflammatory bowel disease: A systematic review and Meta-analysis
title_sort evaluation of the association between periodontitis and inflammatory bowel disease a systematic review and meta analysis
topic Inflammatory bowel diseases
Crohn disease
Colitis
Ulcerative
Periodontitis
url https://doi.org/10.1186/s12876-025-04181-7
work_keys_str_mv AT nargesnaghsh evaluationoftheassociationbetweenperiodontitisandinflammatoryboweldiseaseasystematicreviewandmetaanalysis
AT faezehkarimi evaluationoftheassociationbetweenperiodontitisandinflammatoryboweldiseaseasystematicreviewandmetaanalysis
AT moammadjavadtarrahi evaluationoftheassociationbetweenperiodontitisandinflammatoryboweldiseaseasystematicreviewandmetaanalysis
AT alirezarahimi evaluationoftheassociationbetweenperiodontitisandinflammatoryboweldiseaseasystematicreviewandmetaanalysis