The oral health status of patients with peripheral vascular disorders: A systematic review.
OBJECTIVES
Periodontal disease and tooth loss were found to be associated with several peripheral vascular disorders. Nonetheless, an evaluation of the literature on the broader domains of oral health in individuals with peripheral vascular disorders is lacking. This systematic review aims to collate the current evidence on the oral health status of individuals with peripheral vascular disorders.


METHODS
Five electronic databases were searched for studies assessing oral health parameters in individuals with peripheral vascular disorders. Outcome measures considered were periodontal health, dentition status, caries indices, oral prostheses, oral pathologies and oral hygiene behaviours. The Newcastle-Ottawa scale was used to appraise the quality of the studies.


RESULTS
From 3025 records identified, 24 studies involving 1232 participants with peripheral vascular disorders were included in this review. In nine studies, periodontitis was significantly more prevalent in peripheral vascular disorders compared to non-peripheral vascular disorders participants. A further six studies reported individuals with peripheral vascular disorders also had significantly fewer teeth and increased rates of edentulism. Only one study reported a higher incidence of dental caries in peripheral vascular disorders participants. Other aspects of oral health such as oral prosthesis, oral pathology and oral hygiene behaviours were seldom assessed.


CONCLUSIONS
The scarcity of studies reporting on broader domains limited our ability to arrive at a conclusion regarding the oral health status of individuals with peripheral vascular disorders. Future studies ought to assess these domains in individuals with peripheral vascular disorders and controls to gain a more complete understanding of oral health and its potential association with peripheral vascular disorders.
['Almoosawy|Sayed Abdulmotaleb|SA|https://orcid.org/0000-0002-9236-0470', 'McGowan|Mhairi|M|', 'Hijazi|Karolin|K|', 'Patey|Rona|R|', 'Bachoo|Paul|P|', 'Cherukara|George|G|']
D000368:Aged D000369:Aged, 80 and over D003731:Dental Caries D005260:Female D006304:Health Status D006801:Humans D015994:Incidence D008297:Male D008875:Middle Aged D009909:Oral Health D010510:Periodontal Diseases D016491:Peripheral Vascular Diseases D011379:Prognosis D018570:Risk Assessment D012307:Risk Factors D016388:Tooth Loss
oral health Vascular medicine peripheral vascular disease