Aortic & peripheral vascular disease

Periodontitis treatment and progression of carotid intima-media thickness: a randomized trial

Eur Heart JPublished Randomised controlled trial

Primary result · cIMTResult — go to the resultDifference −0.023 mm

Authors' conclusion

IPT led to favourable structural changes in the vascular phenotype, underscoring the impact of PD on cardiovascular health

Study context

Population
Consecutive, otherwise healthy participants with periodontitis
Participants
135 participants
Comparison
Intensive periodontal treatment vs control periodontal treatment
  • Intensive periodontal treatment (IPT)n = 68
  • Control periodontal treatment (CPT)n = 67reference
Primary endpoint
Carotid intima-media thickness (cIMT)
Follow-up
24 months
Methodological detailssingle-blind, single-centre
  • Single-blind
  • Single-centre

Primary result

cIMT

Difference

−0.023 mm

P < 0.0001

As reported in the abstract

Secondary outcomes

Flow-mediated dilatation (FMD) · from 2 months through study

Improved within 2 months with IPT and remained consistently higher than CPT
P < 0.0001

Anthropometric, BP, PWV, metabolomic markers

No substantial differences between groups

Glycoprotein acetyl

Reduced with IPT vs CPT
P < 0.05

Original publication

Periodontitis treatment and progression of carotid intima-media thickness: a randomized trial. Eur Heart J. Published 19 August 2025. doi:10.1093/eurheartj/ehaf555

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