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Title:           Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report of the Joint Workshop by the European Federation of Periodontology (EFP) and the European arm of the World Organization of Family Doctors (WONCA Europe)
Subject:         J Clinic Periodontology 2023.50:819-841
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     Item: 
      Title: Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report o...
      Destination: atl_JCPE_13807_
      Children: 
       Item: 
        Title: 1  INTRODUCTION
        Destination: HeadingJCPE_13807jcpe13807-sec-0007
       Item: 
        Title: 2  CARDIOVASCULAR DISEASES AND PERIODONTITIS
        Destination: HeadingJCPE_13807jcpe13807-sec-0008
        Children: 
         Item: 
          Title: 2.1  Background
          Destination: HeadingJCPE_13807jcpe13807-sec-0009
          Children: 
           Item: 
            Title: 2.1.1  Cardiovascular diseases and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0010
           Item: 
            Title: 2.1.2  Consequences of CVDs and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0011
           Item: 
            Title: 2.1.3  Mechanisms underpinning the association between CVDs and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0012
           Item: 
            Title: 2.1.4  Outcomes from the 2019 EFP-WHF consensus workshop
            Destination: HeadingJCPE_13807jcpe13807-sec-0013
            Children: 
             Item: 
              Title: Epidemiology
              Destination: HeadingJCPE_13807jcpe13807-sec-0014
             Item: 
              Title: Intervention studies
              Destination: HeadingJCPE_13807jcpe13807-sec-0015
         Item: 
          Title: 2.2  Objectives of WONCA Europe-EFP Workshop on the association between CVDs and periodontitis
          Destination: HeadingJCPE_13807jcpe13807-sec-0016
         Item: 
          Title: 2.3  Summary of evidence and guidance
          Destination: HeadingJCPE_13807jcpe13807-sec-0017
          Children: 
           Item: 
            Title: 2.3.1  Should oral healthcare professionals participate in screening for CVD risk in patients in the dental practice?
            Destination: HeadingJCPE_13807jcpe13807-sec-0018
           Item: 
            Title: 2.3.2  Can treatment of periodontitis reduce the risk of adverse CVD events?
            Destination: HeadingJCPE_13807jcpe13807-sec-0019
           Item: 
            Title: 2.3.3  Can treatment of periodontitis reduce CVD risk as measured through surrogate markers?
            Destination: HeadingJCPE_13807jcpe13807-sec-0020
           Item: 
            Title: 2.3.4  Can treatment of periodontitis increase the risk of CVD events?
            Destination: HeadingJCPE_13807jcpe13807-sec-0021
           Item: 
            Title: 2.3.5  Is treatment of periodontitis safe in patients with CVDs?
            Destination: HeadingJCPE_13807jcpe13807-sec-0022
           Item: 
            Title: 2.3.6  Should family physicians screen for periodontal health in CVD patients?
            Destination: HeadingJCPE_13807jcpe13807-sec-0023
           Item: 
            Title: 2.3.7  Guidance for healthcare funders
            Destination: HeadingJCPE_13807jcpe13807-sec-0024
       Item: 
        Title: 3  DIABETES AND PERIODONTITIS
        Destination: HeadingJCPE_13807jcpe13807-sec-0025
        Children: 
         Item: 
          Title: 3.1  Background
          Destination: HeadingJCPE_13807jcpe13807-sec-0026
          Children: 
           Item: 
            Title: 3.1.1  Prevalence of type 2 diabetes and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0027
           Item: 
            Title: 3.1.2  Consequences of type 2 diabetes and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0028
           Item: 
            Title: 3.1.3  Mechanisms underpinning bidirectional relationship between type 2 diabetes and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0029
           Item: 
            Title: 3.1.4  Outcomes from 2017 EFP-IDF consensus Workshop
            Destination: HeadingJCPE_13807jcpe13807-sec-0030
         Item: 
          Title: 3.2  Objectives of WONCA Europe-EFP Workshop on the association between diabetes and periodontitis
          Destination: HeadingJCPE_13807jcpe13807-sec-0031
         Item: 
          Title: 3.3  Summary of evidence for the association between diabetes and periodontitis
          Destination: HeadingJCPE_13807jcpe13807-sec-0032
          Children: 
           Item: 
            Title: 3.3.1  Periodontitis-diabetes direction
            Destination: HeadingJCPE_13807jcpe13807-sec-0033
            Children: 
             Item: 
              Title: Do people with periodontitis have a greater risk of developing type 2 diabetes?
              Destination: HeadingJCPE_13807jcpe13807-sec-0034
             Item: 
              Title: Do people with periodontitis and diabetes experience greater complications related to diabetes?
              Destination: HeadingJCPE_13807jcpe13807-sec-0035
             Item: 
              Title: Should OHPs assess patients in the dental practice/office for diabetes risk?
              Destination: HeadingJCPE_13807jcpe13807-sec-0036
             Item: 
              Title: What is the optimal pathway for early case detection of diabetes in dental practice?
              Destination: HeadingJCPE_13807jcpe13807-sec-0037
             Item: 
              Title: Can treatment of periodontitis reduce HbA1C levels and complications in diabetes patients?
              Destination: HeadingJCPE_13807jcpe13807-sec-0038
           Item: 
            Title: 3.3.2  Diabetes-periodontitis direction
            Destination: HeadingJCPE_13807jcpe13807-sec-0039
            Children: 
             Item: 
              Title: Can diabetes control affect the progression of periodontitis and peri-implantitis?
              Destination: HeadingJCPE_13807jcpe13807-sec-0040
             Item: 
              Title: Can diabetes control affect the response to periodontal treatment?
              Destination: HeadingJCPE_13807jcpe13807-sec-0041
             Item: 
              Title: Should family doctors refer patients with pre-diabetes/NDH or type-2 diabetes for a comprehensive oral health assessment?
              Destination: HeadingJCPE_13807jcpe13807-sec-0042
             Item: 
              Title: What data is available on the return on financial investment of periodontal care for people with diabetes?
              Destination: HeadingJCPE_13807jcpe13807-sec-0043
         Item: 
          Title: 3.4  Guidance: Diabetes-periodontitis
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          Children: 
           Item: 
            Title: 3.4.1  General guidance
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           Item: 
            Title: 3.4.2  Guidance for oral healthcare professionals
            Destination: HeadingJCPE_13807jcpe13807-sec-0046
           Item: 
            Title: 3.4.3  Guidance for family doctors
            Destination: HeadingJCPE_13807jcpe13807-sec-0047
           Item: 
            Title: 3.4.4  Guidance for healthcare funders
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       Item: 
        Title: 4  RESPIRATORY DISEASES AND PERIODONTITIS
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        Children: 
         Item: 
          Title: 4.1  Background
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          Children: 
           Item: 
            Title: 4.1.1  Prevalence of respiratory diseases and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0051
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            Title: 4.1.2  Mechanisms underpinning the relationship between respiratory diseases and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0052
           Item: 
            Title: 4.1.3  Outcomes of the systematic review (Molina et al.,2023): Association studies
            Destination: HeadingJCPE_13807jcpe13807-sec-0053
            Children: 
             Item: 
              Title: COPD and periodontitis
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             Item: 
              Title: Asthma and periodontitis
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             Item: 
              Title: OSA and periodontitis
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             Item: 
              Title: CAP and periodontitis
              Destination: HeadingJCPE_13807jcpe13807-sec-0057
             Item: 
              Title: COVID-19 and periodontitis
              Destination: HeadingJCPE_13807jcpe13807-sec-0058
           Item: 
            Title: 4.1.4  Outcomes of the systematic review (Molina et al.,2023): Intervention studies
            Destination: HeadingJCPE_13807jcpe13807-sec-0059
         Item: 
          Title: 4.2  Objectives of the WONCA Europe-EFP Workshop on the association between respiratory diseases and periodontitis
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         Item: 
          Title: 4.3  Summary of evidence for the association between respiratory diseases and periodontitis
          Destination: HeadingJCPE_13807jcpe13807-sec-0061
          Children: 
           Item: 
            Title: 4.3.1  Chronic obstructive pulmonary disease and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0062
            Children: 
             Item: 
              Title: Do people with periodontitis have a greater risk of having/developing COPD?
              Destination: HeadingJCPE_13807jcpe13807-sec-0063
             Item: 
              Title: Do people with periodontitis and COPD experience greater complications of their COPD?
              Destination: HeadingJCPE_13807jcpe13807-sec-0064
             Item: 
              Title: Can the treatment of periodontitis improve lung function and reduce the incidence of complications in COPD patients?
              Destination: HeadingJCPE_13807jcpe13807-sec-0065
           Item: 
            Title: 4.3.2  Asthma and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0066
            Children: 
             Item: 
              Title: Do people with periodontitis have a greater risk of having/developing asthma?
              Destination: HeadingJCPE_13807jcpe13807-sec-0067
             Item: 
              Title: Do people with periodontitis and asthma experience greater complications of their asthma?
              Destination: HeadingJCPE_13807jcpe13807-sec-0068
             Item: 
              Title: Can the treatment of periodontitis reduce the incidence of complications in asthma patients?
              Destination: HeadingJCPE_13807jcpe13807-sec-0069
           Item: 
            Title: 4.3.3  Obstructive sleep apnea and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0070
            Children: 
             Item: 
              Title: Do people with periodontitis have a greater risk of having/developing OSA?
              Destination: HeadingJCPE_13807jcpe13807-sec-0071
             Item: 
              Title: Do people with periodontitis and OSA experience a more severe form of OSA?
              Destination: HeadingJCPE_13807jcpe13807-sec-0072
             Item: 
              Title: Can the treatment of periodontitis reduce the severity of OSA?
              Destination: HeadingJCPE_13807jcpe13807-sec-0073
           Item: 
            Title: 4.3.4  Community-acquired pneumonia and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0074
            Children: 
             Item: 
              Title: Do people with periodontitis have a greater risk of suffering/developing CAP?
              Destination: HeadingJCPE_13807jcpe13807-sec-0075
             Item: 
              Title: Do people with periodontitis and CAP experience greater complications of their pneumonia?
              Destination: HeadingJCPE_13807jcpe13807-sec-0076
             Item: 
              Title: Can the treatment of periodontitis reduce the incidence of CAP or CAP-related complications?
              Destination: HeadingJCPE_13807jcpe13807-sec-0077
           Item: 
            Title: 4.3.5  COVID-19 and periodontitis
            Destination: HeadingJCPE_13807jcpe13807-sec-0078
            Children: 
             Item: 
              Title: Do people with periodontitis have a greater risk of suffering more severe forms of COVID-19?
              Destination: HeadingJCPE_13807jcpe13807-sec-0079
             Item: 
              Title: Can the treatment of periodontitis reduce COVID-19 severity and its complications?
              Destination: HeadingJCPE_13807jcpe13807-sec-0080
         Item: 
          Title: 4.4  Guidance: Respiratory diseases-periodontitis
          Destination: HeadingJCPE_13807jcpe13807-sec-0081
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           Item: 
            Title: 4.4.1  Guidance for family doctors: should family doctors refer patients with respiratory diseases for a comprehensive oral...
            Destination: HeadingJCPE_13807jcpe13807-sec-0082
           Item: 
            Title: 4.4.2  Guidance for family doctors and OHPs: should family doctors and OHPs provide patients with respiratory diseases with...
            Destination: HeadingJCPE_13807jcpe13807-sec-0083
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             Item: 
              Title: Chronic obstructive pulmonary disease (COPD) patients
              Destination: HeadingJCPE_13807jcpe13807-sec-0084
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              Title: Asthma patients
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             Item: 
              Title: Obstructive sleep apnea patients
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             Item: 
              Title: Patients with a history of community-acquired pneumonia
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             Item: 
              Title: Patients with COVID-19, or with a history of severe COVID-19
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              Title: The role of family doctors and oral health professionals in controlling COVID-19 in primary care and dental care settings
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           Item: 
            Title: 4.4.3  Guidance for healthcare funders
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       Item: 
        Title: ACKNOWLEDGEMENTS
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       Item: 
        Title: ETHICS STATEMENT
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        Children: 
         Item: 
          Title: DATA AVAILABILITY STATEMENT
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       Item: 
        Title: REFERENCES
        Destination: HeadingJCPE_13807jcpe13807-bibl-00011
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