Clinical practice guidelines and consensus statements integrating periodontal disease into cardiology, diabetes care and dementia: A scoping review and gap analysis

Espada-Salgado F.M.; Stefanescu S.V.; Iuga M.M. · Medicina Oral Patologia Oral y Cirugia Bucal (2026) · DOI: 10.4317/medoral.27981

Resumen

Background: Periodontal disease (PD) is a prevalent chronic inflammatory condition linked to cardiovascular dis-ease, diabetes mellitus and dementia, yet it is unclear how far medical specialty guidelines translate this evidence into concrete recommendations for assessment, referral and shared care. Objective: To map clinical practice guidelines, consensus statements and position papers that contain explicit, action-able recommendations on PD within major medical specialties. Material and Methods: A scoping review was conducted following Joanna Briggs Institute guidance and reported according to PRISMA-ScR. PubMed/MEDLINE, Scopus, Web of Science Core Collection and LILACS were searched from 2005 to 2025 using MeSH/DeCS and free-text terms for periodontal disease, guideline documents and target specialties. Records were de-duplicated, screened in Rayyan by two independent reviewers and included if they were peer-reviewed or professionally endorsed guidance for adults that contained explicit periodontal recommendations. Data were charted in a standardized matrix and synthesized descriptively by specialty. Results: The search yielded a small corpus of eligible documents. Operational recommendations were concentrated in diabetes-periodontitis statements, with fewer detailed pathways in cardiovascular and dementia care and very lim-ited or absent guidance in obstetrics/gynecology and rheumatology. Across documents, PD was framed as a modifiable risk or complication, but periodontal definitions, screening intervals and division of responsibilities between medical and dental providers were heterogeneous or poorly specified. Conclusions: Few medical specialty guidelines formally integrate PD into chronic disease care. Harmonized, multi-disciplinary guidance with standardized definitions, clear referral criteria and shared follow-up schedules is needed to embed periodontal health within noncommunicable disease management. © Medicina Oral S. L. C.I.F. B 96689336.

Instituciones: Universidad Privada de Tacna