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Over the past 20\u2003years, however, a plethora of epidemiological, mechanistic and treatment studies have highlighted that this silo approach to oral and systemic diseases can no longer be sustained. While a number of systemic diseases have been linked to oral diseases, the weight of evidence from numerous studies conducted over this period, together with several systematic reviews and meta\u2010analyses, supports an association between periodontitis and cardiovascular disease, and between periodontitis and diabetes. The association has also been supported by a number of biologically plausible mechanisms, including direct infection, systemic inflammation and molecular mimicry. Treatment studies have shown that periodontal treatment may have a small, but significant, systemic effect both on endothelial function and on glycemic control. Despite this, however, there is no direct evidence that periodontal treatment affects either cardiovascular or diabetic events. Nevertheless, over the past 20\u2003years we have learnt that the mouth is an integral part of the body and that the medical and dental professions need to work more closely together in the provision of overall health care for all patients.<\/jats:p>","DOI":"10.1111\/prd.12007","type":"journal-article","created":{"date-parts":[[2013,4,11]],"date-time":"2013-04-11T09:13:59Z","timestamp":1365671639000},"page":"271-286","source":"Crossref","is-referenced-by-count":190,"title":["Periodontal disease and systemic illness: will the evidence ever be enough?"],"prefix":"10.1111","volume":"62","author":[{"given":"Mary P.","family":"Cullinan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory 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