Evidence mapPaperPMID 42516487Full record

ReviewCureus2026

The Oral Cavity as a Window to Systemic Disease: Diagnostic Clues and Pre-treatment Dental Management for Interdisciplinary Trainees.

Lina Sarbeland, Mohammad Yousuf Sultani, Nilab Afzalzada, Fraidoon Latifi, Samira Ali, Maryam Muradi, Abdul Hamid Elmyar, Mohammad Ibrahim Sultani, Tamanna Yousofi, Mursal Sharify and 3 more

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Lina SarbelandMedicine, Aria University, Mazar-i-Sharif, AFG.
Mohammad Yousuf SultaniDentistry, Stomatology National and Teaching Hospital, Kabul, AFG.
Nilab AfzalzadaMedicine, Khatam Al-Nabieen University, Kabul, AFG.
Fraidoon LatifiPsychiatry, Balkh University, Mazar-i-Sharif, AFG.
Samira AliObstetrics and Gynecology, Isteqlal Hospital, Kabul, AFG.
Maryam MuradiMedicine, Aria University, Mazar-i-Sharif, AFG.
Abdul Hamid ElmyarPublic Health, Kabul University of Medical Sciences "Abu Ali Ibn Sina", Kabul, AFG.
Mohammad Ibrahim SultaniMedicine, Ankara Yıldırım Beyazıt University, Ankara, TUR.
Tamanna YousofiMedicine, Herat University, Herat, AFG.
Mursal SharifyMedicine, Cheragh Medical University, Kabul, AFG.
Rateba Kamran QadiriMedicine, Balkh University, Mazar-i-Sharif, AFG.
Nella Naziri SarirObstetrics and Gynecology, Khair Khana 102-Bed Hospital, Kabul, AFG.
Humaira Sadat SultanyMedicine, Kabul University of Medical Sciences "Abu Ali Ibn Sina", Kabul, AFG.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The oral cavity frequently harbors the earliest clinical manifestations of systemic diseases, yet a persistent knowledge gap exists between dental and medical training programs regarding oral-systemic correlations. Simultaneously, pre-treatment dental evaluation before oncologic therapy and cardiac surgery remains an underutilized step that, when omitted, can lead to osteoradionecrosis, infective endocarditis, treatment delays, and increased morbidity. This narrative review aimed to catalog oral diagnostic clues, organized by organ system, and to synthesize current pre-treatment dental protocols for oncologic and cardiac surgical patients, targeting interdisciplinary trainees in dentistry and internal medicine. A literature search was conducted across PubMed/MEDLINE, Scopus, Web of Science, and the Cochrane Library. Clinical studies, systematic reviews, guidelines, and consensus statements published between 2000 and 2025 were included. Oral lesions may precede systemic symptoms in conditions including pemphigus vulgaris, Crohn's disease, leukemia, and Addison's disease. The bidirectional relationship between periodontitis and diabetes mellitus is supported by evidence demonstrating increased rates of type 2 diabetes among affected individuals. Current pre-treatment dental protocols endorsed by major professional organizations recommend comprehensive oral evaluation, elimination of active infection, and defined healing intervals before radiation therapy. Integrating oral examination into systemic disease screening and embedding standardized dental evaluation into oncologic and cardiac surgical pathways may improve early diagnosis, reduce complications, and enhance patient outcomes. Interdisciplinary education and standardized medical-dental consultation templates remain important priorities.

Indexed as

dental clearanceinfective endocarditisinterdisciplinary educationmronjnarrative revieworal manifestationsosteoradionecrosissystemic disease

Identifiers

PMID42516487
PMCPMC13404506

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.