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024 7 _ |a 10.1002/alz.12378
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100 1 _ |a Schwahn, Christian
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245 _ _ |a Effect of periodontal treatment on preclinical Alzheimer's disease-Results of a trial emulation approach.
260 _ _ |a Hoboken, NJ
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520 _ _ |a We investigated the relationship between periodontal treatment and pre-clinical Alzheimer's disease (AD).In this quasi-experimental design, 177 periodontally treated patients from the 'Greifswald Approach to Individualized Medicine' cohort, which used the same protocols as the population-based Study of Health in Pomerania TREND (SHIP-TREND), and 409 untreated subjects from SHIP-TREND were analyzed. Subjects were younger than 60 years at the magnetic resonance imaging examination, with a median observation period of 7.3 years. Imaging markers for brain atrophy in late-onset AD and brain aging were used as the outcomes.Robust to sensitivity analyses, periodontal treatment had a favorable effect on AD-related brain atrophy (-0.41; 95% confidence interval: -0.70 to -0.12; P = .0051), which corresponds to a shift from the 50th to the 37th percentile of the outcome distribution. For brain aging, the treatment effect was uncertain.Periodontitis is related to pre-clinical AD in our population.
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650 _ 7 |a Alzheimer's disease
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650 _ 7 |a aging
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650 _ 7 |a epidemiology
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650 _ 7 |a magnetic resonance imaging
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650 _ 7 |a periodontal diseases
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650 _ 2 |a Adult
|2 MeSH
650 _ 2 |a Aging: pathology
|2 MeSH
650 _ 2 |a Alzheimer Disease: pathology
|2 MeSH
650 _ 2 |a Atrophy: pathology
|2 MeSH
650 _ 2 |a Brain: pathology
|2 MeSH
650 _ 2 |a Cohort Studies
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650 _ 2 |a Female
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650 _ 2 |a Germany: epidemiology
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650 _ 2 |a Humans
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650 _ 2 |a Longitudinal Studies
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650 _ 2 |a Magnetic Resonance Imaging
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650 _ 2 |a Male
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650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Periodontal Diseases: epidemiology
|2 MeSH
650 _ 2 |a Prodromal Symptoms
|2 MeSH
650 _ 2 |a Risk Factors
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700 1 _ |a Frenzel, Stefan
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700 1 _ |a Holtfreter, Birte
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700 1 _ |a Van der Auwera, Sandra
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700 1 _ |a Pink, Christiane
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700 1 _ |a Bülow, Robin
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700 1 _ |a Friedrich, Nele
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700 1 _ |a Völzke, Henry
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700 1 _ |a Biffar, Reiner
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700 1 _ |a Kocher, Thomas
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700 1 _ |a Grabe, Hans Jörgen
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700 1 _ |a Initiative, Alzheimer's Disease Neuroimaging
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773 _ _ |a 10.1002/alz.12378
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856 4 _ |u https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.12378
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