Online data supplement Table ST1. Papers excluded for clearly not fulfilling the inclusion criteria (n=21). Study Reason for exclusion Imamura et al., Archives of Oral Biology, 2002 Animal study Jacobs et al., Ann N Y Acad Sci, 2007 Non pertinent to the review questions Vieira et al., Atherosclerosis, 2009 Conference abstract Viera et al., Atherosclerosis Supplements, 2009 Conference abstract Amar et al., Society of Hypertension, 2010 Conference abstract Puhar et al., Cerebrovascular Diseases, 2011 Conference abstract Skilton et al., BMC Public Health, 2011 Study protocol Tsioufis et al., Atherosclerosis, 2011 Non pertinent to the review questions 16th Meeting of the European Society of Neurosonology and Conference abstract Cerebral Hemodynamics, 2011 Dong et al., Sichuan Da Xue Xue Bao Yi Xue Ban, 2012 Animal study and Chinese language Ng et al., Nephrology Dialysis Transplantation, 2012 Conference abstract Puhar et al., Acta Clin Croat, 2012 Case report Zahnd et al., Ultrasound Med Biol, 2012 Calculation of PWV only for test group Carallo et al., J Clin Periodontol 2013 No calculation of PWV Hayashida et al., Atherosclerosis, 2013 No calculation of PWV Lieber et al., Journal of Clinical Hypertension, 2013 Conference abstract Shanker et al., J Thrombosis and Haemostasis, 2013 Conference abstract Stringer et al., BMC Nephrology, 2013 Non pertinent to the review questions White et al., J Clin Sleep Med, 2013 Non pertinent to the review questions Kapellas et al., Global Heart, 2014 Conference abstract Lysek et al., European Journal of Heart Failure 2014 Conference abstract Table ST2. Risk of bias for randomized clinical trials based on the Cochrane Handbook for Systematic Reviews of Interventions. The study quality was assessed on 7 criteria as adequate (+), non adequate (-), or unclear (?). Study Criteria (Kapellas et al., 2014) Adequate random sequence generation (selection bias) + Allocation concealment (selection bias) + Blinding of participant and personnel (performance bias) - Blinding of outcome assessment (detection bias) + Incomplete outcome data (attrition bias) - Selective reporting (reporting bias) + Other sources of bias ? RISK of BIAS Low 2 Table ST3. Risk of bias for non-randomized clinical trials, cohort studies, case-series based on the Newcastle-Ottawa Scale. The study quality was assessed on nine items categorized into three main dimensions including selection, comparability, and outcome/exposure. For each item a series of response options is provided and a star system is used to allow a semi-quantitative assessment of study quality. A maximum of 9 stars can be assigned to the highest quality. Studies awarded with 6 stars or more are considered at low risk of bias. 3 References Franek, E., Januszkiewicz-Caulier, J., Blach, A., Napora, M., Jedynasty, K., Budlewski, T., Gozdowski, D. & Gorska, R. (2012) Intima-media thickness and other markers of atherosclerosis in patients with type 2 diabetes and periodontal disease. Kardiologia polska 70, 7-13. Franek, E., Klamczynska, E., Ganowicz, E., Blach, A., Budlewski, T. & Gorska, R. (2009) Association of chronic periodontitis with left ventricular mass and central blood pressure in treated patients with essential hypertension. American journal of hypertension 22, 203-207. doi:10.1038/ajh.2008.330. Hanaoka, Y., Soejima, H., Yasuda, O., Nakayama, H., Nagata, M., Matsuo, K., Shinohara, M., Izumi, Y. & Ogawa, H. (2013) Level of serum antibody against a periodontal pathogen is associated with atherosclerosis and hypertension. Hypertension research : official journal of the Japanese Society of Hypertension 36, 829-833. doi:10.1038/hr.2013.46. Jockel-Schneider, Y., Harks, I., Haubitz, I., Fickl, S., Eigenthaler, M., Schlagenhauf, U. & Baulmann, J. (2014) Arterial stiffness and pulse wave reflection are increased in patients suffering from severe periodontitis. PloS one 9, e103449. doi:10.1371/journal.pone.0103449. Kapellas, K., Maple-Brown, L. J., Jamieson, L. M., Do, L. G., O'Dea, K., Brown, A., Cai, T. Y., Anstey, N. M., Sullivan, D. R., Wang, H., Celermajer, D. S., Slade, G. D. & Skilton, M. R. (2014) Effect of periodontal therapy on arterial structure and function among aboriginal australians: a randomized, controlled trial. Hypertension 64, 702-708. doi:10.1161/HYPERTENSIONAHA.114.03359. Miyaki, K., Masaki, K., Naito, M., Naito, T., Hoshi, K., Hara, A., Tohyama, S. & Nakayama, T. (2006) Periodontal disease and atherosclerosis from the viewpoint of the relationship between community periodontal index of treatment needs and brachial-ankle pulse wave velocity. BMC public health 6, 131. doi:10.1186/1471-2458-6-131. Shanker, J., Setty, P., Arvind, P., Nair, J., Bhasker, D., Balakrishna, G. & Kakkar, V. V. (2013) Relationship between periodontal disease, Porphyromonas gingivalis, peripheral vascular resistance markers and coronary artery disease in Asian Indians. Thrombosis research 132, e8-14. doi:10.1016/j.thromres.2013.04.023. Vidal, F., Cordovil, I., Figueredo, C. M. & Fischer, R. G. (2013) Non-surgical periodontal treatment reduces cardiovascular risk in refractory hypertensive patients: a pilot study. Journal of clinical periodontology 40, 681-687. doi:10.1111/jcpe.12110. Vieira, C. L., Cury, P. R., Miname, M. H., Martinez, L. R., Bortolotto, L. A., Giuliano, I. B., Santos, R. D. & Caramelli, B. (2011) Severe periodontitis is associated with diastolic blood pressure elevation in individuals with heterozygous familial hypercholesterolemia: a pilot study. Journal of periodontology 82, 683-688. doi:10.1902/jop.2010.100496. 4