The first study regarding the relationship between liver disease and periodontal disease was conducted in Japan by Furuta et al., reporting that having periodontitis was significantly associated with elevated serum alanine aminotransferase (ALT) levels in 2225 non-smoking male university students (OR = 2.3, 95% CI = 1.0–5.2) [34]. Here, GPT is linked to periodontal disorder.