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Dietary therapy and non-surgical periodontal treatment in obese patients with chronic periodontitis.
Martinez-Herrera, Mayte; López-Domènech, Sandra; Silvestre, Francisco Javier; Silvestre-Rangil, Javier; Bañuls, Celia; Hernández-Mijares, Antonio; Rocha, Milagros.
Afiliación
  • Martinez-Herrera M; Service of Stomatology, University Hospital Doctor Peset-FISABIO, Valencia, Spain.
  • López-Domènech S; Department of Stomatology, University of Valencia, Valencia, Spain.
  • Silvestre FJ; Service of Endocrinology and Nutrition, University Hospital Doctor Peset-FISABIO, Valencia, Spain.
  • Silvestre-Rangil J; Service of Stomatology, University Hospital Doctor Peset-FISABIO, Valencia, Spain.
  • Bañuls C; Department of Stomatology, University of Valencia, Valencia, Spain.
  • Hernández-Mijares A; Department of Stomatology, University of Valencia, Valencia, Spain.
  • Rocha M; Service of Endocrinology and Nutrition, University Hospital Doctor Peset-FISABIO, Valencia, Spain.
J Clin Periodontol ; 45(12): 1448-1457, 2018 12.
Article en En | MEDLINE | ID: mdl-30362611
AIM: The effect of dietary weight loss intervention on periodontal therapy is unknown. Therefore, we aimed to evaluate whether weight loss improves the response of obese subjects to non-surgical periodontal treatment. MATERIALS AND METHODS: This interventional study in obese patients was conducted at the University Hospital Dr. Peset (Valencia, Spain). Patients were divided into two groups with and without dietary therapy. All participants received non-surgical periodontal treatment. Periodontal, anthropometric and biochemical parameters were assessed at baseline and 12 weeks. RESULTS: A total of 78 patients were re-evaluated after intervention. All periodontal parameters improved in both groups after periodontal treatment, but the reductions in mean probing depth (PD) (0.23 mm vs. 0.12 mm) and in percentage of sites with PD 4-5 mm (10.4% vs. 5.89%) were significantly higher in the dietary group. Additionally, complement component 3 (C3) and tumour necrosis factor alpha (TNFα) decreased in the dietary group after intervention. Percentage of change in mean PD correlated with change in C3 (r = 0.233, p = 0.043), and percentage of change in sites with PD 4-5 mm correlated with change in TNFα (r = 0.414, p = 0.012). CONCLUSIONS: This study suggests that dietary weight loss intervention causes a greater reduction in systemic inflammation, which may enhance the response to periodontal treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Periodontitis Crónica Límite: Humans País/Región como asunto: Europa Idioma: En Revista: J Clin Periodontol Año: 2018 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Periodontitis Crónica Límite: Humans País/Región como asunto: Europa Idioma: En Revista: J Clin Periodontol Año: 2018 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos