Adiposity Measurements and Non‐Surgical Periodontal Therapy Outcomes

Bouaziz, Wiem; Davideau, Jean‐Luc; Tenenbaum, Howard C.; Huck, Olivier

doi:10.1902/jop.2015.140734

Cited by 25 publications

(40 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There were significant changes in mild (≤3 mm) and moderate (4-6 mm) PPD and CAL in both groups, whereas severe (>6 mm) PPD and CAL did not exhibit significant improvement at any time-point in either group. These findings are consistent with those of recent studies, which reported persistent residual periodontal pockets of >6 mm, even after NSPT, in obese participants (27,39). These data suggest that obesity compromises periodontal healing, especially in deep periodontal pockets.…”

Section: Discussionsupporting

confidence: 93%

Effect of nonsurgical periodontal treatment on clinical periodontal variables and salivary resistin levels in obese Asians

et al. 2017

View full text Add to dashboard Cite

This study investigated changes in periodontal outcomes after nonsurgical periodontal treatment (NSPT) and evaluated associations of change in salivary resistin level with periodontal outcomes in obese Malaysians with chronic periodontitis. Sixty-two obese adults with chronic periodontitis were randomly divided into a test group (n = 31), which received NSPT, and a control group (n = 31), which received no treatment. Plaque score (PS), gingival bleeding index (GBI), probing pocket depth (PPD), and clinical attachment loss (CAL) were measured at baseline and at 6 and 12 weeks after NSPT. Salivary resistin levels were evaluated by using an enzyme-linked immunosorbent assay. PS was significantly lower in patients who received NSPT than in the control group at 6 and 12 weeks (P < 0.05). In the NSPT group the percentages of sites with shallow and moderate pockets decreased significantly, but there was no significant change in deep pockets. Resistin levels significantly decreased after NSPT (P < 0.05). Change in salivary resistin level was not significantly associated with periodontal outcomes. In obese Malaysians, NSPT significantly improved PS and GBI, and improved PPD and CAL for shallow and moderately deep pockets but not for deep pockets. Salivary resistin level was not associated with improvement in either periodontal variable.

show abstract

Section: Discussionsupporting

confidence: 93%

Effect of nonsurgical periodontal treatment on clinical periodontal variables and salivary resistin levels in obese Asians

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Additional five titles [23–27] were identified by hand search but after full text analysis, all these articles had to be excluded based on the inclusion and exclusion criteria (Table 3). Therefore, eight publications [8, 28–34] from the electronic and hand search fulfilled the criteria. However, it was not possible to compare the raw data so that we had to reduce our analysis to a qualitative analysis.…”

Section: Resultsmentioning

confidence: 99%

“…Three investigations [28, 33, 34] defined the age ≥18 years. The other studies defined a minimum age of 30 years [31, 32] or 35 years [8].…”

Section: Resultsmentioning

confidence: 99%

“…Lakkis et al [33] and Eldin et al(30] did not mention the smoking status of the patients. All other studies [8, 28, 29, 31, 32] excluded smokers (Table 5). …”

Section: Resultsmentioning

confidence: 99%

“…sig. )Bouaziz et al 2015 [28]Total number of patients:36Normal-weight: 18Obese: 18Age:Range from 22 to 78Normal-weight: 51.00 (±13.1)Obese: 51.3 (±16.7)p-value: n. sig.Country:Francen.r.Normal-weight: 3.33 (±0.92) – 2.71 (±0.40) p -value: n. sig.Obese: 3.22 (±0.76) – 2.78 (±0.55) p -value: n. sig.Normal-weight: 3.33 (±0.92) 2.45 (±0.53) p -value < 0.05 Obese: 3.22 (±0.76) – 2.43 (±0.49) p -value < 0.05n.r.Summary of Multivariable AnalysisResults (Coefficient, 95 % Cl):△ %PD > 5mm after 3 months to obese(Model 2): p -value = 0.02 △ %PD > 5mm after 6 months to obese(Model 2): p -value = 0.005 Nb △PD > 2mm after 3 months to Obese(Model 2); p -value = 0.02 Nb △PD > 2mm after 6 months to Obese(Model 2); p -value = 0.06 (n.sig. )Duzagac et al 2015 [29]Total number of patients:45Normal weight patients with periodontitis (CPNW): 15Obese patients with periodontitis (CPO):15Normal weight periodontally healthy control subjects (PHNW): 15Age:Range from 28 to 52CPNW: 41.06 (±7.10)CPO: 40.66 (±7.98)PHNW: 39.66 (±6.53) p -value: n. sig.Country:Turkeyn.r.CPNW: 3.19 (±0.38) –2.51 – (±0.06) p -value = 0.001 CPO: 4.10 (±0.50) – 2.55 (±0.45) p -value = 0.001 n.r.n.r.Number of sites with PD < 4 mm:Baseline:CPO: 1706CPNW: 17663 months:CPO: 2214CPNW: 2206% of sites with PD < 4 mm:Baseline:CPO: 75.4CPNW: 77.93 months:CPO: 97.9CPNW: 97.3Similar clinical healing;(n.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Influence of obesity on the outcome of non-surgical periodontal therapy - a systematic review

et al. 2016

View full text Add to dashboard Cite

Background: Obesity and periodontitis are important chronic health problems. Obesity is associated with an increased prevalence of periodontitis. Whether obesity also affects the outcome of non-surgical periodontal therapy is to date still unclear. Methods: A systematic review of studies referenced in SCOPUS, MEDLINE, PubMed, Cochrane, CINAHL, Biosis and Web of Science was performed. Titles, abstracts and finally full texts were scrutinized for possible inclusion by two independent investigators. Quality and heterogeneity of the studies were assessed and the study designs were examined. Probing pocket depth reduction was analyzed as primary surrogate parameter for therapeutic success after non-surgical periodontal therapy. Results: One-hundred-and-fifty-nine potentially qualifying studies were screened. Eight studies fulfilled the inclusion criteria and were analyzed. Three of eight studies failed to show an influence of obesity on pocket depth reduction after non-surgical therapy. The remaining five studies documented a clear negative effect on the outcome of non-surgical periodontal therapy. The finally included studies did not correspond to the highest level of quality (RCTs). Due to the heterogeneity of the data a meta-analysis was not possible. Conclusion:The literature on the effect of obesity on the treatment outcome of non-surgical periodontal therapy remains controversial. The data, however, support that obesity is not only a factor associated with poorer periodontal health but might also result in inferior response to non-surgical treatment of periodontitis.

show abstract

Influence of psychological stress on non‐surgical periodontal treatment outcomes in patients with severe chronic periodontitis

Petit

Anadon-Rosinach

Rettig

et al. 2020

Journal of Periodontology

Self Cite

View full text Add to dashboard Cite

Background The aim of this study was to evaluate the influence of psychological stress on non‐surgical periodontal treatment (SRP) outcomes in patients with severe chronic periodontitis (stage 3/4 generalized periodontitis) at 6 months in the French population. Methods Patients diagnosed with severe generalized chronic periodontitis (periodontitis stage 3/4) were included in this study. At baseline, psychological status was evaluated by self‐administered questionnaire (Depression Anxiety Stress Scale 42 [DASS‐42] and Toulouse coping scale [TCS]). Plasma levels of cortisol and chromogranin‐A were determined. Patients were then managed by oral hygiene instructions, scaling and root planing of sites with PD >3 mm and followed at 3 and 6 months. Quantitative and qualitative variables were described and interactions were determined by linear and logistic regressions. Results Seventy‐one patients were included in this study and 54 were followed up to 6 months. An average probing depth (PD) reduction of 0.73 ± 0.11 mm and decrease of diseased sites (PD >3 mm) were measured at 6 months illustrating SRP efficacy. Multivariable analysis showed that increased DASS‐stress score was associated to worsened SRP outcomes in terms of bleeding on probing (BOP) (OR = 1.02, P <0.05) and mean PD (P <0.05) reduction. An increase of DASS‐depression score negatively influenced PD >5 mm (OR = 1.06, P <0.05), PD >7 mm (OR = 1.17, P <0.01), CAL >5 mm (OR = 1.03, P <0.05), and CAL >7 mm (OR = 1.07, P <0.05) reduction. Negative coping strategies were also associated with worsened SRP outcomes. Conclusions Patients with increased stress, anxiety, and depression scores as well as those exhibiting negative coping strategies demonstrate worsened SRP outcomes. DASS‐42 and TCS were useful to determine psychological status and their use could be incorporated to assess treatment prognosis.

show abstract

Adiposity Measurements and Non‐Surgical Periodontal Therapy Outcomes

Abstract: A negative association between adiposity measurements and periodontal treatment outcomes was observed mainly for moderate-to-deep pockets. Consideration of WHR and other influencing factors amplified the negative effect of obesity on periodontal treatment outcomes.

Cited by 25 publications

References 30 publications

Effect of nonsurgical periodontal treatment on clinical periodontal variables and salivary resistin levels in obese Asians

Effect of nonsurgical periodontal treatment on clinical periodontal variables and salivary resistin levels in obese Asians

Influence of obesity on the outcome of non-surgical periodontal therapy - a systematic review

Influence of psychological stress on non‐surgical periodontal treatment outcomes in patients with severe chronic periodontitis

Contact Info

Product

Resources

About