“…Obesity is a chronic inflammatory condition with worldwide prevalence, and numerous studies have described the impact of obesity in the pathophysiology of periodontal disease. Studies have reported that obesity is associated with greater prevalence and severity of disease aaa(Gorman, Kaye, Apovian, et al., ; Gorman, Kaye, Nunn, & Garcia, ; Jimenez, Hu, Marino, Li, & Joshipura, ; Linden, Patterson, Evans, & Kee, ), while mechanistic studies have revealed that macrophages exposed to a hyperlipidemic environment display altered functional capacity including reduced infiltration, activation and phagocytic capacity (Huang et al., ), defective oxidative burst (Lee et al., ; Mancuso et al., ) and decreased macrophage cytokine production (Chu et al., ; Doxey et al., ).…”