Clinical and microbiological evaluation of non-surgical periodontal therapy in obese and non-obese individuals with periodontitis: a 9-month prospective longitudinal study

J Appl Oral Sci. 2020:28:e20190694. doi: 10.1590/1678-7757-2019-0694. Epub 2020 May 18.

Abstract

Objective Obesity is a chronic disease that negatively affects an individual's general and oral health. The present study aimed to compare the clinical and microbiological effects of non-surgical periodontal therapy with the full mouth disinfection (FMD) protocol on obese and non-obese individuals at 9 months post-therapy. Methodology This clinical study was first submitted and approved by the Ethics Committee. Fifty-five obese patients and 39 non-obese patients with periodontitis were evaluated. The full-mouth periodontal clinical parameters, clinical attachment level (CAL), probing depth (PD), gingival index (GI), and plaque index (PI), were monitored at baseline, 3, 6, and 9 months after periodontal treatment with full mouth disinfection (FMD) protocol. The mean count of Tannerella forsythia , Porphyromonas gingivalis , Treponema Denticola , and Aggregatibacter actinomycetemcomitans was determined by quantitative polymerase chain reaction on subgingival biofilm samples. Demographic data were assessed by Chi-square test. For clinical and microbiological parameters, two-factor repeated-measures ANOVA was used. Results In both groups, periodontal therapy using the one-stage full-mouth disinfection protocol significantly improved CAL, PD, GI, and PI (p<0.05). Obese and non-obese patients equally responded to non-surgical periodontal therapy (p>0.05). Microbial count found no major differences (p>0.05) between obese and non-obese individuals who had undergone non-surgical periodontal therapy. Conclusions Obesity did not affect the clinical and microbiological outcomes of non-surgical periodontal therapy.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aggregatibacter actinomycetemcomitans / isolation & purification
  • Analysis of Variance
  • Anthropometry
  • Dental Plaque Index
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Obesity / microbiology*
  • Obesity / physiopathology
  • Periodontal Index
  • Periodontitis / microbiology*
  • Periodontitis / therapy*
  • Porphyromonas gingivalis / isolation & purification
  • Prospective Studies
  • Risk Factors
  • Statistics, Nonparametric
  • Tannerella forsythia / isolation & purification
  • Time Factors
  • Treatment Outcome
  • Treponema denticola / isolation & purification