Abstract:Introduction: Obesity is associated with greater utilization of medical resources, but it is unclear if a similar relationship exists for dental care. Objectives: This retrospective cohort study compared periodontal disease treatment among obese, overweight, and normal-weight patients attending an urban US dental school clinic. Methods: Periodontal, demographic, and medical history data for 3,443 adult patients examined between July 1, 2010, and July 31, 2019, were extracted from electronic health records. Bod… Show more
“…As the global burden of obesity and periodontitis is continuously increasing, the management of these inflammatory diseases has become increasingly important. Obese subjects with periodontitis may benefit from different therapeutic options, ranging from surgical procedures such as bariatric surgery, to more conservative procedures such as antimicrobial photodynamic therapy and nonsurgical periodontal treatment 29 . The aim of these therapeutic procedures has the same common goal which is reflected in the decrease of periodontal clinical parameters and inflammatory and destruction biomarkers in different oral fluids such as saliva, blood serum and gingival crevicular fluid, however, the health care costs are higher and the improvement is inferior compared to non-obese subjects 30 .…”
Objective: This systematic review aimed to investigate the changes in the composition of the subgingival microbiota among subjects with normo-weight, overweight and obesity, in conditions of periodontal health and disease. Materials and Methods: The protocol for this study was designed following PRISMA guidelines. Records were identified using different search engines (PubMed/MedLine, Scopus and Web of Science). Observational studies, in human subjects diagnosed with obesity (BMI >30kg/m2) and periodontal disease (gingivitis and periodontitis), on the analysis of subgingival microbiota were selected. Eight articles were included. Results: The subgingival microbiota of 1,229 subjects (n=894 exposure group and n=335 control group) was analyzed. Periodontal pathogens were the most common bacteria detected in subjects with obesity and periodontitis (Porphyromonas gingivalis, Tannerella forsythia, Campylobacter gracilis, Eubacterium nodatum, Fusobacterium nucleatum spp. vincentii, Parvimonas micra, Prevotella intermedia, Campylobacter rectus, and Aggregatibacter actinomycetemcomitans), as along with some accessory pathogens such as: Streptococcus gordonii, and Veillonella parvula that favor the virulence of late colonizers. Conclusions: Although there are evident alterations in the composition of the subgingival microbiota in subjects with obesity and periodontitis, it is still a challenge to identify a specific pattern of microbiota in these subjects. If associations between subgingival plaque microorganisms and obesity are confirmed, microbiome analysis could be a useful tool to improve preventive measures and the management of people with obesity.
“…As the global burden of obesity and periodontitis is continuously increasing, the management of these inflammatory diseases has become increasingly important. Obese subjects with periodontitis may benefit from different therapeutic options, ranging from surgical procedures such as bariatric surgery, to more conservative procedures such as antimicrobial photodynamic therapy and nonsurgical periodontal treatment 29 . The aim of these therapeutic procedures has the same common goal which is reflected in the decrease of periodontal clinical parameters and inflammatory and destruction biomarkers in different oral fluids such as saliva, blood serum and gingival crevicular fluid, however, the health care costs are higher and the improvement is inferior compared to non-obese subjects 30 .…”
Objective: This systematic review aimed to investigate the changes in the composition of the subgingival microbiota among subjects with normo-weight, overweight and obesity, in conditions of periodontal health and disease. Materials and Methods: The protocol for this study was designed following PRISMA guidelines. Records were identified using different search engines (PubMed/MedLine, Scopus and Web of Science). Observational studies, in human subjects diagnosed with obesity (BMI >30kg/m2) and periodontal disease (gingivitis and periodontitis), on the analysis of subgingival microbiota were selected. Eight articles were included. Results: The subgingival microbiota of 1,229 subjects (n=894 exposure group and n=335 control group) was analyzed. Periodontal pathogens were the most common bacteria detected in subjects with obesity and periodontitis (Porphyromonas gingivalis, Tannerella forsythia, Campylobacter gracilis, Eubacterium nodatum, Fusobacterium nucleatum spp. vincentii, Parvimonas micra, Prevotella intermedia, Campylobacter rectus, and Aggregatibacter actinomycetemcomitans), as along with some accessory pathogens such as: Streptococcus gordonii, and Veillonella parvula that favor the virulence of late colonizers. Conclusions: Although there are evident alterations in the composition of the subgingival microbiota in subjects with obesity and periodontitis, it is still a challenge to identify a specific pattern of microbiota in these subjects. If associations between subgingival plaque microorganisms and obesity are confirmed, microbiome analysis could be a useful tool to improve preventive measures and the management of people with obesity.
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