Is nutritional intervention an improvement factor in the management of periodontitis? A systematic review

Né, Yago Gecy de Sousa; Martins, Beatriz Voss; Castro, Micaele Maria Lopes; Alvarenga, María Olimpia Paz; Fagundes, Nathália Carolina Fernandes; Magno, Marcela Baraúna; Maia, Lucianne Cople; Lima, Rafael Rodrigues

doi:10.1016/j.clnu.2019.12.016

Cited by 10 publications

(6 citation statements)

References 32 publications

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“…Dietary and nutritional interventions have a favourable effect on periodontal therapy outcomes and have gradually become essential tools for regulating host immunity to prevent periodontitis (Kaye, 2012; Né et al, 2019). In a study on experimental gingivitis, the participants lived under Stone Age conditions (e.g.…”

Section: Discussionmentioning

confidence: 99%

Dietary inflammatory potential is associated with poor periodontal health: A population‐based study

Chen

Schuller

et al. 2021

J Clinic Periodontology

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Aim To investigate the association between dietary inflammatory potential and poor periodontal health. Material and Methods A cross‐sectional analysis of a nationally representative sample of participants was performed. NHANES 2011–2014 (n = 7081) and NHANES 2001–2004 (n = 5098) were used as discovery and validation datasets, respectively. The energy‐adjusted dietary inflammatory index (E‐DII) score was calculated for each participant based on 24‐h dietary recalls to assess diet‐associated inflammation. Periodontitis was defined by the CDC/AAP using clinical periodontal parameters. Natural cubic spline was applied to identify any non‐linear associations of the E‐DII score with moderate/severe periodontitis. Furthermore, interaction analyses were performed by age, gender, and race/ethnicity to explore the moderating roles of these factors. Results In the discovery dataset, a non‐linear positive relationship with periodontitis was identified for the E‐DII score (pnon‐linearity < .001) after adjustment for potential confounders. Compared with those individuals in the lowest tertile of E‐DII, participants in the highest tertile who consumed a pro‐inflammatory diet were 53% more likely to be periodontitis (OR tertile3vs1 = 1.53, 95% CI: 1.33–1.77). The validation dataset showed similar associations. Relatively stronger associations were seen in older adults and males. Conclusion Consuming a pro‐inflammatory diet indicated by the E‐DII score is associated with periodontal disease in the U.S. general adult population.

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Section: Discussionmentioning

confidence: 99%

Dietary inflammatory potential is associated with poor periodontal health: A population‐based study

Chen

Schuller

et al. 2021

J Clinic Periodontology

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“…However, a more specific search term might be difficult because every single micronutrient, polyphenol, or phytochemical would be necessary. Another systematic review on the same topic included only four articles [ 87 ] with two non-randomized trials and a study by Javid et al [ 88 ], which lacked complete data on the periodontal examination parameters. For this reason, we excluded this study.…”

Section: Discussionmentioning

confidence: 99%

Dietary and Nutraceutical Interventions as an Adjunct to Non-Surgical Periodontal Therapy—A Systematic Review

et al. 2023

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The aim of this study was to conduct a systematic literature review on the influence of dietary and nutraceutical interventions as an adjunct to non-surgical periodontal therapy (NSPT). A literature search for randomized, controlled clinical trials (RCTs) was performed in PubMed, the Cochrane Library, and the Web of Science. Trial inclusion criteria included the application of a defined nutritional intervention (food, beverages, or supplements) adjunctive to NSPT compared to NSPT alone with at least one measured periodontal parameter (pocket probing depths (PPD) or clinical attachment level (CAL)). Of 462 search results, 20 clinical trials relating to periodontitis and nutritional interventions were identified, of which, in total, 14 studies could be included. Eleven studies examined supplements containing lycopene, folate, chicory extract, juice powder, micronutrients and plant extracts, omega-3 fatty acids, vitamin E, or vitamin D. Three studies examined food-based interventions (kiwifruit, green or oolong tea). Due to limited information on within-group differences in the studies, results were descriptively analyzed. A significant positive effect on periodontal parameters (PPD, bleeding on probing) was found for vitamin E, chicory extract, juice powder, green tea, and oolong tea. Heterogeneous effects were found for lycopene, folate, omega-3 fatty acids, and vitamin D. No effects on PPD were found for adjunct kiwifruit (in combination with NSPT). Risk of bias via RoB2 revealed a low risk of bias with some concerns. There was a high heterogeneity in the type of nutritional interventions. The adjunctive use of various supplements and green/oolong tea led to positive and significant effects of the nutritional interventions on clinical periodontal outcome parameters. In the context of non-surgical periodontal therapy, an adjunctive intake of micronutrients, omega-3 fatty acids, green/oolong tea, and polyphenols and flavonoids could be beneficial. Long-term clinical studies with full data reports (especially within-group differences) are needed for conducting a meta-analysis.

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“…With a lifestyle change from a nomad to a settled life, the food pattern of Avars switched from primarily meat and dairy products toward a carbohydrate‐rich nutrition, which was probably lacking proteins, minerals, and vitamins 44,45 . Nowadays, an optimized, anti‐inflammatory diet (eg, low intake of carbohydrates and animal proteins, but high intake of omega‐3 fatty acids, vitamin C and D, antioxidants, plant nitrates, and fibers) is described as having positive effects on gingivitis and partly also on periodontitis 46,47 . Hence, a diet rich in carbohydrates and low in vitamins supposedly had the opposite effect and therefore might have contributed to the inferior oral health status of this historical population.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and severity of periodontal disease in a historical Austrian population

Bertl

Tangl

Rybaczek

et al. 2020

J of Periodontal Research

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Is nutritional intervention an improvement factor in the management of periodontitis? A systematic review

Cited by 10 publications

References 32 publications

Dietary inflammatory potential is associated with poor periodontal health: A population‐based study

Dietary inflammatory potential is associated with poor periodontal health: A population‐based study

Dietary and Nutraceutical Interventions as an Adjunct to Non-Surgical Periodontal Therapy—A Systematic Review

Prevalence and severity of periodontal disease in a historical Austrian population

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