Obesity as predictive factor of periodontal therapy clinical outcomes: A cohort study
| Autor: | Kalpesh Patel, Francesco D'Aiuto, Jean Suvan, Nikos Donos, Ulpee Darbar, Zoe Harrington, Aviva Petrie |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Periodontitis
Adult medicine.medical_specialty business.industry Confounding 030206 dentistry medicine.disease Obesity Severe periodontitis Cohort Studies 03 medical and health sciences 0302 clinical medicine Internal medicine Propensity score matching Periodontal Attachment Loss Periodontics Medicine Humans 030212 general & internal medicine Prospective cohort study business Body mass index Cohort study |
| Zdroj: | Journal of clinical periodontologyREFERENCES. 47(5) |
| ISSN: | 1600-051X |
| Popis: | The study aim was to investigate the predictive role of obesity on clinical response following non-surgical periodontal therapy in individuals with severe periodontitis.A total of 57 BMI obese and 58 BMI normal non-smoker adults with periodontitis (defined as probing pocket depths (PPD) of ≥5 mm and alveolar bone loss of30% with50% of the teeth affected) received non-surgical periodontal therapy. Periodontal status was based upon PPD, clinical attachment level (CAL) and full-mouth bleeding score (FMBS). Mean PPD, percentage sites PPD4 mm, percentage sites PPD5 mm and FMBS at 2 and 6 months were outcome variables. Propensity score analysis was used to assess the effect of obesity on outcome variables after adjusting for confounders.Statistically significant higher clinical measures (mean PPD, mean percentage of sites with PPD4 mm, mean percentage of sites with PPD5 mm and FMBS) were observed in the obese group than the normal group at baseline, 2 and 6 months after therapy (p .01). At 2 and 6 months, obesity was associated with worse mean PPD (p .05), percentage sites with PPD4 mm (p .05), percentage sites with PPD 5mm (p .05) and FMBS (p .01), independent of age, gender, ethnicity or plaque levels.Obesity compared to normal BMI status was an independent predictor of poorer response following non-surgical periodontal therapy. |
| Databáze: | OpenAIRE |
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