| Response to Periodontal Therapy in Subjects Who Had Weight Loss Following Bariatric Surgery and Obese Counterparts: A Pilot Study. | |
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MedLine Citation:
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PMID: 22014172 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Background: Periodontitis and obesity are both chronic health problems and the literature support an association between the two. Weight loss following bariatric surgery has been shown to decrease overall mortality as well as the development of new health-related conditions in morbidly obese patients. The present study was conducted to assess if significant weight loss would improve the response to non-surgical periodontal therapy in obese patients. Methods: This study included thirty obese (BMI >30 kg/m(2)) subjects affected with chronic periodontitis. Of these, 15 subjects had previously undergone bariatric surgery (BS) and lost at least 40% of their excess weight for at least 6 months post - surgery. The other 15 subjects were also obese, but did not have the surgery, nor lost weight to serve as a control group. All participants received non-surgical periodontal therapy (scaling and root planing and oral hygiene instructions). Probing depth (PD), clinical attachment level (CAL), bleeding on probing (BOP), gingival index (GI) and plaque index (PI) were measured at baseline and at 4-6 weeks following the periodontal treatment. Descriptive statistics, linear mixed effects models and linear regression models were used for data analysis. Results: The mean age of the study participants was 47.1±11.5 years and 36.6% of the participants were males. There was a statistically significant improvement after periodontal therapy in the BS compared to the obese group (P<0.05). The PD had a mean reduction of 0.45mm in the BS group vs. 0.28 mm in the control group. The reduction in: CAL was 0.44mm vs. 0.30mm, percentage of BOP sites was 16 % vs. 15%, and GI was 1.03 vs. 0.52 in the BS and control groups, respectively. Conclusion: An improved response to non-surgical periodontal therapy is observed in obese patients who had significant weight loss following bariatric surgery compared to obese subject who did not have such a surgery. |
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Authors:
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Dima Lakkis; Nabil F Bissada; Alan Saber; Leena Khaitan; Leena Palomo; Sena Narendran; Mohammad S Al-Zahrani |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-10-20 |
Journal Detail:
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Title: Journal of periodontology Volume: - ISSN: 1943-3670 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8000345 Medline TA: J Periodontol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Periodontics, Case Western Reserve University School of Dental Medicine, Cleveland, OH. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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