J Clin Periodontol:肥胖慢性牙周炎患者的饮食治疗及非手术牙周治疗

2018-12-22 MedSci MedSci原创

饮食减肥干预对牙周治疗的影响尚不清楚。因此,本研究旨在评估减肥是否能改善肥胖受试者对非手术牙周治疗的反应。

饮食减肥干预对牙周治疗的影响尚不清楚。因此,本研究旨在评估减肥是否能改善肥胖受试者对非手术牙周治疗的反应。

材料和方法:这项针对肥胖患者的干预性研究在Peset大学医院(西班牙瓦伦西亚)进行。患者分为两组,有或没有饮食疗法。所有参与者均接受非手术牙周治疗。在治疗前和治疗后12周时评估牙周,人体测量和生化参数。

结果:干预后,共有78名患者进行了重新评估。牙周治疗后两组牙周参数均有所改善,但饮食组中平均探诊深度(PD)的降低(0.23 mm vs 0.12 mm)和PD 4-5 mm(10.4%vs 5.89%)的位点百分比显着较高。另外,干预后饮食组中补体成分3(C3)和肿瘤坏死因子α(TNFα)降低。平均PD变化百分比与C3变化相关(r = 0.233,p = 0.043),PD 4-5 mm位点变化百分比与TNFα变化相关(r = 0.414,p = 0.012)。

该研究表明,饮食干预导致全身炎症大大降低,这可能增强对牙周治疗的反应。

原始出处:

Mayte Martinez‐Herrera,et al.Dietary therapy and non‐surgical periodontal treatment in obese patients with chronic periodontitis.Journal of  Clinical Periodontology.2018 Decemember. Doi:10.1111/jcpe.13030

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