Influence of obesity on the outcome of non-surgical periodontal therapy - a systematic review

BMC Oral Health

Research Article

Fabienne A. Gerber¹  Philipp Sahrmann¹  Patrick R. Schmidlin¹  Oliver A. Schmidlin²  Jürg Hans Beer²  Christian Heumann³ 

[1] Clinic of Preventive Dentistry, Periodontology and Cariology, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH-8032, Zurich, Switzerland;Department of Internal Medicine, Cantonal Hospital Baden, Baden, Switzerland;Department of Statistics, Ludwig-Maximilians-University of Munich, Munich, Germany;

关键词: Obesity;    Chronic periodontitis;    Non-surgical periodontal therapy;    Outcome;   

DOI  :  10.1186/s12903-016-0272-2

 received in 2016-01-28, accepted in 2016-08-11,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundObesity and periodontitis are important chronic health problems. Obesity is associated with an increased prevalence of periodontitis. Whether obesity also affects the outcome of non-surgical periodontal therapy is to date still unclear.MethodsA systematic review of studies referenced in SCOPUS, MEDLINE, PubMed, Cochrane, CINAHL, Biosis and Web of Science was performed. Titles, abstracts and finally full texts were scrutinized for possible inclusion by two independent investigators. Quality and heterogeneity of the studies were assessed and the study designs were examined. Probing pocket depth reduction was analyzed as primary surrogate parameter for therapeutic success after non-surgical periodontal therapy.ResultsOne-hundred-and-fifty-nine potentially qualifying studies were screened. Eight studies fulfilled the inclusion criteria and were analyzed. Three of eight studies failed to show an influence of obesity on pocket depth reduction after non-surgical therapy. The remaining five studies documented a clear negative effect on the outcome of non-surgical periodontal therapy. The finally included studies did not correspond to the highest level of quality (RCTs). Due to the heterogeneity of the data a meta-analysis was not possible.ConclusionThe literature on the effect of obesity on the treatment outcome of non-surgical periodontal therapy remains controversial. The data, however, support that obesity is not only a factor associated with poorer periodontal health but might also result in inferior response to non-surgical treatment of periodontitis.

【 授权许可】

CC BY   
© The Author(s). 2016