Journal article
Waistline to the gumline: Relationship between obesity and periodontal disease-biological and management considerations
Periodontology 2000, Vol.87(1), pp.299-314
10/01/2021
DOI: 10.1111/prd.12390
PMID: 34463987
Abstract
Obesity is a pandemic and periodontitis is the sixth most prevalent disease in the world. These two noncommunicable diseases share several risk determinants. Epidemiologic evidence from the last 2 decades has established an increase in periodontitis prevalence in obese and overweight individuals. Biologic mechanisms potentially linking obesity and periodontal disease are adiposity-associated hyperinflammation, microbial dysbiosis, altered immune response, specific genetic polymorphisms, and increased stress. However, because of the lack of longitudinal interventional studies and randomized clinical trials, there is insufficient evidence to determine the cause-effect relationship between these two diseases. Despite this, the negative impact of obesity on oral health is well established. Several logistic and physiologic complications are associated with treating obese patients in a dental setting, and it requires an interprofessional team approach. Oral health care professionals need to be aware of the specific management considerations while rendering for this cohort, including modified practice facility and equipment, tailored supportive periodontal therapy, and heightened precaution during conscious sedation and surgical procedures.
Details
- Title: Subtitle
- Waistline to the gumline: Relationship between obesity and periodontal disease-biological and management considerations
- Creators
- Sukirth M. Ganesan - University of IowaStephanie Vazana - University of IowaSandra Stuhr - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Periodontology 2000, Vol.87(1), pp.299-314
- Publisher
- Wiley
- DOI
- 10.1111/prd.12390
- PMID
- 34463987
- ISSN
- 0906-6713
- eISSN
- 1600-0757
- Number of pages
- 16
- Language
- English
- Date published
- 10/01/2021
- Academic Unit
- Periodontics
- Record Identifier
- 9984367744702771
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