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Multidisciplinary Approach to Obesity Management: A Case Report
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Periodontal complications with obesity
Jean E Suvan1, Nicholas Finer2, Francesco D'Aiuto1
1Unit of Periodontology, UCL Eastman Dental Institute, London, UK.
Periodontology 2000
|September 11, 2018
Summary
Obesity is linked to a higher likelihood and severity of periodontal diseases, independent of other risk factors. This highlights the need for personalized risk assessments to prevent and treat gum disease.
Area of Science:
- Periodontology
- Public Health
- Metabolic Disorders
Background:
- Obesity is a growing global health concern.
- Periodontal diseases are inflammatory conditions affecting the gums and supporting structures of teeth.
- The relationship between obesity and periodontal health requires comprehensive summarization.
Purpose of the Study:
- To systematically identify and synthesize current evidence on periodontal complications associated with obesity.
- To evaluate the quality of existing systematic reviews on this topic.
- To inform clinical practice regarding obesity and periodontal disease management.
Main Methods:
- Conducted comprehensive electronic and manual searches for relevant systematic reviews.
- Two independent reviewers performed study identification, screening, eligibility assessment, and inclusion.
- Assessed the quality and risk of bias of included reviews using the Assessment of Multiple Systematic Reviews (AMSTAR) tool.
Main Results:
- Included 14 systematic reviews from 430 screened titles/abstracts.
- Consistent evidence from cross-sectional and longitudinal studies indicates obesity is associated with increased prevalence and severity of periodontal diseases.
- Obesity or weight gain increases the risk of periodontitis onset and progression.
- Evidence regarding obesity's impact on periodontal therapy response and biomarkers is currently inconclusive.
Conclusions:
- Obesity independently contributes to periodontal complications, irrespective of factors like age, gender, smoking, or ethnicity.
- Findings underscore the importance of incorporating obesity status into periodontal risk assessments.
- Personalized approaches are crucial for effective prevention and treatment of periodontal diseases in obese individuals.
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