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Healthy lifestyles associated with better response to periodontal therapy
Healthy lifestyles associated with better response to periodontal therapy suggests a new study published in the Journal of Clinical Periodontology
A study was done to evaluate the association between lifestyle behaviours and clinical periodontal outcomes following Steps 1/2 of periodontal therapy.
A total of 120 subjects with untreated Stage II/III periodontitis participated in this study. At baseline, questionnaires were administered to assess the following lifestyle behaviours: adherence to Mediterranean diet (MD), physical activity (PA) and stress levels, sleep quality, smoking and alcohol use. Participants received Steps 1/2 of periodontal therapy and were re-evaluated after 3 months. A composite outcome of the endpoint of therapy (i.e., no sites with probing pocket depth [PPD] ≥4 mm with bleeding on probing, and no sites with PPD ≥ 6 mm) was regarded as the primary outcome. Simple and multiple regression analyses were used to evaluate the association between lifestyle behaviours and clinical periodontal outcomes. Disease severity at baseline, body mass index, diabetes, household disposable income and plaque control were considered as confounders.
Results
Multiple regression analyses showed significantly lower odds of achieving the endpoint of therapy in subjects with poor sleep quality (odds ratio [OR] = 0.13; 95% confidence interval [CI]: 0.03–0.47; p < .01), smoking (OR = 0.18; 95% CI: 0.06–0.52; p < .05) and alcohol use above the suggested intake (OR = 0.21; 95% CI: 0.07–0.63; p < .01). Subjects with a combination of ‘unhealthy lifestyles’ (low adherence to MD and low PA levels and high levels of stress and poor sleep quality) showed higher proportions of residual PPD≥6 mm (MD = 1.51; 95% CI: 0.23–2.80; p < .05) and lower odds of achieving the endpoint of therapy (OR = 0.85; 95% CI: 0.33–0.99; p < .05) at re-evaluation.
Subjects with unhealthy lifestyle behaviours showed worse clinical outcomes 3 months after Steps 1/2 of periodontal therapy.
Reference:
Marruganti, C., Romandini, M., Gaeta, C., Cagidiaco, E. F., Discepoli, N., Parrini, S., Graziani, F., & Grandini, S. (2023). Healthy lifestyles are associated with a better response to periodontal therapy: A prospective cohort study. Journal of Clinical Periodontology, 50(8), 1089–1100. https://doi.org/10.1111/jcpe.13813
Keywords:
Healthy, lifestyles, associated, better, response, periodontal therapy, Journal of Clinical Periodontology, Marruganti, C., Romandini, M., Gaeta, C., Cagidiaco, E. F., Discepoli, N., Parrini, S., Graziani, F., & Grandini, S
Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751