STUDY ON THE EFFECTS OF CLASSICAL PERIODONTAL THERAPY ON THE LIPID PROFILE IN HYPERLIPIDEMIC AND CHRONIC PERIODONTITIS PATIENTS

Authors: Ovidiu NICOLAICIUC, Irina-Georgeta URSĂRESCU, Ioana MARTU, Liliana PASARIN, Ana-Maria ZAHARESCU, Ionut LUCHIAN, Maria-Alexandra MARTU-STEFANACHE, Silvia MARTU

Abstract:

Aim: The study was conducted to assess the effect of improved periodontal health following periodontal treatment on the metabolic lipid control of patients on antilipemic treatment. Materials and methods: The study population consisted of 20 patients aged 34–62 years with diagnoses of hyperlipidemia and chronic periodontitis. All patients used statin to treat their elevated levels of lowdensity lipoprotein cholesterol. Blood samples were obtained for measurement of serum lipids, fasting plasma glucose, and high sensitive C-reactive protein. Periodontal parameters, including plaque index, gingival index, probing pocket depth, clinical attachment level, and percentage of bleeding on probing were evaluated. All parameters were assessed in each subject at the baseline, after 3 months as a control, and 3 months after the nonsurgical periodontal treatment, scaling and root planning included. Results and discussion: All lipid parameters
decreased after the periodontal treatment, but only the decreases in total cholesterol and low-density lipoprotein cholesterol levels reached statistical significance compared to the baseline (P = 0.002 and P = 0.003, respectively). Improved periodontal health may influence metabolic control of hyperlipidemia and could be considered as an adjunct to the standard measures of hyperlipidemic patient care. Conclusions: Treatment of periodontitis may result in a potential benefic effect on the metabolic control of hyperlipidemia.

Keywords:
  • CHRONIC PERIODONTITIS
  • hyperlipidemia
  • periodontal treatment.