Sales-Peres Silvia Helena de Carvalho, Groppo Francisco Carlos, Bonato Rafaela Carolina Soares, Sales-Peres Matheus de Carvalho, Haiter-Neto Francisco, Chaim Elinton Adami
Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, SP.
Department of Physiological Sciences, Piracicaba Dental School, University of Campinas, Piracicaba-SP.
Arq Bras Cir Dig. 2019 Feb 7;32(1):e1422. doi: 10.1590/0102-672020180001e1422.
Systemic bone loss may lead to more severe periodontal destruction, decreasing local bone mineral density.
A cross-sectional designed was performed to study associations among alveolar bone pattern, salivary leptin concentrations, and clinical periodontal status in premenopausal obese and eutrophic women.
Thirty morbid obese (G1) and 30 normal-weight (G2) women were included. Anthropometric and periodontal measurements (probing depth - PD, clinical attachment levels - CAL, presence of calculus, bleeding on probing -BOP, and plaque accumulation) were assessed. OHIP-14 was used for assessment of oral health impact on quality of life. Panoramic radiography was used to obtain the panoramic mandibular index (PMI), mandibular cortical index (MCI), and mental index (MI). Intraoral periapical (PA) radiography was taken to measure the total trabecular bone volume. Leptin was measured in saliva of fasted overnight women.
Groups 1 and 2 differed in all anthropometric aspects, but height. Pocket depth, calculus, BOP, and plaque index were worse in G1. No differences between groups were found considering OHIP. Normal-weight subjects showed higher proportion of dense bone trabeculae than obese subjects for pre-molars, but not for molars. Mental and panoramic mandibular indexes did not differ and were in normal level. Leptin concentration was dependent only on BMI.
Obesity affected the periodontal conditions, the alveolar bone pattern, and the salivary leptin concentration.
全身性骨质流失可能导致更严重的牙周破坏，降低局部骨矿物质密度。
进行一项横断面设计研究，以探讨绝经前肥胖和营养正常女性的牙槽骨形态、唾液瘦素浓度与临床牙周状况之间的关联。
纳入30例病态肥胖女性（G1组）和30例正常体重女性（G2组）。评估人体测量学指标和牙周测量指标（探诊深度 - PD、临床附着水平 - CAL、牙石存在情况、探诊出血 - BOP和菌斑积聚情况）。使用OHIP-14评估口腔健康对生活质量的影响。采用全景X线摄影获得全景下颌指数（PMI）、下颌皮质指数（MCI）和颏孔指数（MI）。拍摄口内根尖片测量小梁骨总体积。测量过夜禁食女性唾液中的瘦素水平。
G1组和G2组在所有人体测量学指标方面均存在差异，但身高除外。G1组的牙周袋深度、牙石、BOP和菌斑指数更差。在OHIP方面，两组之间未发现差异。正常体重受试者的前磨牙致密骨小梁比例高于肥胖受试者，但磨牙情况并非如此。颏孔指数和全景下颌指数无差异，均处于正常水平。瘦素浓度仅取决于体重指数。
肥胖影响牙周状况、牙槽骨形态和唾液瘦素浓度。
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