Department of Periodontology, University Hospital Wuerzburg, Pleicherwall 2, D-97070 Wuerzburg, Germany.
Nutrients. 2022 Oct 25;14(21):4473. doi: 10.3390/nu14214473.
This controlled clinical trial evaluated the impact of a specific collagen peptide food supplement on parameters of periodontal inflammation in aftercare patients. A total of 39 study patients were enrolled. At baseline, bleeding on probing (BoP; primary outcome), gingival index (GI), plaque control record (PCR), recession (REC) and probing pocket depth (PPD) for the calculation of the periodontal inflamed surface area (PISA) were documented. After subsequent professional mechanical plaque removal (PMPR), participants were randomly provided with a supply of sachets containing either a specific collagen peptide preparation (test group; = 20) or a placebo (placebo group; = 19) to be consumed dissolved in liquid once daily until reevaluation at day 90. PMPR supplemented with the consumption of the specific collagen peptides resulted in a significantly lower mean percentage of persisting BoP-positive sites than PMPR plus placebo (test: 10.4% baseline vs. 3.0% reevaluation; placebo: 14.2% baseline vs. 9.4% reevaluation; effect size: 0.86). Mean PISA and GI values were also reduced compared to baseline, with a significant difference in favor of the test group (PISA test: 170.6 mm baseline vs. 53.7 mm reevaluation; PISA placebo: 229.4 mm baseline vs. 184.3 mm reevaluation; GI test: 0.5 baseline vs. 0.1 reevaluation; GI placebo: 0.4 baseline vs. 0.3 reevaluation). PCR was also significantly decreased in both experimental groups at revaluation, but the difference between the groups did not reach the level of significance. The supplementary intake of specific collagen peptides may further enhance the anti-inflammatory effect of PMPR in periodontal recall patients.
这项对照临床试验评估了特定胶原蛋白肽食品补充剂对牙周炎患者护理后牙周炎症参数的影响。共有 39 名研究患者入组。在基线时,记录探诊出血(BoP;主要结局)、牙龈指数(GI)、菌斑控制记录(PCR)、退缩(REC)和探诊袋深度(PPD)以计算牙周炎面积(PISA)。在随后的专业机械性菌斑去除(PMPR)后,参与者被随机给予含有特定胶原蛋白肽制剂的小袋(试验组;n = 20)或安慰剂(对照组;n = 19),每天溶解在液体中服用一次,直到第 90 天重新评估。与 PMPR 加安慰剂相比,补充特定胶原蛋白肽的 PMPR 导致持续 BoP 阳性部位的平均百分比显著降低(试验组:10.4%基线 vs. 3.0%再评估;对照组:14.2%基线 vs. 9.4%再评估;效应量:0.86)。与基线相比,平均 PISA 和 GI 值也降低,试验组有显著差异(PISA 试验组:170.6 mm 基线 vs. 53.7 mm 再评估;PISA 对照组:229.4 mm 基线 vs. 184.3 mm 再评估;GI 试验组:0.5 基线 vs. 0.1 再评估;GI 对照组:0.4 基线 vs. 0.3 再评估)。在再评估时,两个实验组的 PCR 也显著降低,但组间差异未达到显著性水平。特定胶原蛋白肽的补充摄入可能进一步增强 PMPR 在牙周病患者护理后的抗炎效果。