Relação entre periodontite e síndrome metabólica

• Autor(a) principal: Campos, Bernardo Oliveira de
• Data de Publicação: 2013
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/14016
• topic: Periodontitis; Metabolic Syndrome; Periodontal Treatment; Periodontite; Síndrome Metabólica; Tratamento Periodontal; CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA

The aims of this study were: (1) to assess whether the diagnostic of chronic periodontitis mayidentify patients with metabolic syndrome, and (2) to verify the effect of non-surgical periodontal therapy on the components used for the diagnostic of the metabolic syndrome in patients with chronic periodontitis. In study 1, 33 patients with chronic periodontitis (age 50.3, DP ± 7.9 years) and 36 patients and controls (gingivitis/healthy) (age 39.7, DP ± 10.3 years), without diagnostic of metabolic syndrome were examined.The patients were evaluated clinically and laboratory to verify possible association between the presence of periodontitis and early diagnose of metabolic syndrome. The clinical parameters used were: visible plaque index (VPI), gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD) and clinical attachment loss (CAL). Serum levels of C-reactive protein (CRP), fasting glucose, cholesterol and triglycerides were analyzed. Weight, height, waist circumference, body mass Index (BMI) and blood pressure were also assessed.In study 2, patients with chronic periodontitis received non-surgical periodontal therapy and 90 days after treatment were reevaluated to new clinical assessment (VPI, GI, BOP, PPD and CAL). The data of weight, height, waist circumference, BMI and blood pressure and serum assessments were repeated and compared to day 0.In study 1,the serum glucose level and the number of items of the metabolic syndrome present were statistically higher in the test group as compared to values observed in the control group. In study 2, the levels of glucose, cholesterol, LDL, and number of items in the metabolic syndrome present significantly reduced and HDL increased significantly after non-surgical periodontal therapy. In conclusion, chronic periodontitis diagnostic increases the chance of diagnostic of metabolic syndrome and periodontal treatment was effective in improving some components of metabolic syndrome.