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Volume 10
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10.3390/healthcare10030583
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Article

The Effect of an Optimized Diet as an Adjunct to Non-Surgical Periodontal Therapy in Subjects with Periodontitis: A Prospective Study

by
Paolo De Angelis
1,2,
Giulio Gasparini
3,
Paolo Francesco Manicone
1,
Pier Carmine Passarelli
1,
Domenico Azzolino
4,
Edoardo Rella
1,*,
Giuseppe De Rosa
1,
Piero Papi
5,
Giorgio Pompa
5,
Silvio De Angelis
2,
Roberta Grassi
6 and
Antonio D’Addona
1
1
Division of Oral Surgery and Implantology, Department of Head and Neck, Institute of Clinical Dentistry, Oral Surgery and Implantology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS—Università Cattolica del Sacro Cuore, 00168 Rome, Italy
2
Independent Researcher, 63100 Ascoli Piceno, Italy
3
Division of Oral and Maxillo-Facial Surgery, Department of Head and Neck and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS—Università Cattolica del Sacro Cuore, 00168 Rome, Italy
4
Department of Clinical and Community Sciences, University of Milan, 20122 Milan, Italy
5
Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00168 Rome, Italy
6
Department of Oral Surgery, Tor Vergata University, 00133 Rome, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Takahiro Kanno
Healthcare 2022, 10(3), 583; https://doi.org/10.3390/healthcare10030583
Received: 11 February 2022 / Revised: 17 March 2022 / Accepted: 18 March 2022 / Published: 21 March 2022
(This article belongs to the Special Issue Preventive Oral Health Strategies and Oral Health Status)
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Abstract

Diet and nutrition are generally categorized as modifiable lifestyle risk factors for the development of periodontal disease because diet may influence a person’s inflammatory status. This study aimed to evaluate the efficacy of the application of a diet plan focused on reducing inflammation and oxidative stress in treating periodontitis. Subjects suffering from periodontitis were divided into two groups. Both groups underwent non-surgical periodontal therapy, and in the optimized diet (OD) group, this treatment was associated with a diet plan. The sample consisted of 60 subjects; 32 (53%) were treated in the non-optimized diet group (ND group) and 28 (47%) in the OD group. In both groups, the periodontal treatment significantly improved the recorded periodontal outcomes between T0 and T1 (FMPS, FMBS, CAL, PPD). Inter-group differences were not statistically significant (p < 0.05). The linear regression models showed that the optimized diet was associated with a higher reduction in PPD and FMBS after the treatment, while patients who had higher LDL levels (over 100 mg/mL) had a less favorable improvement of PPD. The application of an improved diet plan can increase the reduction in PPD and FMBS after non-surgical periodontal therapy when compared with periodontal treatment alone. View Full-Text
Keywords: gingiva; inflammatory response; oral cavity; periodontitis; diet; fatty acids gingiva; inflammatory response; oral cavity; periodontitis; diet; fatty acids
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
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MDPI and ACS Style

De Angelis, P.; Gasparini, G.; Manicone, P.F.; Passarelli, P.C.; Azzolino, D.; Rella, E.; De Rosa, G.; Papi, P.; Pompa, G.; De Angelis, S.; Grassi, R.; D’Addona, A. The Effect of an Optimized Diet as an Adjunct to Non-Surgical Periodontal Therapy in Subjects with Periodontitis: A Prospective Study. Healthcare 2022, 10, 583. https://doi.org/10.3390/healthcare10030583

AMA Style

De Angelis P, Gasparini G, Manicone PF, Passarelli PC, Azzolino D, Rella E, De Rosa G, Papi P, Pompa G, De Angelis S, Grassi R, D’Addona A. The Effect of an Optimized Diet as an Adjunct to Non-Surgical Periodontal Therapy in Subjects with Periodontitis: A Prospective Study. Healthcare. 2022; 10(3):583. https://doi.org/10.3390/healthcare10030583

Chicago/Turabian Style

De Angelis, Paolo, Giulio Gasparini, Paolo F. Manicone, Pier C. Passarelli, Domenico Azzolino, Edoardo Rella, Giuseppe De Rosa, Piero Papi, Giorgio Pompa, Silvio De Angelis, Roberta Grassi, and Antonio D’Addona. 2022. "The Effect of an Optimized Diet as an Adjunct to Non-Surgical Periodontal Therapy in Subjects with Periodontitis: A Prospective Study" Healthcare 10, no. 3: 583. https://doi.org/10.3390/healthcare10030583

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