Results of clinical efficacy of prevention of inflammatory periodontal diseases in children with obesity

AIM. The aim of the study was to improve the effectiveness of preventing inflammatory periodontal diseases in obese children by developing and implementing a comprehensive preventive program.

MATERIALS AND METHODS. The study included 80 children (40 with varying degrees of obesity and 40 otherwise healthy), aged 6 to 12 years. The first part of the study examined the condition of the periodontal tissues in all subjects. In the second part of the study, a targeted program for the prevention of periodontal diseases was carried out in accordance with the characteristics of the periodontal condition in the examined children.

RESULTS. A targeted program for the prevention of periodontal disease in obese patients has demonstrated high effectiveness, as it has improved clinical indices: the Simplified Green Vermillion Index by 5.4 times, the PI index, PMA (the average value in the subgroup of patients with obesity was 0) and the PBI index (the number of patients with no bleeding in the subgroup of patients with obesity was 100%); improve microcirculation parameters to normal values according to laser Doppler flowmetry (decrease in microcirculation parameter by 7.0 ± 0.05, increase in the coefficient of variation by 6.5 ± 0.03 and neurogenic tone by 0.5 ± 0.02); to stop inflammatory changes in periodontal tissues according to the immunological study of gingival fluid (decrease in lysozyme by 122.2 ± 14.3, IgA by 0.25, increase in C3 complement by 0.08), to reduce the incidence of the main periodontopathogenic strains – Prevotella intermedia (by 12 times), the incidence of Porphyromonas gingivalis and Treponema denticola to complete absence.

CONCLUSIONS. The study identified dental characteristics in obese children that indicate proinflammatory and inflammatory changes in periodontal tissues, which is an indication for the prevention of inflammatory periodontal diseases. Thanks to the implementation of the program developed in the study, inflammation in periodontal tissues in children with obesity was suppressed, which was confirmed by the study results and indicates its effectiveness.

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