Study: Association between Obesity and Chronic Periodontitis

Chronic periodontitis is multi-factorial and numerous risk factors have been identified to contribute in the disease progression. This current study attempted to conduct a cross-sectional investigation in a population of patients with cardiovascular diseases in order to correlate the association between obesity [body mass index (BMI) and waist circumference (WC)] and periodontal disease parameters.

The study was of a cross-sectional design and a total of 201 patients were examined after obtaining their informed consent. Subjects who had a history of cardiovascular diseases and under treatment were included in the study. Two indicators of obesity were used: BMI and WC. The following periodontal parameters were assessed: Probing depth, clinical attachment level. The oral hygiene status of the subjects was assessed by the oral hygiene index (OHI). The influence of the BMI and other confounding variables on periodontitis severity was assessed using appropriate statistical analysis.

Significant association was seen with low density lipoproteins (LDL) and severity of periodontitis, triglyceride levels (TGL) and severity of periodontitis, cholesterol and severity of periodontitis, BMI and severity of periodontitis, OHI and severity of periodontitis. Significant association was seen with smoking and severity of periodontitis, BMI and severity of periodontitis, WC and severity of periodontitis, cholesterol and severity of periodontitis, OHI and severity of periodontitis.

The authors concluded that obesity has been implicated as a risk factor for several conditions including cardiovascular disease, diabetes, etc. In this study the relation between measures of overall and abdominal obesity (BMI and WC) and periodontal disease showed significant association. The authors concluded that obesity can act as a significant risk factor in progression of periodontitis.

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Lloyd E. Parmley, D.M.D. 
A Practice Limited to Periodontics • Implants • Gum Diseases
6909 Burlington Pike, Suite B • Florence, KY 41042-1618
859-371-6543 • 800-432-6543 • Fax 859-282-3112

Study: Periodontal Therapy in Chronic Periodontitis Lowers Gingival Crevicular Fluid Interleukin-1beta and DAS28 in Rheumatoid Arthritis Patients

By Bıyıkoğlu B, Buduneli N, et al.
Rheumatol Int. 2013 Jun 1

The purpose of this study was to evaluate clinical outcomes and effects of non-surgical periodontal therapy on serum, gingival crevicular fluid (GCF) interleukin-1beta (IL-1β) and tumor necrosis factor-alpha (TNF-α) levels in chronic periodontitis patients with/without rheumatoid arthritis (RA). Fifteen RA patients with chronic periodontitis (RA-P) and 15 systemically healthy non-RA chronic periodontitis patients (H-P) were recruited. Clinical periodontal recordings, GCF, and blood samples were obtained at baseline, 1, 3, and 6 months after periodontal treatment. GCF, serum IL-1β, TNF-α levels were analyzed by ELISA. Disease activity score 28 (DAS28) was used to assess RA clinical morbidity. Study groups were compared using
appropriate statistical analysis. Analysis was used to compare the data at baseline, 1, 3, and 6 months after periodontal therapy within the same group.

DAS28 decreased significantly after periodontal therapy in RA-P group. Serum TNF-α concentrations of H-P group were significantly higher than those of RA-P group, whereas IL-1β levels were similar. No significant change was observed in serum levels of these cytokines after periodontal therapy. GCF IL-1β amounts decreased significantly in both groups following treatment. At 6-months, H-P GCF IL-1β concentrations were significantly lower than baseline. DAS28 and GCF IL-1β correlated with clinical periodontal indices. Significant decreases in DAS28 and GCF IL-1β amounts after periodontal treatment suggest that periodontal therapy synergizes with systemic RA therapy to improve RA status.

Download the full newsletter here!

Lloyd E. Parmley, D.M.D. 
A Practice Limited to Periodontics • Implants • Gum Diseases
6909 Burlington Pike, Suite B • Florence, KY 41042-1618
859-371-6543 • 800-432-6543 • Fax 859-282-3112

Study: A 10-year Retrospective Clinical Evaluation of Immediately Loaded Tapered Maxillary Implants

The purpose of this study was to compare the effects of immediate loading (IL) and delayed loading (DL) on
peri-implant crestal bone loss around maxillary implants after long-term functioning. A retrospective chart review was conducted to assess the outcomes of 110 tapered, multithreaded implants placed for the treatment of one or more missing and/or unsalvageable teeth in the maxilla of 23 patients.

Implants were assigned to either the DL or IL database according to loading time. Marginal bone changes were calculated using standardized radiographs taken at implant placement (baseline) and during annual follow-ups. One implant failed in the DL group. After a mean followup of 111 months in the DL group and 119 months in the IL group, cumulative implant survival was 99.09% (DL =98.11%, IL = 100%). No observable bone loss was evident in 83.49% of the surviving implants. Cumulative success rates were 100% for the IL group and 98.11% for the DL group.

The authors concluded that immediately loaded maxillary implants showed long-term results comparable to delayed loaded maxillary implants.    

Download the full newsletter here!

Lloyd E. Parmley, D.M.D. 
A Practice Limited to Periodontics • Implants • Gum Diseases
6909 Burlington Pike, Suite B • Florence, KY 41042-1618
859-371-6543 • 800-432-6543 • Fax 859-282-3112

Our Staff, Your Mouth's Best Friend

Debbie

With over 35-years of experience in all areas of dentistry, our Dental Assistant Debbie is well-prepared to take care of your smile! She is a northern Kentucky native and she decided to get into dentistry because as a child she became so familiar with being a patient! She loves meeting new people and helping patients to have a beautiful and healthy smile.

She says she “finds periodontics interesting and enjoys working with the team here.” Debbie also takes CE to keep up in the field and because she loves learning new things. A lover of the beach, Debbie relishes her summer days but, will busy herself with puzzles, crocheting or reading if she must be stuck inside.

Thanks for getting to know us! Be sure to say hello to Debbie next time you stop at Perio-Dental Care!

Lloyd E. Parmley, D.M.D. 
A Practice Limited to Periodontics • Implants • Gum Diseases
6909 Burlington Pike, Suite B • Florence, KY 41042-1618
859-371-6543 • 800-432-6543 • Fax 859-282-3112

How Bad is Tobacco for Oral Health?

Run a Smile Away from Tobacco!

If you are a tobacco user (i.e. chewing, cigarettes, cigars, etc.), it is likely no news to you that tobacco can lead to serious physical and oral health problems. That being said; be sure to be screened for oral cancer at least every six months. It is vital that you address this type of issue early on! In addition to concerns about cancer, smoking is a big factor in gum disease, tooth loss, and other problems. Chewing tobacco also may cause damage to oral tissues as well as gum disease and tooth loss. Even e-cigarettes can cause similar problems with the mouth simply because of the nicotine they contain. From my view as a dentist, the bottom line is that smoking will make it difficult to keep your teeth for your lifetime.

Lloyd E. Parmley, D.M.D.
A Practice Limited to Periodontics • Implants • Gum Diseases
6909 Burlington Pike, Suite B • Florence, KY 41042-1618
859-371-6543 • 800-432-6543 • Fax 859-282-3112

Our Dental Staff, Your Mouth’s Best Friends

Jan Mullikin

Originally from the northern Kentucky area, Jan Mullikin is the smile you see when you first walk into Perio-Implant Care. A tremendous help, she has been with us almost two years (this November will be her Perio-anniversary)! Jan is married with two children and after retiring from her last job, she simply had to keep working -- we’re glad she found us!

She says she “enjoys being with the patients to give post treatment instructions, and assisting during post-treatment follow ups. It’s always a pleasure to meet the new patients.” When she isn’t greeting you at the office, Jan likes to plan her next vacation to Hawaii. If she isn’t packing her bags for the Islands, you might find her crocheting or piecing her way through a new jigsaw puzzle as she is a pro at these hobbies!

Thanks for getting to know us! Be sure to say hello to Jan Mullikin next time you stop at Perio-Implant Care (she surely wouldn’t mind if you brought her some Kona Coffee for receptionist appreciation day)!

Lloyd E. Parmley, D.M.D.
A Practice Limited to Periodontics • Implants • Gum Diseases
6909 Burlington Pike, Suite B • Florence, KY 41042-1618
859-371-6543 • 800-432-6543 • Fax 859-282-3112

Our Dental Staff, Your Mouth’s Best Friends: Tina

Tina has been working with Dr. Parmley almost 4 years as a Registered Dental Hygienist.

She is originally from northern Kentucky and has 3 children. She knew early on that she wanted to work in the dental field because she had to be in the dental chair so often when she was a young! Tina really enjoys patient care and education, delighting in being a part of the Perio Dental team. 
When she is away from the office, Tina dreams about Florida—Key West is a treasured vacation spot. She loves all animals and enjoys hiking, biking, swimming and canoeing. Also, Tina is so good with her hands that if she isn't working on your teeth she might be working on her latest knitting project or cross-stitch (while listening to “Ain't No Mountain High Enough” of course).

Thanks for getting to know us! Be sure to say hello to Tina next time you stop at Perio Dental Care!

Lloyd E. Parmley, D.M.D. 
A Practice Limited to Periodontics • Implants • Gum Diseases
6909 Burlington Pike, Suite B • Florence, KY 41042-1618

859-371-6543 • 800-432-6543 • Fax 859-282-3112