饮食炎症指数对牙龈健康的影响。

IF 4.2 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Roberta Andrade Reis, Camila Schmidt Stolf, Helena Alves de Carvalho Sampaio, Bruna Yhang da Costa Silva, Tuğçe Özlü, Emre Batuhan Kenger, Manuela Maria Vianal Miguel, Mauro Pedrine Santamaria, Mabelle de Freitas Monteiro, Marcio Zaffalon Casati, Renato Corrêa Viana Casarin
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引用次数: 0

摘要

背景:牙周病是一种由宿主反应引发的生物膜依赖性慢性炎症。多种因素会影响全身炎症,并导致疾病发病机制的改变。最近,有研究评估了营养模式对牙周炎发展的影响。在本横断面研究中,我们评估了饮食对牙周状况的炎症影响,重点是对牙周健康或牙龈炎患者的临床、龈下微生物和细胞因子进行评估:方法:纳入 100 名牙周健康或牙龈炎患者。对每位患者的牙菌斑指数(PI)、探诊出血量(BoP)、探诊深度(PD)和临床附着水平(CAL)进行评估。营养数据和膳食炎症指数(DII)通过非连续两天的 24 小时食物回顾进行记录。还收集了生物膜和龈沟液(GCF),以评估微生物组概况和炎症生物标志物。以 DII、年龄和性别作为牙周状况的预测因素,进行了多元回归:结果:年龄和中度 DII 分数分别使患牙龈炎的风险增加了 1.64 倍和 3.94 倍。DII 分值较高的男性被诊断为牙龈炎和 BoP 的几率要高出 27.15 倍(β = 6.54;P = 0.03)。中度或高度 DII 评分的老年患者不易患牙龈炎和 BoP 增高(p 结论:DII 评分越高,牙龈炎和 BoP 增高的几率越小:促炎性饮食会明显导致牙周炎症,调节炎症生物标志物并影响健康人的龈下微生物群落。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of dietary inflammatory index on gingival health

Background

Periodontal disease is a biofilm-dependent chronic inflammatory condition triggered by a host response. Several factors impact systemic inflammation and could lead to changes in disease pathogenesis. Recently, studies have assessed the influence of nutritional patterns on the development of periodontitis. In the present cross-sectional study, we evaluated the dietary inflammatory profile on periodontal conditions, focusing on clinical, subgingival microbial, and cytokine assessment of individuals with periodontal health or gingivitis.

Methods

One hundred patients with periodontal health or gingivitis were included. Plaque index (PI), Bleeding on probing (BoP), the probing depth (PD), and the clinical attachment level (CAL) for each patient were assessed. Nutritional data and the Dietary Inflammatory Index (DII) were recorded by two 24-h food recalls on non-consecutive days. Biofilm and gingival crevicular fluid (GCF) to assess the microbiome profile and inflammatory biomarkers were collected. Multiple regressions focused on the DII, age, and sex as predictors of periodontal conditions were done.

Results

Age and moderate DII scores increased the risk of gingivitis by 1.64 and 3.94 times, respectively. Males with an elevated DII score had 27.15 times higher odds of being diagnosed with gingivitis and BoP (β = 6.54; p = 0.03). Elderly patients with a moderate or high DII score were less prone to gingivitis and increased BoP (p < 0.04) compared with younger subjects. Considering the DII, there were no differences in microbial alpha and beta diversity; however, distinct species abundance and a higher concentration of monocyte-chemoattractant protein-1 and interleukin 33 were seen in patients with a higher DII.

Conclusion

A pro-inflammatory diet significantly contributes to periodontal inflammation, modulating inflammatory biomarkers and affecting the subgingival microbial community in healthy individuals.

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来源期刊
Journal of periodontology
Journal of periodontology 医学-牙科与口腔外科
CiteScore
9.10
自引率
7.00%
发文量
290
审稿时长
3-8 weeks
期刊介绍: The Journal of Periodontology publishes articles relevant to the science and practice of periodontics and related areas.
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