Jun 19, 2011

This is a tricky one ....

Obesity is something we should look for when diagnosing perio. How is being obese associated with perio?

3 comments:

  1. Obesity is associated with a poor diet, and this indicates that there may be deficiencies in the patient’s diet. This factor does not CAUSE periodontal disease, but alters PROGRESSION of the disease.
    There is an increased risk of having diabetes in an obese patient. Diabetes is a large risk factor with periodontal disease. Diabetes reduces immune response, as it impairs neutrophil function. Also, diabetes acts as an accelerating factor in periodontal disease progression. Poorly controlled perio health may alter blood glucose levels. Infection affects insulin requirements and may lead to unstable diabetes.

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  2. I addition to Renee, Obesity is related to poor diet and lifestyle, is a very common risk factor associated with Diabetes.
    I read a pretty good article on this if anyone is interested... I have put my basic summary below.

    There is a relationship between obesity and pro-inflammatory (PI) cytokines.
    Adipocytes (adipose tissue) produce PI cytokines including increased no.s of TNF and interleukin, therefore influencing a PI state of tissue destruction.
    Additionally obesity lowers insulin sensitivity, however a distribution in body fat influences glucose metabolism.
    In summary, adipocytes promote production of PI factors involved in the pathogenesis of insulin resistance therefore an increased susceptibility to periodontal infections exists.

    Article = A Proposed Model Linking
    Inflammation to Obesity, Diabetes,
    and Periodontal Infections by
    Robert J. Genco,*† Sara G. Grossi,† Alex Ho,† Fusanori Nishimura,‡ and Yoji Murayama§

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  3. Great work girls. That article you mentioned Cath is well worth a read.

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