The Impact of Periodontal Therapy on Systemic Inflammatory Markers and Cardiovascular Disease Risk in Patients with Chronic Periodontitis

牙周治疗对慢性牙周炎患者全身炎症标志物和心血管疾病风险的影响

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Abstract

BACKGROUND: A common inflammatory condition that damages the tissues that support teeth, chronic periodontitis has become more closely associated with systemic health conditions, especially cardiovascular disease (CVD). MATERIALS AND METHODS: In this randomized controlled experiment, 100 individuals with a diagnosis of chronic periodontitis were included. Two groups of participants were created: a treatment group (n = 50) that received scaling and root planning as well as other non-surgical periodontal care, and a control group (n = 50) that did not receive any treatment. Measurements were taken at baseline and 6 months after therapy for systemic inflammatory markers, including as C-reactive protein (CRP), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-α). The Framingham Risk Score (FRS) was used at the same intervals to evaluate the risk of CVD. RESULTS: At 6 months after therapy, patients in the treatment group had substantial reductions in all measured inflammatory markers: CRP was down 30% (P < 0.01), IL-6 was down 25% (P < 0.05), and TNF-α was down 28% (P < 0.01). In the therapy group, the Framingham Risk Score dropped by 15% (P < 0.05), suggesting a lower chance of cardiovascular disease. There were no noteworthy alterations noted in the group under control. CONCLUSION: In individuals with persistent periodontitis, non-surgical periodontal treatment may minimize the risk of cardiovascular disease and considerably reduce systemic inflammatory indicators.

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