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An oral health optimized diet can reduce gingival and periodontal inflammation in humans - a randomized controlled pilot study.

BMC oral health
January 1, 1970
J P Woelber et al. (8 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether a diet rich in antioxidants (along with other nutrients) could reduce periodontal inflammation.

Results Summary

The study found that the antioxidant-rich diet significantly reduced gingival and periodontal inflammation, with inflammatory parameters decreasing by approximately half compared to baseline, while plaque levels remained unchanged.

Population

Adults with periodontal inflammation (experimental group n=10, control group n=5).

Effective Dosage

Not specified (dietary intake, not isolated supplement).

Duration

4 weeks.

Interactions

None mentioned.

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
an oral health optimized diet low in carbohydrates, rich in Omega-3 fatty acids, and rich in vitamins C and D, antioxidants and fiber
decrease
all inflammatory parameters
experimental group participants
to approximately half that of the baseline values
decreased
#1
an oral health optimized diet low in carbohydrates, rich in Omega-3 fatty acids, and rich in vitamins C and D, antioxidants and fiber
decrease
gingival bleeding index (GI)
experimental group participants
1.10 ± 0.51 to 0.54 ± 0.30
decreased
#2
an oral health optimized diet low in carbohydrates, rich in Omega-3 fatty acids, and rich in vitamins C and D, antioxidants and fiber
decrease
bleeding upon probing (BOP)
experimental group participants
53.57% to 24.17%
decreased
#3
an oral health optimized diet low in carbohydrates, rich in Omega-3 fatty acids, and rich in vitamins C and D, antioxidants and fiber
decrease
periodontal inflamed surface area (PISA)
experimental group participants
638 mm² to 284 mm²
decreased
#4
an oral health optimized diet low in carbohydrates, rich in Omega-3 fatty acids, and rich in vitamins C and D, antioxidants and fiber
decrease
gingival and periodontal inflammation
-
-
significantly reduced
#5
-
no change
plaque values
both groups
-
constant
#6
Abstract

BACKGROUND: The aim of this pilot study was to investigate the effects of four weeks of an oral health optimized diet on periodontal clinical parameters in a randomized controlled trial. METHODS: The experimental group (n = 10) had to change to a diet low in carbohydrates, rich in Omega-3 fatty acids, and rich in vitamins C and D, antioxidants and fiber for four weeks. Participants of the control group (n = 5) did not change their dietary behavior. Plaque index, gingival bleeding, probing depths, and bleeding upon probing were assessed by a dentist with a pressure-sensitive periodontal probe. Measurements were performed after one and two weeks without a dietary change (baseline), followed by a two week transitional period, and finally performed weekly for four weeks. RESULTS: Despite constant plaque values in both groups, all inflammatory parameters decreased in the experimental group to approximately half that of the baseline values (GI: 1.10 ± 0.51 to 0.54 ± 0.30; BOP: 53.57 to 24.17 %; PISA: 638 mm(2) to 284 mm(2)). This reduction was significantly different compared to that of the control group. CONCLUSION: A diet low in carbohydrates, rich in Omega-3 fatty acids, rich in vitamins C and D, and rich in fibers can significantly reduce gingival and periodontal inflammation. TRIAL REGISTRATION: German Clinical Trials Register; https://www.germanctr.de (DRKS00006301). Registered on 2015-02-21.

Medical Subject Headings (MeSH)
Ascorbic AcidDental PlaqueDental Plaque IndexDietDietary CarbohydratesDietary FatsDietary FiberGingivitisHumansInflammationOral HealthPeriodontal IndexPilot ProjectsVitamin D
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations124
Citations/Year13.8
Relative Citation Ratio6.81
NIH Percentile95.8%
Research Impact Scores
APT Score0.95
Weight Score1.90
Normalized Score0.69
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