TY - JOUR
T1 - Healthy Dietary Patterns on Clinical Periodontal Parameters
T2 - A GRADE Compliant Systematic Review and Meta-analysis
AU - Sáenz-Ravello, Gustavo
AU - Matamala, Loreto
AU - dos Santos, Nidia Castro
AU - Cisternas, Patricia
AU - Gamonal, Jorge
AU - Fernandez, Alejandra
AU - Bello-Escamilla, Natalia
AU - Hernandez, Marcela
AU - Baeza, Mauricio
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Nature Switzerland AG.
PY - 2022/6
Y1 - 2022/6
N2 - Purpose of review: To evaluate the impact of healthy dietary patterns compared to the Western diet on periodontal indices in adults, used in the prevention and treatment of periodontal diseases. Recent findings: Four RCTs and seven case–control studies were included on a critical appraisal of the evidence using GRADE, based on random effects meta-analysis by methodological subgroups for periodontal indices, and a narrative synthesis. There is a clinically significant reduction on bleeding on probing, Gingival Index and periodontal inflamed surface area, Calculus and Debris Index and incidence of tooth loss on healthy dietary patterns group, with a very low to moderate certainty of the evidence. Methodological complementation between included studies allows to consider “real-world data” that RCTs ignore, which have a significant effect on this association. Although biological plausibility is reported, more studies are required to clarify these results. Summary: healthy dietary patterns could impact on periodontal health–disease status, reducing the global burden of periodontal diseases by improving the results of the standard care actions, such as toothbrushing, interdental cleaning and periodontal therapy. Further research is required to improve the quality of the evidence.
AB - Purpose of review: To evaluate the impact of healthy dietary patterns compared to the Western diet on periodontal indices in adults, used in the prevention and treatment of periodontal diseases. Recent findings: Four RCTs and seven case–control studies were included on a critical appraisal of the evidence using GRADE, based on random effects meta-analysis by methodological subgroups for periodontal indices, and a narrative synthesis. There is a clinically significant reduction on bleeding on probing, Gingival Index and periodontal inflamed surface area, Calculus and Debris Index and incidence of tooth loss on healthy dietary patterns group, with a very low to moderate certainty of the evidence. Methodological complementation between included studies allows to consider “real-world data” that RCTs ignore, which have a significant effect on this association. Although biological plausibility is reported, more studies are required to clarify these results. Summary: healthy dietary patterns could impact on periodontal health–disease status, reducing the global burden of periodontal diseases by improving the results of the standard care actions, such as toothbrushing, interdental cleaning and periodontal therapy. Further research is required to improve the quality of the evidence.
KW - Healthy diet
KW - Meta-analysis
KW - Periodontal Diseases
KW - Periodontal Indices
KW - Systematic review
KW - Western diet
UR - http://www.scopus.com/inward/record.url?scp=85124670514&partnerID=8YFLogxK
U2 - 10.1007/s40496-022-00307-y
DO - 10.1007/s40496-022-00307-y
M3 - Review article
AN - SCOPUS:85124670514
SN - 2196-3002
VL - 9
SP - 32
EP - 55
JO - Current Oral Health Reports
JF - Current Oral Health Reports
IS - 2
ER -