In:
PLOS ONE, Public Library of Science (PLoS), Vol. 16, No. 9 ( 2021-9-23), p. e0257247-
Abstract:
Although a significant association between periodontal disease and atherosclerotic cardiovascular disease has been reported, their cause-to-effect relationship remains controversial. This randomized controlled clinical trial aimed to investigate the effect of advanced self-care on atherosclerotic cardiovascular disease-related vascular function markers flow-mediated brachial artery dilatation (FMD) and serum asymmetric dimethylarginine (ADMA) level in patients with early-stage periodontal disease. The study was designed as a parallel group, 3-month follow-up, open-label, randomized controlled trial. The control group received standard care for periodontal diseases, whereas the test group additionally applied disinfectant using a custom-fabricated prescription tray for advanced self-care twice a day. Overall, 110 patients provided data for FMD and serum ADMA level. No significant improvements in FMD were observed in the control (mean increase, −0.1%; 95% confidence interval [CI], −1.0–0.8; P = 0.805) or test (mean increase, −0.3%; 95% CI, −1.1–0.4; P = 0.398) group. No significant changes in serum ADMA levels were observed (mean reduction, 0.01 μmol/L; 95% CI, −0.00–0.02; P = 0.366 and mean reduction, 0.00 μmol/L; 95% CI, −0.01–0.01; P = 0.349, respectively). No significant between-group differences were found in FMD (mean difference, −0.2%; 95% CI, −1.4–0.9; p = 0.708) or serum ADMA levels (mean difference, 0.01 nmol/L; 95% CI, −0.00–0.03; p = 0.122). Significant improvements in the average probing pocket depth were observed in the control and test groups. The bleeding on probing score in the test group was significantly reduced, while that in the control group was reduced, although not significantly. Periodontal care for a 3-month duration did not provide better endothelial function although improvements of periodontal status in patients with early-stage periodontal diseases. This trial is registered in UMIN Clinical Trials Registry ( www.umin.ac.jp/ctr/ ; ID: UMIN000023395).
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0257247
DOI:
10.1371/journal.pone.0257247.g001
DOI:
10.1371/journal.pone.0257247.t001
DOI:
10.1371/journal.pone.0257247.t002
DOI:
10.1371/journal.pone.0257247.t003
DOI:
10.1371/journal.pone.0257247.s001
DOI:
10.1371/journal.pone.0257247.s002
DOI:
10.1371/journal.pone.0257247.s003
DOI:
10.1371/journal.pone.0257247.s004
DOI:
10.1371/journal.pone.0257247.s005
DOI:
10.1371/journal.pone.0257247.s006
DOI:
10.1371/journal.pone.0257247.s007
DOI:
10.1371/journal.pone.0257247.s008
DOI:
10.1371/journal.pone.0257247.s009
DOI:
10.1371/journal.pone.0257247.r001
DOI:
10.1371/journal.pone.0257247.r002
DOI:
10.1371/journal.pone.0257247.r003
DOI:
10.1371/journal.pone.0257247.r004
DOI:
10.1371/journal.pone.0257247.r005
DOI:
10.1371/journal.pone.0257247.r006
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2021
detail.hit.zdb_id:
2267670-3
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