1
|
Okada A, Murata T, Matin K, Ariyoshi M, Otsuka R, Yamashita M, Suzuki M, Wakiyama R, Tateno K, Suzuki M, Aoyagi H, Uematsu H, Imamura A, Kosaka M, Mizukaki T, Sato T, Kawahara H, Hanada N. Effect of advanced periodontal self-care in patients with early-stage periodontal diseases on endothelial function: An open-label, randomized controlled trial. PLoS One 2021; 16:e0257247. [PMID: 34555048 PMCID: PMC8459983 DOI: 10.1371/journal.pone.0257247] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Accepted: 08/17/2021] [Indexed: 01/10/2023] Open
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).
Collapse
Affiliation(s)
- Ayako Okada
- Department of Translational Research, Tsurumi University School of Dental Medicine, Yokohama, Japan
- Department of Operative Dentistry, Tsurumi University School of Dental Medicine, Yokohama, Japan
| | - Takatoshi Murata
- Department of Translational Research, Tsurumi University School of Dental Medicine, Yokohama, Japan
- * E-mail:
| | - Khairul Matin
- Endowed Department of International Oral Health Science, Tsurumi University School of Dental Medicine, Yokohama, Japan
- Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University, Tokyo, Japan
| | - Meu Ariyoshi
- Department of Translational Research, Tsurumi University School of Dental Medicine, Yokohama, Japan
- Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University, Tokyo, Japan
| | - Ryoko Otsuka
- Department of Translational Research, Tsurumi University School of Dental Medicine, Yokohama, Japan
| | - Mamiko Yamashita
- Department of Translational Research, Tsurumi University School of Dental Medicine, Yokohama, Japan
| | - Masayuki Suzuki
- Department of Dental Anesthesiology, Tsurumi University School of Dental Medicine, Yokohama, Japan
| | - Rumi Wakiyama
- Department of Dental Anesthesiology, Tsurumi University School of Dental Medicine, Yokohama, Japan
| | - Ken Tateno
- Department of Dental Anesthesiology, Tsurumi University School of Dental Medicine, Yokohama, Japan
- Department of Anesthesiology, Saitama Medical University Hospital, Iruma-gun, Japan
| | - Megumi Suzuki
- Department of Dental Hygiene, The Nippon Dental University College at Tokyo, Tokyo, Japan
| | | | | | | | - Miki Kosaka
- Department of Translational Research, Tsurumi University School of Dental Medicine, Yokohama, Japan
- Department of Dentistry, Tokyo Children Rehabilitation Hospital, Tokyo, Japan
| | - Tomoko Mizukaki
- Department of Oral and Maxillofacial Surgery, St. Marianna University School of Medicine Kawasaki Municipal Tama Hospital, Kawasaki, Japan
| | - Tsutomu Sato
- Division of Basic Medical Science, Tokai University School of Medicine, Isehara, Japan
- Louis Pasteur Center for Medical Research, Kyoto, Japan
| | - Hiroshi Kawahara
- Department of Dental Anesthesiology, Tsurumi University School of Dental Medicine, Yokohama, Japan
| | - Nobuhiro Hanada
- Department of Translational Research, Tsurumi University School of Dental Medicine, Yokohama, Japan
| |
Collapse
|