Effects of periodontal treatment on exacerbation frequency and lung function in patients with chronic periodontitis: study protocol of a 1-year randomized controlled trial
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Membros da banca
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Background: Chronic obstructive pulmonary disease (COPD) has been associated with periodontal disease (PD),
and periodontal treatment (PT) has been connected to reduction of lung disease exacerbations. Bronchiectasis has
many clinical similarities with COPD but, although it is also a chronic lung disease, to date it has not been studied
with relation to PD. The aim of this study is to evaluate whether PT associated with photodynamic therapy (PDT)
reduces the number of exacerbations, improves pulmonary function, periodontal clinical parameters and quality of
life after 1 year of periodontal treatment follow-up.
Methods: Bronchiectasis patients will undergo medical anamnesis and periodontal examination. Participants with
periodontitis will be divided into two groups and PT will be performed as G1 control group (n = 32)– OHO (oral
hygiene orientation) + supragingival treatment + simulation of using photodynamic therapy (PDT); G2 experimental
(n =32)– scaling and root planing +PDT+OHO. Lung function will be assessed both at baseline and after 1 year
by spirometry, exacerbation history will be analyzed through clinical records monitoring. Three instruments for
quality of life assessment will also be applied– Saint George’s Respiratory Questionnaire and Impact Profile Analysis
Oral health (OHIP-14). It is expected that periodontal treatment can improve the analyzed parameters after 1 year.
Discussion: Although only one study evaluates exacerbation in COPD after 1 year of PT, bronchiectasis has not
been studied in the dentistry field to date. Trial registration: NCT02514226. Version #1. This study protocol receives
grant from FAPESP (São Paulo Research Foundation) #2015/20535-1. First received: July 22, 2015, 1st version. This
protocol has been approved by the Research Ethics Committee of Nove de Julho University.
Abstract
Assunto
Bronquiectasia, Doenças Periodontais, Dentistry, Pneumologia
Palavras-chave
Respiratory medicine, Dentistry, Periodontal treatment, Periodontal disease, Bronchiectasis
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https://bmcpulmmed.biomedcentral.com/articles/10.1186/s12890-016-0340-z