{"id":3498,"date":"2023-05-10T13:44:10","date_gmt":"2023-05-10T06:44:10","guid":{"rendered":"https:\/\/loudhdtv.com\/treating-periodontitis-with-diet\/"},"modified":"2023-05-10T13:44:10","modified_gmt":"2023-05-10T06:44:10","slug":"treating-periodontitis-with-diet","status":"publish","type":"post","link":"https:\/\/loudhdtv.com\/?p=3498","title":{"rendered":"Treating Periodontitis with Diet"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-3711241968723425\"\r\n     crossorigin=\"anonymous\"><\/script><br \/>\n<\/p>\n<div>\n<p class=\"p1\">Plant-based diets are put to the test in the treatment of periodontal disease.<\/p>\n<p><span data-contrast=\"none\">How does nutrition <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25087348\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">affect<\/span><\/a><span data-contrast=\"none\"> periodontal disease? First, what is it? \u201cPeriodontal disease is a bacterial infection that <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21505204\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">results<\/span><\/a><span data-contrast=\"none\"> in inflammatory destruction of the connective tissue and bone that support the teeth.\u201d As such, it is therefore one of the leading causes of our teeth falling out. Like most infections, though, the way in which our body <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25087348\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">responds<\/span><\/a><span data-contrast=\"none\"> may play a critical role. The presence of bacteria is the primary cause, but a susceptible host is necessary to <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27463711\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">initiate<\/span><\/a><span data-contrast=\"none\"> disease.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The standard explanation of periodontal disease is the plaque theory, which posits that the buildup of plaque <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26783708\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">leads<\/span><\/a><span data-contrast=\"none\"> to gingivitis or gum inflammation, which then leads to periodontitis or inflammation lower down beneath the gums. But, in some forms of periodontal disease, plaque doesn\u2019t appear to play a critical role. There has been more interest in the last few years in the importance of systemic health, our body\u2019s response. In this respect, nutrition may be of great importance because it\u2019s been implicated in a number of other inflammatory diseases, all of which carry elevated periodontal disease risk.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Traditionally, when we think of the effects of nutrition on dental diseases, we\u2019re only thinking about cavities. But what about the role of diet in periodontal disease? There has been less research, but if it\u2019s about inflammation, one would expect diets rich in saturated fat to make things worse, <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27463711\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">increasing<\/span><\/a><span data-contrast=\"none\"> oxidative stress as well as<\/span><span data-contrast=\"none\"> inflammation<\/span><span data-contrast=\"none\">. So, we may want to cut down on saturated fat, but let\u2019s not just speculate. Is there an association between cholesterol levels and periodontitis? If not, it would be hard to implicate saturated fat. In fact, there <\/span><i><span data-contrast=\"none\">does<\/span><\/i> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27452393\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">appear<\/span><\/a><span data-contrast=\"none\"> to be a link. Those with high cholesterol do appear to have up to double the risk.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">So, what about periodontal conditions in vegetarians? A hundred vegetarians versus non-vegetarians were <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23714722\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">studied<\/span><\/a><span data-contrast=\"none\">, and those eating vegetarian had \u201cbetter periodontal conditions (less inflammation signs, less periodontal damage, and better dental home care).\u201d It should be considered, however, that vegetarians may not just be avoiding meat but may also be healthier in other ways, like practicing better dental care.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Do people who eat more saturated fat get more periodontitis? Yes, in one study, participants <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21505204\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">had<\/span><\/a><span data-contrast=\"none\"> double the risk at the highest levels of saturated fat intake. That was a study<\/span><span data-contrast=\"none\"> in Japan<\/span><span data-contrast=\"none\">, where they eat less than half the meat and dairy than do Americans in the United States. The only way to know for sure, though, is to do an interventional trial where you change people\u2019s diets and see what happens. And, researchers did just that and found that bone loss was indeed <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24769219\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">magnified<\/span><\/a><span data-contrast=\"none\"> by a diet high in saturated fat and cholesterol\u2014at least in the rats they studied.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><span data-contrast=\"none\">In my video <\/span><strong><a href=\"https:\/\/nutritionfacts.org\/video\/how-to-treat-periodontitis-with-diet\/\" target=\"_blank\" rel=\"noopener\">How to Treat Periodontitis with Diet<\/a><\/strong><span data-contrast=\"none\">, I talk about the kind of study that I was looking for. Its title kind of ruins the suspense: \u201cA High-Fiber, Low-Fat Diet <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25026916\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Improves<\/span><\/a><span data-contrast=\"none\"> Periodontal Disease Markers\u201d in terms of probing depth, clinical attachment loss, and bleeding on probing\u2014all of the standard measures. And, of course, eating a healthier diet also improves body weight, blood sugar control, and systemic inflammation, but that complicates matters. Maybe people\u2019s mouths got better just because they lost so much weight.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Researchers have shown that you can <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22014172\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">improve<\/span><\/a><span data-contrast=\"none\"> periodontal disease with bariatric surgery, such as stomach stapling. After eight weeks on a diet, the study participants went back on their regular diet and gained back most of that weight. But, the periodontal disease improvements persisted, suggesting that it was more than just the weight loss that lead to the improvements. Might the high-fiber diet have altered their good gut flora or perhaps their oral flora? What exactly was going on?<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">German researchers took 20 women with mild to moderate chronic periodontitis and, for a year, tried to <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18713481\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">transition<\/span><\/a><span data-contrast=\"none\"> their diets towards more wholesome nutrition. This meant more plant foods, more whole foods, more fresh foods\u2014trying to center their diets around vegetables, fruits, whole grains, potatoes, and legumes (beans, split peas, chickpeas, and lentils). After 12 months, the patients <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18713481\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">showed<\/span><\/a><span data-contrast=\"none\"> a significant reduction of probing pocket depth and gingival inflammation. And, for the first time, the researchers measured decreased concentrations of inflammatory chemicals inside the crevice between the tooth and gums. These chemicals, which are thought to be responsible for the tissue destruction in periodontal disease, decreased by as much as 75 percent. And all the while, their oral hygiene status didn\u2019t change, suggesting it was the diet that did it. But what was missing here? A control group. Nevertheless, there\u2019s never been any <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26969836\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">randomized<\/span><\/a><span data-contrast=\"none\">, double-blind, placebo-controlled trials of diet for periodontal disease until now, which I\u2019ll cover next.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p class=\"p1\">You can also watch my <strong>video<\/strong> <a href=\"https:\/\/nutritionfacts.org\/video\/best-foods-for-halitosis-and-gingivitis\/\" target=\"_blank\" rel=\"noopener\"><strong>Best Foods for Halitosis and Gingivitis<\/strong><\/a><span data-contrast=\"none\">.<\/span><\/p>\n<p><span class=\"et_social_bottom_trigger\"\/>  <\/div>\n<p><script>\n            !function(f,b,e,v,n,t,s)\n            {if(f.fbq)return;n=f.fbq=function(){n.callMethod?\n                n.callMethod.apply(n,arguments):n.queue.push(arguments)};\n            if(!f._fbq)f._fbq=n;n.push=n;n.loaded=!0;n.version='2.0';\n            n.queue=[];t=b.createElement(e);t.async=!0;\n            t.src=v;s=b.getElementsByTagName(e)[0];\n            s.parentNode.insertBefore(t,s)}(window, document,'script',\n                'https:\/\/connect.facebook.net\/en_US\/fbevents.js');\n            fbq('init', '1582627921973608');\n            fbq('track', 'PageView');\n        <\/script><br \/>\n<br \/><div data-type=\"_mgwidget\" data-widget-id=\"1675549\">\r\n<\/div>\r\n<script>(function(w,q){w[q]=w[q]||[];w[q].push([\"_mgc.load\"])})(window,\"_mgq\");\r\n<\/script>\r\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Plant-based diets are put to the test in the treatment of periodontal disease. How does nutrition affect periodontal disease? First, what is it? \u201cPeriodontal disease is a bacterial infection that results in inflammatory destruction of the connective tissue and bone that support the teeth.\u201d As such, it is therefore one of the leading causes of &hellip;<\/p>\n","protected":false},"author":3,"featured_media":3499,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-3498","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts\/3498","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3498"}],"version-history":[{"count":0,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts\/3498\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/media\/3499"}],"wp:attachment":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3498"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3498"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3498"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}