Periodontal Therapy on the Gut Microbiome of Inflammatory Bowel Disease

Effect of Intensive or Conventional Periodontal Therapy on the Gut Microbiome and Systemic Inflammation of Patients With Inflammatory Bowel Disease: a Single-blinded Randomized Clinical Trial

Periodontitis and inflammatory bowel disease have been associated by meta-epidemiologic evidence, although their mechanistic connection needs to be further explored. Oral-gut axis is implicated in the pathogenesis of several chronic inflammatory conditions, but to date no studies have evaluated the impact of periodontal treatment on gut ecology. Thus, the present randomised clinical trial is aimed at investigating the effect of intensive or conventional periodontal therapy on the gut microbiome and parameters of systemic inflammation of patients diagnosed with inflammatory bowel disease.

Adjunctive full-mouth intensive removal of subgingival dental plaque biofilms with the use of scaling and root planing after the administration of local anesthesia.

Subgingival instrumentation with ultrasonic devices and curettes of all periodontal pockets completed within 48 hours

Variation in CAL after therapy assessed using a millimetre marked manual periodontal probe at 6 sites per tooth element

Variation in PPD after therapy assessed using a millimetre marked manual periodontal probe at 6 sites per tooth element

Variation in the percentage of bleeding sites after therapy assessed by gentle probing at 6 sites per tooth element

Inclusion Criteria: clinical and instrumental diagnosis of ulcerative colitis or Crohn's disease periodontitis Stage III or IV BMI between 20 and 29 kg/m2 free diet presence of at least 20 teeth Exclusion Criteria: Systemic diseases (including diabetes, thyroid, liver, or kidney diseases) dietary allergies use of antibiotics or probiotics during the previous 30 days pregnancy or breast feeding