Relationship Between Porphyromonas Gingivalis and Obesity in Patients With Periodontitis

Study Overview
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Brief Summary
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Obesity is recognized as a major public health problem. Recent research suggests the involvement of the gut microbiota in the development of obesity. Indeed, obese people are characterized by a dysbiotic intestinal microbiota. Periodontitis are chronic inflammatory oral pathologies linked to an imbalance between the bacterial etiological factor, oral dysbiosis, and the host's immune defenses.They lead to the destruction of the supporting tissues of the tooth and an apical migration of the periodontal attachment system, thus leading to the formation of the pathognomonic entity of the disease, the periodontal pocket.the presence of bacteria of oral origin such as Porphyromonas gingivalis (Pg) has been demonstrated in the adipose tissue of obese patients inducing a chronic low-grade inflammatory response by macrophages which leads to the proliferation of adipocyte precursors predisposing to obesity. The main objective is to assess the average amount of Porphyromonas gingivalis (Pg) in the saliva of obese people (BMI ≥ 30) with periodontitis.

Detailed Description
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Obesity is recognized as a major public health problem. Recent research suggests the involvement of the gut microbiota in the development of obesity. Indeed, obese people are characterized by a dysbiotic intestinal microbiota. Periodontitis are chronic inflammatory oral pathologies linked to an imbalance between the bacterial etiological factor, oral dysbiosis, and the host's immune defenses.They lead to the destruction of the supporting tissues of the tooth and an apical migration of the periodontal attachment system, thus leading to the formation of the pathognomonic entity of the disease, the periodontal pocket.the presence of bacteria of oral origin such as Porphyromonas gingivalis (Pg) has been demonstrated in the adipose tissue of obese patients inducing a chronic low-grade inflammatory response by macrophages which leads to the proliferation of adipocyte precursors predisposing to obesity. The main objective is to assess the average amount of Porphyromonas gingivalis (Pg) in the saliva of obese people (BMI ≥ 30) with periodontitis.This study is a comparative cross-sectional non-interventional study with retrospective and prospective and consecutive recruitment of participants. Prospective patient recruitment: During the patient's visit to the periodontology department, if the patient has periodontitis and has given his non-objection, he will be included in the study. A routine check-up in odontology will then be carried out: complete medical questionnaire (general, hygiene and dietetics), clinical examination (visual examination and statement of periodontal indices), radiological examination. Samples of saliva and periodontal plaque, conventionally taken in current dental surgery practice in the periodontal management of patients, will be used to carry out bacterial assays. CThe saliva samples, which are part of the usual treatment, will be carried out before and after the non-surgical periodontal treatment.

Official Title
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Non-interventional Study Exploring the Relationship Between Porphyromonas Gingivalis and Obesity in Patients With Periodontitis

Conditions
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Obesity

Intervention / Treatment
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* Other: saliva samples


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: over 18 years old having periodontitis able to receive information on the course of the study and to understand the information form to participate in the study. having given their non-objection to participate in the study Exclusion Criteria: Having taken antibiotics, prebiotics or probiotics in the month prior to inclusion During pregnancy or breastfeeding With a history of oral surgery in the month prior to inclusion At risk of infection (existence of one or more known chronic infectious diseases) Suffering from a general pathology contraindicating the performance of diagnostic procedures such as periodontal probing (patients at high risk of infective endocarditis according to the French National Agency for the Safety of Medicines and Products of Health ANSM)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| obese patients<br>Patients with a body mass index superior or equal at 30 and with a periodontitis | Other: saliva samples<br>* Saliva samples, which are part of the usual treatment, will be carried out before and after the non-surgical periodontal treatment<br>* Other names: periodontal plaque samples;|
| non-obese (BMI<30) patients<br>Patients with a body mass index inferior at 30 with a periodontitis | Other: saliva samples<br>* Saliva samples, which are part of the usual treatment, will be carried out before and after the non-surgical periodontal treatment<br>* Other names: periodontal plaque samples;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Analysis by bacterial culture and taxonomic analysis (MiSEQ) of the microbiological composition of saliva | Assess the microbiological composition of saliva and periodontal plaque in obese (BMI≥30) and non-obese (BMI<30) patients with periodontitis. | 8 weeks | 
| Analysis by bacterial culture and taxonomic analysis (MiSEQ) of the microbiological composition periodontal plaque | Assess the microbiological composition of periodontal plaque in obese (BMI≥30) and non-obese (BMI<30) patients with periodontitis. | 8 weeks |