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VOLUME 14 , ISSUE 2 ( March-April, 2013 ) > List of Articles


Association between Obesity and Chronic Periodontitis: A Cross-sectional Study

Ajay Reddy Palle, CM Sanjeeva Kumar Reddy, B Shiva Shankar, Vemsi Gelli, Jaradoddi Sudhakar, K Krishna Mohana Reddy

Citation Information : Palle AR, Reddy CS, Shankar BS, Gelli V, Sudhakar J, Reddy KK. Association between Obesity and Chronic Periodontitis: A Cross-sectional Study. J Contemp Dent Pract 2013; 14 (2):168-173.

DOI: 10.5005/jp-journals-10024-1294

Published Online: 01-08-2013

Copyright Statement:  Copyright © 2013; The Author(s).



Chronic periodontitis is multifactorial and numerous risk factors have been identified to contribute in the disease progression. Current study aimed to conduct a cross-sectional study in a population of patients with cardiovascular diseases in order to correlate the association between obesity [body mass index (BMI) and waist circumference (WC)] and periodontal disease parameters.

Materials and methods

The study was of a cross-sectional design and a total of 201 patients were examined after obtaining their informed consent. Subjects who had a history of cardiovascular diseases and under treatment were included in the study. Two indicators of obesity were used: BMI and WC. The following periodontal parameters were assessed: Probing depth, clinical attachment level. The oral hygiene status of the subjects was assessed by the oral hygiene index (OHI, simplified) given by John C Greene and Jack R Vermillion. The influence of the BMI and other confounding variables on periodontitis severity was assessed by multivariate logistic regression analysis. Data were analyzed using SPSS.


Significant association was seen with low density lipoproteins (LDL) and severity of periodontitis (p < 0.005), triglyceride levels (TGL) and severity of periodontitis (p < 0.005), cholesterol and severity of periodontitis (p < 0.005), BMI and severity of periodontitis (p < 0.001), OHI and severity of periodontitis (p < 0.001). Significant association was seen with smoking and severity of periodontitis (p < 0.005), BMI and severity of periodontitis (p < 0.001), WC and severity of periodontitis (p < 0.001), cholesterol and severity of periodontitis (p < 0.001), OHI and severity of periodontitis (p < 0.001).


Obesity has been implicated as a risk factor for several conditions including cardiovascular disease, diabetes, etc. In our study the relation between measures of overall and abdominal obesity (BMI and WC) and periodontal disease showed significant association in the multivariate logistic regression analysis independent of other confounding factors.

Clinical significance

Obesity can act as a significant risk factor in progression of periodontitis.

How to cite this article

Palle AR, Reddy CMSK, Shankar BS, Gelli V, Sudhakar J, Reddy KKM. Association between Obesity and Chronic Periodontitis: A Cross-sectional Study. J Contemp Dent Pract 2013;14(2):168-173.

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  1. Current view of risk factors for periodontal diseases. J Periodontol 1996 Oct;67 (10 Suppl):1041-49.
  2. Periodntal diseases epidemiology. Ann Periodontol 1996 Nov;1(1):1-36.
  3. The IL-1 genotypes as a severity factor in adult periodontal disease. J Clin Periodontol 1997 Jan;24(1):72-77.
  4. Obesity and periodontal diseases in young, middle aged, and older adults. J Periodontol 2003;74:610-15.
  5. Enhanced expression of PAI-1 in visceral fat: Possible contributor to vascular disease in obesity. Nat Med 1996;2:800-02.
  6. Central role of adipocytokines on metabolic (Japanese) syndrome. Exp Med 2002;20:1762-67.
  7. Correlation between TNF-alpha in gingival crevicular fluid and BMI in obese subjects. Acta Odontol Scand 2004;62:273-77.
  8. The simplified oral hygiene index. J Am Dent Assoc 1964;68:7-13.
  9. Low risk threshold for acquired diabetogenic factors in Asian Indians. Diabetes Res Clin Prac 2004;56:189-95.
  10. Periodontal status of US employed adults 1985-1986. J Am Dent Assoc 1990;121:226-35.
  11. Obesity and periodontitis in 60-70 years old men. J Clin Periodontol 2007;34:461-66.
  12. Risk factors for cardiovascular disease in patients with periodontitis. Eur Heart J 2003;24:2099-107.
  13. Obesity and periodontitis (letter). N Engl J Med 1998;339:482-83.
  14. Negative effects of chronic inflammatory periodontal disease on diabetes mellitus. J Int Acad Periodontol 2000;2:49-55.
  15. Determination of smoking and obesity as periodontitis risks using the classification and regression tree method. J Periodontol 2005;76:923-28.
  16. Comparison of body composition and periodontal disease using nutritional assessment techniques. Third National Health and nutritional examination survey (NHMANES III). J Clin Periodontol 2002;30:321-27.
  17. relationship between upper body obesity and periodontitis. J Dent Res 2001;80:1631-36.
  18. Total body weight and waist circumference associated with chronic periodontitis among adolescents in the United States. Arch Pediatr Adolesc Med 2006;160:894-99.
  19. The influence of fatty liver on insulin clearance and insulin resistance in nondiabetic Japanese subjects. Int J Obes Relat Metab Disord 1995;19:841-45.
  20. Relationship between periodontitis and hepatic condition in Japanese women. J Int Acad Periodontal 2006;8:89-95.
  21. Waist circumference and abdominal sagittal diameter: Best simple anthropometric indexes of abdominal visceral adipose tissue accumulations and related cardiovascular risk in men and women. Am J Cardiol 1994;73:460-68.
  22. Plasma lipid and blood glucose levels in patients with destructive periodontal disease. J Clin Periodontol 2000;27:537-41.
  23. Association between periodontal pockets and elevated cholesterol and LDD Cholesterol levels. J Periodontol 2002;73:494-500.
  24. Epidemiological patterns of smoking and periodontal disease in United States. J Am Dent Assoc 1983 May;106(5);617-21.
  25. Cigarette smoking as risk factor in chronic periodontal disease. Community Dent Oral Epidemiol 1989 Oct;17(5):245-47.
  26. Prevalence of chronic periodontal disease using probing depth as a diagnostic test. J Clin Periodontol 1989 Oct;16(9):588-92.
  27. A 10 year prospective study of tobacco smoking and periodontal health. J Periodontol 2000 Aug;71(8);1338-47.
  28. Assessment of risk for periodontal disease. Risk indicators for attachment loss. J Periodontol 1994;65:260-67.
  29. Periodontal microbial ecology. Periodontol 2000 2005;38:135-87.
  30. Assessment of risk for periodontal disease. Risk indicator for alveolar bone loss. J Periodontol 1995;66;23-29.
  31. Smoking and its effects on early onset periodontitis. J Am Dent Assoc 1995 Aug;126(8):1107-13.
  32. Prevalence and risk indicators for periodontal attachment loss in population of older community dwelling blacks and whites. J Periodontol 1990 Aug;61(8);521-28.
  33. Relationship between obesity, glucose tolerance and periodontal disease in Japanese women. The Hisayama study. J Periodontal Res 2005;40:346-53.
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