Periodontal Therapy as an Adjunct to Pulmonary Rehabilitation in Chronic Respiratory Diseases: A Randomized Controlled Trial

Background: Chronic respiratory diseases (CRDs) significantly impact quality of life and are linked to systemic inflammation. This study explores the potential connection between oral and respiratory health by investigating the benefits of integrating periodontal therapy into pulmonary rehabilitatio...

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Main Authors: Anuj S. Parihar, Neha Khare, Sneha Bayyapu, Maninderjit Kaur, Deepak Kochar, Rashmi Laddha
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_1224_24
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author Anuj S. Parihar
Neha Khare
Sneha Bayyapu
Maninderjit Kaur
Deepak Kochar
Rashmi Laddha
author_facet Anuj S. Parihar
Neha Khare
Sneha Bayyapu
Maninderjit Kaur
Deepak Kochar
Rashmi Laddha
author_sort Anuj S. Parihar
collection DOAJ
description Background: Chronic respiratory diseases (CRDs) significantly impact quality of life and are linked to systemic inflammation. This study explores the potential connection between oral and respiratory health by investigating the benefits of integrating periodontal therapy into pulmonary rehabilitation (PR) for CRD patients. Objective: This randomized controlled trial (RCT) assessed the impact of periodontal therapy combined with PR on lung function, quality of life, and systemic inflammation in CRD patients. Methods: 2500 adults with CRDs and moderate to severe periodontal disease were randomized to receive standard PR or PR plus periodontal therapy. The primary outcome was the change in forced expiratory volume in one second (FEV1). Secondary outcomes included quality of life, inflammatory markers, and periodontal health parameters. Results: The combined therapy group showed significantly greater improvements in FEV1 (P < 0.001), quality of life (P < 0.05), and inflammatory markers (P < 0.01) compared to the PR-only group. Significant improvements were also observed in all periodontal health parameters in the combined therapy group. Conclusion: Integrating periodontal therapy into PR programs provides additional benefits for CRD patients, suggesting a potential mechanism through which addressing periodontal inflammation positively impacts overall health. These findings support the inclusion of periodontal therapy as an adjunctive treatment strategy in CRD management.
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publishDate 2024-12-01
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spelling doaj-art-f01dc2b89ba04c1a9590f3134b2419652025-01-13T10:39:09ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S3932S393510.4103/jpbs.jpbs_1224_24Periodontal Therapy as an Adjunct to Pulmonary Rehabilitation in Chronic Respiratory Diseases: A Randomized Controlled TrialAnuj S. PariharNeha KhareSneha BayyapuManinderjit KaurDeepak KocharRashmi LaddhaBackground: Chronic respiratory diseases (CRDs) significantly impact quality of life and are linked to systemic inflammation. This study explores the potential connection between oral and respiratory health by investigating the benefits of integrating periodontal therapy into pulmonary rehabilitation (PR) for CRD patients. Objective: This randomized controlled trial (RCT) assessed the impact of periodontal therapy combined with PR on lung function, quality of life, and systemic inflammation in CRD patients. Methods: 2500 adults with CRDs and moderate to severe periodontal disease were randomized to receive standard PR or PR plus periodontal therapy. The primary outcome was the change in forced expiratory volume in one second (FEV1). Secondary outcomes included quality of life, inflammatory markers, and periodontal health parameters. Results: The combined therapy group showed significantly greater improvements in FEV1 (P < 0.001), quality of life (P < 0.05), and inflammatory markers (P < 0.01) compared to the PR-only group. Significant improvements were also observed in all periodontal health parameters in the combined therapy group. Conclusion: Integrating periodontal therapy into PR programs provides additional benefits for CRD patients, suggesting a potential mechanism through which addressing periodontal inflammation positively impacts overall health. These findings support the inclusion of periodontal therapy as an adjunctive treatment strategy in CRD management.https://journals.lww.com/10.4103/jpbs.jpbs_1224_24chronic respiratory diseaseperiodontal therapypulmonary rehabilitationrct
spellingShingle Anuj S. Parihar
Neha Khare
Sneha Bayyapu
Maninderjit Kaur
Deepak Kochar
Rashmi Laddha
Periodontal Therapy as an Adjunct to Pulmonary Rehabilitation in Chronic Respiratory Diseases: A Randomized Controlled Trial
Journal of Pharmacy and Bioallied Sciences
chronic respiratory disease
periodontal therapy
pulmonary rehabilitation
rct
title Periodontal Therapy as an Adjunct to Pulmonary Rehabilitation in Chronic Respiratory Diseases: A Randomized Controlled Trial
title_full Periodontal Therapy as an Adjunct to Pulmonary Rehabilitation in Chronic Respiratory Diseases: A Randomized Controlled Trial
title_fullStr Periodontal Therapy as an Adjunct to Pulmonary Rehabilitation in Chronic Respiratory Diseases: A Randomized Controlled Trial
title_full_unstemmed Periodontal Therapy as an Adjunct to Pulmonary Rehabilitation in Chronic Respiratory Diseases: A Randomized Controlled Trial
title_short Periodontal Therapy as an Adjunct to Pulmonary Rehabilitation in Chronic Respiratory Diseases: A Randomized Controlled Trial
title_sort periodontal therapy as an adjunct to pulmonary rehabilitation in chronic respiratory diseases a randomized controlled trial
topic chronic respiratory disease
periodontal therapy
pulmonary rehabilitation
rct
url https://journals.lww.com/10.4103/jpbs.jpbs_1224_24
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AT snehabayyapu periodontaltherapyasanadjuncttopulmonaryrehabilitationinchronicrespiratorydiseasesarandomizedcontrolledtrial
AT maninderjitkaur periodontaltherapyasanadjuncttopulmonaryrehabilitationinchronicrespiratorydiseasesarandomizedcontrolledtrial
AT deepakkochar periodontaltherapyasanadjuncttopulmonaryrehabilitationinchronicrespiratorydiseasesarandomizedcontrolledtrial
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