Caring for patients with both obesity and periodontitis calls for careful evaluation, quantification and ongoing monitoring of existing periodontal inflammation, and also consultation with physician, in regards to obesity management. Obese patients may also require additional evaluations for comorbid diseases with oral presentations, such as diabetes mellitus and cardiovascular disease. Further, adjunctive therapies should be considered in patients who may demonstrate dampened response to periodontal therapy due to the overall inflammatory burden associated with obesity (Figure 6).
Figure 6. Risk Factors Associated with Obesity and Periodontitis to Consider during Periodontal Therapy.