Marital compliance for risk factors for periodontitis development during complex treatment of steatotic liver disease

November 27, 2025
194
УДК:  616.31:616.08:616-008
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Periodontal diseases are closely related to such risk factors that are modifiable (unhealthy diet, smoking, irrational oral hygiene, etc.), and in the presence of general systemic low-intensity inflammation, it quickly becomes a destructive process. It is known that the habits of spouses are fixed at the subconscious level and are often transmitted from one spouse to another, and the presence of periodontal pathology in one spouse is a risk of disease for another.

Purpose of the study: to assess the individual and family risk of periodontal lesions in the assessment of marital consent with similar exogenous risk factors in the dynamics of complex treatment of metabolic-associated steatotic liver disease.

Materials and methods. 44 married couples were involved, where one of the spouses suffered from steatotic liver disease, and the other did not have metabolic disorders. A questionnaire (own development) was conducted regarding the probable risk factors for the initiation of periodontal diseases, dental status, physical indicators of oral fluid were studied. After providing individual and paired methods of correction of periodontal lesions, a control visit was conducted (after 3 months).

Results. It was noted that the proposed treatment and prevention complex significantly increased the percentage of couples whose spouses completely adjusted their usual lifestyle (the best results were recorded in group, where patients adjusted their food preferences and had marital concordance in the absence of the indicated complaints. Group and individual classes and training of patients in hygienic oral care contributed to the improvement of hygienic condition and a decrease in the OHI-S index, increased salivation and tendency to normalize other salivation indicators.

Conclusion. Married couples are the best target for interventions on risk factors for the prevention of periodontal lesions.

References

  • 1. López-Valverde N., Quispe-López N., Blanco R.J.A. (2024) Inflammation and immune response in the development of periodontal disease: a narrative review. Frontiers in Cellular and Infection Microbiology,14. http://www.frontiersin.org/journals/cellular-and-infection-microbiology/articles/10.3389/fcimb.2024.1493818.
  • 2. Alawaji Y.N., Alshammari A., Mostafa N. et al. (2022) Periodontal disease prevalence, extent, and risk associations in untreated individuals. Clin. Exp. Dent. Res, 8: 380–394. DOI: 10.1002/cre2.526.
  • 3. Nemesh O.M., Honta Z.M., Shylivskyi I.V. et al. (2024) Certain aspects of the systemic etiopathogenesis of dystrophic-inflammatory periodontal diseases (a literature review). Zaporozhye Med. J., 26(2): 154–158. doi.org/10.14739/2310-1210.2024.2.291888.
  • 4. Liu W., Zhang W., Ye M. (2024) Association between carbohydrate-to-fiber ratio and the risk of periodontitis. J. Dent. Sci., 19(1): 246–253. DOI: 10.1016/j.jds.2023.04.012.
  • 5. Abdulkareem A.A., Al-Taweel F.B., Al-Sharqi A.J.B. et al. (2023) Current concepts in the pathogenesis of periodontitis: from symbiosis to dysbiosis. J. Oral. Microbiol., 15: 2197779. DOI: 10.1080/20002297.2023.2197779.
  • 6. Toyama N., Ekuni D., Matsui D. et al. (2021) Comprehensive analysis of risk factors for periodontitis focusing on the saliva microbiome and polymorphism. Int. J. Environ Res. Publ. Health, 18: 6430. DOI: 10.3390/ijerph18126430.
  • 7. Hatasa M., Yoshida S., Takahashi H. et al. (2021) Relationship between NAFLD and Periodontal Disease from the View of Clinical and Basic Research, and Immunological Response. Int. J. Mol. Sci., 22(7): 3728. DOI: 10.3390/ijms22073728.
  • 8. Cobb L.K., McAdams-DeMarco M.A., Gudzune K.A. et al. (2016) Changes in Body Mass Index and Obesity Risk in Married Couples Over 25 Years: The ARIC Cohort Study. Am. J. Epidemiol., 183(5): 435–443. DOI: 10.1093/aje/kwv112.
  • 9. Wilson S.J., Novak J.R. (2022) The Implications of Being «In it Together»: Relationship Satisfaction and Joint Health Behaviors Predict Better Health and Stronger Concordance Between Partners. Ann. Behav. Med., 56(10): 1014–1025. DOI: 10.1093/abm/kaab099.
  • 10. Weng Choy K. (2021) Non-invasive diagnosis of non-alcoholic steatohepatitis and liver fibrosis. Lancet Gastroenterol. Hepatol., 6(1): 9. DOI: 10.1016/S2468­1253 (20)30314­9.
  • 11. Dhingra K., Vandana K.L. (2011) Indices for measuring periodontitis: a literature review. Int. Dent. J., 61(2): 76–84. DOI: 10.1111/j.1875-595X.2011.00018.x.
  • 12. Schwerdt G., Schulz M.C., Kopf M. et al. (2025) Physiological regulation of oral saliva ion composition and flow rate are not coupled in healthy humans—Partial revision of our current knowledge required. Pflugers Arch. Eur. J. Physiol., 477: 55–65. doi.org/10.1007/s00424-024-03025-9.
  • 13. Asghar F., Bano A., Waheed F. et al. (2023) Association of exogenous factors with molecular epidemiology of Staphylococcus aureus in human oral cavity. Saudi J. Biol. Sci., 30(4): 103613. doi.org/10.1016/j.sjbs.2023.103613.
  • 14. Vegda H.S., Patel B., Girdhar G.A. et al. (2024) Role of Nonalcoholic Fatty Liver Disease in Periodontitis: A Bidirectional Relationship. Cureus, 16(7): e63775. DOI: 10.7759/cureus.63775.
  • 15. Donoho C.J., Seeman T.E., Sloan R.P., Crimmins E.M. (2015) Marital status, marital quality, and heart rate variability in the MIDUS cohort. J. Fam. Psychol., 29(2): 290–295. DOI: 10.1037/fam0000068.
  • 16. Pauly T., Keller J., Knoll N. et al. (2020) Moving in Sync: Hourly Physical Activity and Sedentary Behavior are Synchronized in Couples. Ann. Behav. Med., 54(1): 10–21. DOI: 10.1093/abm/kaz019.
  • 17. Sabine E.G., Yuxi Z., Jiawen Y., Lei W. et al. (2025) Systemic, Lifestyle and Environmental Modifying Factors in the Pathogenesis of Periodontitis. J. Periodont. Res. doi.org/10.1111/jre.70003.