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OBJECTIVE: To assess the effects of periodontal treatment on endothelial function in patients with coronary artery disease. MATERIALS AND METHODS: A randomized controlled trial was conducted with 69 patients with stable coronary disease and severe periodontitis. The test group received nonsurgical periodontal therapy consisting of personalized oral hygiene instructions, subgingival scaling, and root planing per quadrant, whereas the control group received equal treatment after the study period. Endothelial function was assessed by measurement of brachial artery flow-mediated dilation, concentrations of sVCAM-1, sICAM-1, and P-selectin in serum before and 3 months after periodontal therapy. RESULTS: The test group exhibited statistically better periodontal parameters-plaque, probing depth, periodontal attachment loss, and bleeding on probing. No significant improvements were observed in the control (1.37%) and test (1.39%) groups in flow-mediated dilation, with no significant between-group difference. sVCAM-1 concentration increased in the control group (997.6 +/- 384.4-1201.8 +/- 412.5; p = 0.03), whereas in the test group, no significant changes were observed (915.1 +/- 303.8-1050.3 +/- 492.3; p = 0.17), resulting in a significant difference between the two groups (p = 0.04). The same pattern was observed for concentrations of sICAM-1. CONCLUSION: Periodontal treatment did not provide better vasodilation in patients with coronary disease in a short-term follow-up period, although it maintained blood concentrations of markers of vascular inflammation.

The degree to which a group of fossils reflects the original community from which it was derived can be estimated by comparing living communities with locally accumulated dead remains. Such live–dead approaches (LA/DA) can provide important baseline information on the ecological structure of ancient freshwater systems. This study explored variations in composition, richness, evenness and rank-abundance in live and dead mollusk assemblages recovered from the Ibicuí River Basin, southern Brazil. LA/DA was related to topography, river size, and sediment grain size, separated respectively into plain (altitude 0–100 m) versus slope (100–500 m), small versus medium-large stream orders, and gravel versus sand substrate. Positive correlation between LA and DA species composition was significant only in large rivers. Slope areas showed LA/DA species compositions that were significantly different, whereas the communities from sand and gravel substrates were quite similar. Important factors that affected live/dead similarity in the study area included (1) destruction of thin, fragile shells of dead animals by acidic waters that are common in the region, (2) downstream drift of small spherical shells from species common in slope areas, such as Potamolithus sp., and (3) high abundances of invasive species in the local death assemblage, especially in large rivers. High fidelity in large rivers is caused by the presence of favorable habitats for bivalve communities. Coarse sediments are an important driver of macro invertebrate diversity, acting as shell traps that slow the downstream drift of bivalve remains and improve the preservation of fluvial mollusks. The preservation potential of dead assemblages of the Ibicuí River showed that fossil assemblages are useful tools for recognizing ancient riverscapes, such as flat areas with sandy substrates.

OBJECTIVE: To evaluate the existing evidence supporting or refuting the following questions: (i) Do patients with lower vitamin D levels have higher risk for periodontal disease? (ii) Are periodontal treatment outcomes improved by the adjuvant supplementation of vitamin D or by elevated serum vitamin D levels? MATERIAL AND METHODS: MEDLINE, SCOPUS, EMBASE and Cochrane Central Register of Controlled Trials (CENTRAL) databases were searched up to September 2017. Studies were included if they had measured serum vitamin D levels or vitamin D intake and any periodontal parameter. RESULTS: Overall, 27 studies were included (13 cross-sectional studies, 6 case-control studies, 5 cohort studies, 2 randomized clinical trials and 1 case series study). Sixty-five percent of the cross-sectional studies reported significant associations between low vitamin D levels and poor periodontal parameters. None of the observational longitudinal studies found that periodontal disease progression could be attributed to lower vitamin D levels. No interventional studies that evaluated the use of vitamin D supplementation as a solely adjuvant to periodontal treatment was found. No meta-analysis was performed due to high variability across studies. CONCLUSION: The data to support or refute the association between vitamin D levels and periodontal disease are inconclusive at the moment. More rigorously designed longitudinal studies with standardized definitions of periodontal disease and vitamin D are necessary.

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