The goal of this clinical trial is to assess whether adjunctive dental cleaning can enhance the effects of semaglutide in children with obesity. The main question\[s\] it aims to answer \[is/are\]: if dental cleaning will improve both oral health and metabolic outcomes beyond the effects of semaglutide alone. Participants will receive either dental cleaning and oral hygiene instruction or oral hygiene instruction alone.
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Change in gingival index
Timeframe: Baseline, 6 months, 12 months
Change in probing depth
Timeframe: Baseline, 6 months, 12 months
Change in BOP (Bleeding on probing)
Timeframe: Baseline, 6 months, 12 months
Change in Plaque Index
Timeframe: Baseline, 6 months, 12 months
Change in Clinical Attachment Level (CAL)
Timeframe: Baseline, 6 months, 12 months
Change in Gingival Margin Position (GM)
Timeframe: Baseline, 6 months, 12 months
Number of participants with Supragingival and Subgingival Calculus
Timeframe: Baseline, 6 months, 12 months
Change in Gingival Crevicular Fluid (GCF)
Timeframe: Baseline, 6 months, 12 months
Oelisoa Mireille Andriankaja, DDS, MS, PhD
Change in Bacterial Subgingival Biofilm
Timeframe: Baseline, 6 months, 12 months
Change in levels of Interleukin-1 beta (IL-1β)
Timeframe: Baseline, 6 months, 12 months
Change in levels of Tumor Necrosis Factor-alpha
Timeframe: Baseline, 6 months, 12 months
Change in levels of Interleukin-6 (IL-6)
Timeframe: Baseline, 6 months, 12 months
Change in levels of C-reactive protein (CRP)
Timeframe: Baseline, 6 months, 12 months
Change in levels of Soluble intercellular adhesion molecule-1 (sICAM-1)
Timeframe: Baseline, 6 months, 12 months
Change in levels of Soluble vascular cell adhesion molecule-1 (sVCAM-1)
Timeframe: Baseline, 6 months, 12 months
Change in levels of endocan
Timeframe: Baseline, 6 months, 12 months
Change in levels of Vascular Endothelial Growth Factor A (VEGF-A)
Timeframe: Baseline, 6 months, 12 months
Change in Oral Microbiome
Timeframe: Baseline, 6 months, 12 months
Change in active oral microbiome (RNA sequencing)
Timeframe: Baseline, 6 months, 12 months