M.M. Milward1, N. Ling-Mountford1, P. Weston1, G.E. Dallal2, J.B. Matthews1, S. De-Spirt3, W. Stahl3, I.L.C. Chapple1. 1Periodontal Research Group, College of Medical and Dental Sciences, The University of Birmingham, UK; 2Biostatistics Unit, USDA HNRC at Tufts University, Boston, MA, USA; 3Institut fuer Biochemie und Molekularbiologie I Heinrich-Heine-Universitaet, Duesseldorf, Germany E-mail: m.r.milward@bham.ac.uk Chronic periodontitis is the most prevalent chronic inflammatory disease of humans [1], a major cause of tooth loss [2] and an independent risk factor for systemic inflammatory diseases, such as atherogenic vascular disease [3], type-2 diabetes [4] and rheumatoid arthritis [5]. It is caused by a dysregulated inflammatory response to the microbial plaque biofilm, characterised by oxidative stress [6], and which fails to remove causative pathogens, creating a non-resolving inflammation that destroys the attachment of the teeth to jaw bone. Large epidemiological studies have demonstrated an inverse association between serum antioxidant micronutrient levels and periodontitis prevalence [7]. Therefore, the aim of this placebo-controlled, randomized, double blind trial, was to assess whether additional benefit could be obtained by use of dietary augmentation with dried whole fruit, vegetable and berry extracts (Juice Plus+®), employed during and after non-surgical periodontal therapy. Primary outcome measures were reductions in periodontal pocket depth (PPD) and gain in connective tissue attachment level (CAL) to teeth, 2-months following standard therapy. Test interventions were fruit/vegetable (FV, n = 16) and FV/berry (FVB, n = 15) verses placebo (PL, n = 17). Statistical analysis employed 2-tailed ANCOVA (baseline PPD and CAL as covariates) and interim data on 48 never smokers are reported. Plasma beta-carotene concentrations increased over the study period in FV and FVV groups (p 0.05), and were higher at 2-months in FV and FVV than PL (p < 0.006). Non-surgical therapy produced statistically significant improvements in PPD (FV = 0.86±0.4mm; FVB = 0.88±0.4mm; PL = 0.81±0.5mm) and for CAL (p < 0.0001). Despite such large improvements, additional benefit was seen for PPD with FV (p < 0.03) and FVB (p < 0.04) supplementation versus PL, and a trend towards additional gains in CAL with FV (p = 0.07). Thus, adjunctive antioxidant micronutrients (Juice Plus+®) may offer additional therapeutic benefit to standard non-surgical periodontal therapy. Support: NSA (TN, USA).