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The aim was to assess two macronutrient interventions in a 2 × 2 factorial dietary design to determine their effects on oral health. Participants (65-75 years old) with a body mass index between 20 and 35 kg/m of a larger randomized control trial who consented to an oral health assessment were recruited. They had ad libitum access to one of four experimental diets (omnivorous higher fat or higher carbohydrate, semi-vegetarian higher fat or higher carbohydrate) for 4 weeks. The periodontal examination included periodontal probing depth