Intracytoplasmic enzymes in gingival crevicular fluid of patients with aggressive periodontitis

sIgA, peroxidase and collagenase in saliva of smokers aggressive periodontal patients

BACKGROUND

Tobacco smoking is strongly associated with destructive periodontal disease, alveolar bone loss and poor response to periodontal therapy. The aim of this study was to investigate the effect of smoking on antimicrobials and destructive proteins in the saliva of patients with generalized aggressive periodontal disease.

MATERIAL AND METHODS

The study group consisted of 55 adult subjects. They were classified according to their clinical diagnoses either as having generalized aggressive periodontitis (n = 27; 13 smokers and 14 non-smokers) or as periodontitis-free control group (n = 28; 14 smokers and 14 non-smokers). Total proteins, sIgA, peroxidase and collagenase were quantified in whole saliva. Data were analyzed using one-way ANOVA and Tukey tests.

RESULTS

Statistical differences were found between smokers with periodontal disease and healthy control subjects for sIgA, and between non-smokers with periodontal disease and healthy control subjects for peroxidase. Collagenase activity was higher in smokers and non-smokers with periodontal disease, and tobacco use was found to increase collagenase activity in healthy subjects.

CONCLUSION

Whole saliva from all patients with periodontal disease had higher sIgA and lower peroxidase content. Smokers with periodontitis had higher sIgA than smokers without periodontitis. Smokers with and without periodontitis had higher collagenase activity than non-smokers (with and without periodontitis).

Development and validation of RP HPLC method for determination of betamethasone dipropionate in gingival crevicular fluid

Abstract A simple RP HPLC method for quantification of betamethasone dipropionate (BDP) in gingival crevicular fluid (GCF) has been developed and validated. GCF represents a valuable matrix for therapeutic monitoring of drugs used in the treatment of periodontal disease. The proposed method involves single step extraction for sample preparation. The calibration curve for BDP was linear over the concentration range of 0.10-2.00 μg mL⁻¹ (R² = 0.9971). RSD values of intra- and inter-day precision ranged 2.2-4.5 and 1.6-5.7 %, while accuracy values were higher than 96.6 and 97.0 %, respectively. The described method can be successfully applied for determination of betamethasone concentrations in GCF obtained from patients with chronic periodontitis after local treatment with BDP cream 0.5 mg g⁻¹.