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Eldessouky HF, Marie M. Nonsurgical Treatment of Periodontitis in Menopausal Patients: A Randomized Control Trial. Biomed Res Int 2024; 2024:6997142. [PMID: 38510979 PMCID: PMC10954359 DOI: 10.1155/2024/6997142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 02/09/2024] [Accepted: 02/10/2024] [Indexed: 03/22/2024]
Abstract
Background Menopause is typically accompanied by significant systemic and oral manifestations, including hormonal changes and increased susceptibility to periodontal disease, which may involve inflammatory biomarkers like aspartate aminotransferase (AST) and osteocalcin in gingival crevicular fluid (GCF). The study is aimed at evaluating the effectiveness of regular inoculation of polyunsaturated fatty acids (PUFAs) as an adjunctive treatment for menopausal women's periodontitis. Methods Twenty elderly women with chronic periodontitis were split evenly into two groups by random assignment. Patients in group II (the research group) were given soft gelatin capsules containing PUFAs to be consumed directly once daily for 12 months, as opposed to group I (the control group), who received soft gelatin capsules containing some olive oil (placebo). Scaling and root planning (SRP) were used to address periodontal disease in all cases. Results At baseline, six and twelve months after treatment, clinical indicators and AST and osteocalcin amounts in the GCF were noted. By the conclusion of the research period, all observed clinical measurements had changed significantly and improved. In addition, there had been a significant decrease in AST levels and a nonsignificant decrease in osteocalcin levels in group II compared to group I. Conclusions Menopausal women with periodontitis who take omega-3 fatty acid supplements in addition to SRP have better oral health. Significant improvements in clinical indicators and a notable decrease in AST levels within the GCF were observed. However, further research with larger cohorts and extended duration is needed to validate these findings and explain potential mechanisms. This trial is registered with NCT06254118.
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Affiliation(s)
- Hadir F. Eldessouky
- Department of Periodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
- Department of Oral Medicine and Periodontology, Faculty of Dentistry, Ain Shams University, Cairo, Egypt
| | - Magda Marie
- Department of Oral Medicine and Periodontics, Faculty of Dentistry, Alexandria University, Bab Sharqi, Alexandria Governorate 5424041, Egypt
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Panda V, Patidar P, Gaikwad R, Borade S, Fernandes L. Comparative clinical evaluation of a local drug delivery of cranberry and garcinia fruit gel with tetracycline fibers for amelioration of periodontitis: A split mouth study. J Indian Soc Periodontol 2023; 27:399-406. [PMID: 37593560 PMCID: PMC10431225 DOI: 10.4103/jisp.jisp_393_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Revised: 02/05/2023] [Accepted: 03/12/2023] [Indexed: 08/19/2023] Open
Abstract
Background The present study formulates and evaluates a polyberry gel comprising extracts of cranberry (Vaccinium macrocarpon) and brindle berry (Garcinia cambogia) in patients suffering from chronic periodontitis. Materials and Methods The polyberry gel was evaluated for various physicochemical parameters, in vitro permeability and stability, and the active phytoconstituents were quantified by High-performance thin layer chromatography (HPTLC). Total phenolic content, total antioxidants, and ascorbic acid were estimated in the two extracts by in vitro assays. Patients suffering from chronic periodontitis with probing pocket depth (PPD) up to 5 mm were divided into 3 groups of 21 patients each and treated with scaling and root planing (SRP) or SRP followed by subgingival placement of polyberry gel or tetracycline fibers (standard). Plaque Index (PI), Gingival Index (GI), PPD, Clinical Attachment Level (CAL), and the salivary aspartate aminotransferase (AST) and C-reactive protein (CRP) levels were recorded at baseline and after 1 month. Results A significant (P < 0.01) reduction in the periodontic disease parameters was observed in the standard and gel-treated groups between their baseline and 1-month time-interval readings. The polyberry gel treatment significantly (P < 0.05 for AST and P < 0.01 for the rest) attenuated the periodontitis-elevated PI, GI PPD, CAL, AST and CRP levels when compared with SRP at the end of the study and was comparable with tetracycline. Conclusion The amelioration of periodontitis and gingival inflammation may be attributed to the potent antioxidant activity of the polyphenolic phytoconstituents of the gel. The polyberry gel may thus be used as a safe adjunct to SRP/tetracycline in chronic periodontitis.
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Affiliation(s)
- Vandana Panda
- Department of Pharmacology and Toxicology, Principal K. M. Kundnani College of Pharmacy, Mumbai, Maharashtra, India
| | - Pragya Patidar
- Department of Pharmacology and Toxicology, Principal K. M. Kundnani College of Pharmacy, Mumbai, Maharashtra, India
| | - Rajesh Gaikwad
- Department of Periodontitis, Government Dental College and Hospital, Mumbai, Maharashtra, India
| | - Shrutika Borade
- Department of Periodontitis, Government Dental College and Hospital, Mumbai, Maharashtra, India
| | - Lynette Fernandes
- Department of Periodontitis, Government Dental College and Hospital, Mumbai, Maharashtra, India
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Naito M, Shinada K, Seki N, Akiyama M, Yamamoto R, Onishi T, Taniyama K, Morio I. Effects of two-year oral health information provision on changes in gingival crevicular fluid in male day–night shift workers. J Dent Sci 2022; 17:1463-1470. [DOI: 10.1016/j.jds.2022.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 05/10/2022] [Indexed: 10/18/2022] Open
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Valsan S, Biniraj KR, Emmatty R, Paul TP, Jose P, Divyasree KA. The effect of chlorhexidine gluconate chips on clinical status of peri-implant mucosa and plaque formation on healing abutments following single-stage implant surgeries. J Indian Soc Periodontol 2022; 26:585-590. [PMID: 36582945 PMCID: PMC9793918 DOI: 10.4103/jisp.jisp_382_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 10/10/2021] [Accepted: 10/31/2021] [Indexed: 12/12/2022] Open
Abstract
Background An experimental study was designed to evaluate the effect of chlorhexidine gluconate chips on clinical status of peri-implant mucosa and plaque formation on healing abutments following single-stage implant surgeries. Materials and Methods Twenty-eight single-stage implant sites were grouped into 14 test and control sites. The study commences from the time of suture removal following surgery, designated as day 0. Chlorhexidine chip insertion into peri-implant sulcus in test sites was done on day 0, 10, and 20. Peri-implant crevicular fluid was collected on day 0, 10, 20, and 30 for biochemical estimation of aspartate aminotransferase (AST). The modified sulcus bleeding index (mBI) score was obtained in both test and control sites on day 10, 20, and 30. On day 30, all the healing abutments were unscrewed and sent for stereomicroscopic analysis to assess the plaque formation on its surface. Results Statistically significant difference was not observed in AST levels and mBI in both test and control groups in various time intervals. In the stereomicroscopic assessment of healing abutment, mild grade of plaque accumulation was seen in three samples in test group, one sample in control group, and severe grade was seen in six samples in test group and nine samples in the control group. Conclusion Inflammatory condition of peri-implant mucosa and plaque retentive properties on healing abutment surface were found to have reduced with the usage of chlorhexidine gluconate chips. However, the study failed to establish a statistically significant correlation of these observations.
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Affiliation(s)
- Swetha Valsan
- Department of Clinical Periodontology and Oral Implantology, Royal Dental College, Palakkad, Kerala, India,Address for correspondence: Dr. Swetha Valsan, Sreya, Near Nellikode Vishnu temple, Chevarambalam P.O. Calicut -673017, Kerala, India. E-mail:
| | - K. R. Biniraj
- Department of Clinical Periodontology and Oral Implantology, Royal Dental College, Palakkad, Kerala, India
| | - Rishi Emmatty
- Department of Clinical Periodontology and Oral Implantology, Royal Dental College, Palakkad, Kerala, India
| | - Tony P. Paul
- Department of Clinical Periodontology and Oral Implantology, Royal Dental College, Palakkad, Kerala, India
| | - Priya Jose
- Department of Clinical Periodontology and Oral Implantology, Royal Dental College, Palakkad, Kerala, India
| | - K. A. Divyasree
- Department of Clinical Periodontology and Oral Implantology, Royal Dental College, Palakkad, Kerala, India
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Ahmadinia AR, Pakkhesal M, Vakili MA. Evaluation of serum alanine aminotransferase and aspartate aminotransferase enzyme levels in women patients with chronic periodontitis. Health Care Women Int 2021; 43:367-375. [PMID: 34432616 DOI: 10.1080/07399332.2021.1961775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The authors' aim in this study was to investigate the relationship between chronic periodontitis and liver status using alanine aminotransferase (ALT) and aspartate aminotransferase (AST) in women patients. The researchers conducted a case-control study on women patients referred to Dental School. The researchers collected 5 ml of peripheral venous blood from women for the laboratory process after performing periodontal examination. Participants were 124 women aged 25-50 years (62 cases and 62 control). The difference in serum levels of ALT and the difference in serum levels of AST between the two groups were not statistically significant. However, there was a significant correlation between liver enzymes and periodontitis parameters.
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Affiliation(s)
- Amir Reza Ahmadinia
- Dental Research Center, Periodontics Department, School of Dentistry, Golestan University of Medical Sciences, Gorgan, Iran
| | - Mina Pakkhesal
- Dental Research Center, Community Oral Health Department, School of Dentistry, Golestan University of Medical Sciences, Gorgan, Iran
| | - Mohammad Ali Vakili
- Department of Biostatistics and Epidemiology, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran
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Ameen M, Attia AM, Felimban A, Al-Dweghri T, Fattni A, Azab E, Baz S, Dardir A. Evaluation of cardiac biomarkers in smokers and non-smokers with chronic periodontitis. Int J Health Sci (Qassim) 2020; 14:26-32. [PMID: 32536846 PMCID: PMC7269625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVES The present study aimed to assess the levels of the cardiac biomarkers in smokers versus non-smokers chronic periodontitis (CP) patients and periodontally healthy subjects, also to correlate cardiac biomarkers level with the severity of CP. METHODS Eighty selected individuals were divided into three groups: Smokers CP (28), non-smokers CP (32), and healthy control subjects (20). The CP evaluated clinically by plaque index (PI), bleeding index (BI), clinical attachment loss (CAL), and pocket depth (PD). Serum levels of cardiac biomarkers were assayed for the following: Aspartate transaminase (AST), alanine transaminase (ALT), troponin-I (Tr-I), creatinine kinase (CK), and lactate dehydrogenase (LDH). RESULTS The statistical analysis of the investigated biomarkers showed that ALT and AST significantly increased in smokers versus non-smokers CP patients (P ≤ 0.05). In addition, the other biomarkers (Tr-I, CK, and LDH) showed a non-significant increase in smokers compared with non-smokers periodontitis patients (P ≥ 0.05). Furthermore, the mean values of all biomarkers, Tr-I, ALT, AST, LDH, and CK, expressed highly significant comparisons (P ≤ 0.01) in smokers and non-smokers CP patients against healthy subjects. CONCLUSION The present study suggested that the cardiac biomarkers affected by CP and worse aggravated by the presence of smoking that could play a bidirectional effect on periodontitis and cardiovascular (CV) conditions. Further researches are needed to elucidate the efficacy of periodontal treatment and serum cardiac biomarkers in systemically healthy and diseased CV patients.
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Affiliation(s)
- Mazen Ameen
- Faculty of Dentistry, Umm Al-Qura University, Saudi Arabia,Address for correspondence: Mazen Mohammed Ameen, College of Dentistry, Umm Al-Qura University, P.O. Box 715, Makkah 24238, Saudi Arabia. E-mail:
| | - Alaa Moustafa Attia
- Faculty of Dentistry, Al-Azhar University (Assiut), Egypt and Umm Al-Qura University, Saudi Arabia
| | - Anas Felimban
- Faculty of Dentistry, Umm Al-Qura University, Saudi Arabia
| | | | | | - Ehab Azab
- Faculty of Dentistry, Umm Al-Qura University, Saudi Arabia
| | - Sameh Baz
- Faculty of Applied Medical Sciences, Umm Al-Qura University, Saudi Arabia
| | - Ahmed Dardir
- Faculty of Dentistry, AL-Ahram Canadian University, Egypt and Umm Al-Qura University, Saudi Arabia
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He W, You M, Wan W, Xu F, Li F, Li A. Point-of-Care Periodontitis Testing: Biomarkers, Current Technologies, and Perspectives. Trends Biotechnol 2018; 36:1127-44. [DOI: 10.1016/j.tibtech.2018.05.013] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2018] [Revised: 05/25/2018] [Accepted: 05/30/2018] [Indexed: 01/29/2023]
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