Prakash Shobha, Dhingra Kunaal, Priya Shanmuga
Department of Periodontics, College of Dental Sciences, Davangere, Karnataka, INDIA.
Eur J Dent. 2012 Jul;6(3):287-94.
There are conflicting reports in the past literature documenting the tendency of anemia in patients with periodontitis. Hence, this study was undertaken to assess whether periodontitis may cause an anemic state, by evaluating and comparing the red blood cell count, levels of hemoglobin, hematocrit, erythrocyte sedimentation rate (ESR), serum iron and serum ferritin between subjects with and without periodontitis.
In this cross-sectional study, 140 systemically healthy subjects of both sexes (mean age 46 years) were recruited as control group (50 subjects without periodontitis) and study groups comprising 30 patients each with mild, moderate and severe chronic generalized periodontitis. Periodontal parameters and orthopantamographs were taken for all the groups and then 5 mL venous blood samples were sent for complete blood count and biochemical analysis. Inter-group and intra-group comparisons were performed for all the assessed parameters.
The periodontal parameters were significantly higher (P⩽.05) in periodontitis patients. Except for the ESR, which was significantly higher (P=.03) in the mild periodontitis group than the control group, hematological and biochemical parameters were not significantly different (P>.05) among the study groups or between the control and study groups. This difference was not evident even among the male and female subjects of both control and study groups (P>.05).
Within the limits of this cross-sectional study, it can be concluded that the presence and severity of periodontitis may not affect the hematological and biochemical parameters of an individual. Further long term studies are however encouraged to validate these findings.
过去的文献报道对于牙周炎患者贫血倾向的记录存在矛盾。因此,本研究旨在通过评估和比较患牙周炎与未患牙周炎受试者的红细胞计数、血红蛋白水平、血细胞比容、红细胞沉降率(ESR)、血清铁和血清铁蛋白,来评估牙周炎是否会导致贫血状态。
在这项横断面研究中,招募了140名全身健康的受试者(平均年龄46岁)作为对照组(50名无牙周炎受试者),以及分别由30名患有轻度、中度和重度慢性广泛性牙周炎患者组成的研究组。对所有组进行牙周参数测量和曲面断层片拍摄,然后采集5毫升静脉血样本进行全血细胞计数和生化分析。对所有评估参数进行组间和组内比较。
牙周炎患者的牙周参数显著更高(P⩽.05)。除轻度牙周炎组的ESR显著高于对照组(P =.03)外,研究组之间或对照组与研究组之间的血液学和生化参数无显著差异(P>.05)。即使在对照组和研究组的男性和女性受试者中,这种差异也不明显(P>.05)。
在本横断面研究的范围内,可以得出结论,牙周炎的存在和严重程度可能不会影响个体的血液学和生化参数。然而,鼓励进一步进行长期研究以验证这些发现。