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非手术牙周治疗后牙周治疗效果与血清生物标志物变化之间的关系。

Relationship between periodontal outcomes and serum biomarkers changes after non-surgical periodontal therapy.

作者信息

Lobão Walder J M, Carvalho Rosana C C DE, Leite Sandra A M, Rodrigues Vandilson P, Batista José Eduardo, Gomes-Filho Isaac S, Pereira Antonio L A

机构信息

Departamento de Patologia, Praça da Madre Deus, 01, Centro, 65015-460 São Luís, MA, Brazil.

Departamento de Odontologia I, Faculdade de Odontologia, UFMA, Av. dos Portugueses, 1966, Cidade Universitária Dom Delgado, Bacanga, 65080-805 São Luís, MA, Brazil.

出版信息

An Acad Bras Cienc. 2019 May 23;91(2):e20170652. doi: 10.1590/0001-3765201920170652.

Abstract

The systemic effect of chronic periodontitis (CP) has been suggested by several studies as an etiologic factor and modulator of diseases based on the changes in the inflammatory marker levels. This study aimed to investigate the relationship between the changes in clinical periodontal outcomes and serum biomarkers (CRP, IL-6, albumin and percentage of leukocytes) after non-surgical periodontal therapy in systemically healthy adults. An interventional study was conducted with a sample of 29 individuals without CP (control group) and 33 with CP (CP group). Periodontal clinical variables were recorded, and the serum levels of inflammatory markers were measured. Statistical analysis included the chi-square and Student's t-tests and Pearson's correlation analysis. After 90 days of non-surgical periodontal treatment, a reduction of periodontal parameters and IL-6 in both groups could be observed (P < 0.001). The correlation analysis revealed a directly proportional correlation between changes in the probing depth (r = 0.349, P = 0.049) and clinical attachment level (r = 0.374, P = 0.034) with CRP in the CP group. The findings suggest a reduction of IL-6 serum concentration and periodontal clinical measures 90 days after periodontal therapy in both groups.

摘要

多项研究表明,慢性牙周炎(CP)的全身效应是基于炎症标志物水平变化的疾病病因和调节因素。本研究旨在调查全身健康成年人非手术牙周治疗后临床牙周结局变化与血清生物标志物(CRP、IL-6、白蛋白和白细胞百分比)之间的关系。对29名无CP个体(对照组)和33名CP个体(CP组)进行了一项干预性研究。记录牙周临床变量,并测量炎症标志物的血清水平。统计分析包括卡方检验、学生t检验和皮尔逊相关分析。非手术牙周治疗90天后,两组的牙周参数和IL-6均有所降低(P < 0.001)。相关分析显示,CP组中探诊深度变化(r = 0.349,P = 0.049)和临床附着水平变化(r = 0.374,P = 0.034)与CRP呈正比关系。研究结果表明,两组在牙周治疗90天后IL-6血清浓度和牙周临床指标均有所降低。

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