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侵袭性牙周炎患者全口消毒前后血浆氧化应激水平的评估

Assessment of Levels of Plasma Oxidative Stress in Patient Having Aggressive Periodontitis before and after Full Mouth Disinfection.

作者信息

Bhagat Sachin, Singh Parthivi, Parihar Anuj Singh, Kaur Gurpreet, Takkar Harsh, Rela Rathi

机构信息

Department of Periodontics, D.Y. Patil Dental School, Pune, Maharashtra, India.

Department of Conservative Dentistry and Endodontics, People's Dental Academy, Bhopal, Madhya Pradesh, India.

出版信息

J Pharm Bioallied Sci. 2021 Jun;13(Suppl 1):S432-S435. doi: 10.4103/jpbs.JPBS_599_20. Epub 2021 Jun 5.

Abstract

AIM

The primary purpose of the study was to evaluate the levels of oxidative stress in plasma in patients with aggressive periodontitis (AgP) before and after full-mouth disinfection.

MATERIALS AND METHODS

Twenty-five healthy controls and 25 participants with aggressive periodontal were assessed for plaque index, probing pocket depth, papillary bleeding index, and clinical attachment level. Periodontal bone support was assessed by taking full mouth periapical radiographs. Full-mouth disinfection of the patient was done within 24 h of clinical assessment of AgP. These parameters were assessed at the baseline and after 8 weeks of initial periodontal therapy. Plasma samples were taken and evaluated for various oxidative stress markers.

RESULTS

Strong positive correlation was observed among periodontal parameters and levels of enzymatic/nonenzymatic biomarkers for oxidative stress (thiobarbituric acid-reactive substances [TBARS], glutathione peroxidase [GPX], and catalase [CAT]) ( < 0.05), before and after periodontal management. The patients with AgP had high levels of TBARS, GPX, and CAT levels in the plasma matched to the healthy individuals ( < 0.05).

CONCLUSION

Enzymatic and nonenzymatic oxidative stress may have a role in the pathogenesis AP. Initial periodontal treatment can lead to the reduction of these stresses.

摘要

目的

本研究的主要目的是评估侵袭性牙周炎(AgP)患者在全口消毒前后血浆中的氧化应激水平。

材料与方法

对25名健康对照者和25名侵袭性牙周炎患者进行菌斑指数、探诊深度、龈乳头出血指数和临床附着水平评估。通过拍摄全口根尖片评估牙周骨支持情况。在对AgP进行临床评估后的24小时内对患者进行全口消毒。在基线和初始牙周治疗8周后评估这些参数。采集血浆样本并评估各种氧化应激标志物。

结果

在牙周治疗前后,牙周参数与氧化应激的酶促/非酶促生物标志物(硫代巴比妥酸反应性物质 [TBARS]、谷胱甘肽过氧化物酶 [GPX] 和过氧化氢酶 [CAT])水平之间观察到强正相关(<0.05)。与健康个体相比,AgP患者血浆中的TBARS、GPX和CAT水平较高(<0.05)。

结论

酶促和非酶促氧化应激可能在侵袭性牙周炎的发病机制中起作用。初始牙周治疗可导致这些应激的降低。

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