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慢性牙周炎患者唾液可溶性CD44水平——术前与术后龈下刮治及根面平整的比较评估

Salivary Soluble CD44 Level in Chronic Periodontitis - A Comparative Assessment between Preoperative and Postoperative Scaling and Root Planing.

作者信息

Bagde Hiroj, Salam Ta Abdul, Algharbi Elaf Mubarak, AlSane Maha Ibrahim, Almalki Maram Mohammed, Alshahrani Reema Sultan, Alhaji Mayada Ibraheem, Alabdulmonem Halah Abdulrahman

机构信息

Department of Periodontology, Rama Dental College, Kanpur, Uttar Pradesh, India.

Department of Preventive Dental Science, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

出版信息

J Pharm Bioallied Sci. 2023 Jul;15(Suppl 1):S508-S512. doi: 10.4103/jpbs.jpbs_588_22. Epub 2023 Jul 5.

Abstract

BACKGROUND

Salivary biomarkers can be used to diagnose illnesses, track their course, and gauge a patient's response to therapy. Inflammatory circumstances result in higher sCD44 levels. The most typical inflammatory disorder connected to periodontal tissue is called periodontitis. Therefore, the purpose "of the current study was to compare the levels of sCD44 in patients with chronic periodontitis before and after scaling and root planing.

OBJECTIVES

  1. Determining CD44 concentrations in healthy individuals' spit. 2) To quantify CD44 levels in the saliva of individuals with persistent periodontitis. The third objective is to compare the levels of CD44 that can be dissolved in saliva between those with healthy gums and those with active periodontitis. 4) Assessing CD44 levels in saliva after "scaling and root planing in patients with chronic periodontitis."

MATERIALS AND METHODS

Half of the study participants were classified as having chronic periodontitis, while the other half had healthy gums. Participants with healthy gums and those with chronic periodontitis had their plaque levels, gingival status, and testing depths measured. All the same, data were calculated in persons with chronic periodontitis one month after they had "scaling and root planing done. Clinical attachment levels were evaluated before scaling and root planing was performed on patients with chronic periodontitis and again one month afterwards. Patients with chronic periodontitis," those whose condition had not improved following scaling and root planing (SRP), and healthy individuals all had spit tests conducted after a month. The concentration of sCD44 in the saliva was determined with a chemically coupled immunosorbent assay.

RESULTS

Salivary sCD44 levels were substantially greater in people with chronic periodontitis than in people without the condition. After one month of scaling and root planing in patients with chronic periodontitis, sCD44 levels drastically dropped (p < 0.0001).

CONCLUSION

Chronic periodontitis is linked to elevated levels of salivary sCD44. sCD44 can be employed as a possible salivary biomarker for chronic Periodontitis.

摘要

背景

唾液生物标志物可用于疾病诊断、追踪病程及评估患者对治疗的反应。炎症情况下sCD44水平会升高。与牙周组织相关的最常见炎症性疾病是牙周炎。因此,本研究的目的是比较慢性牙周炎患者在龈上洁治和根面平整前后的sCD44水平。

目的

1)测定健康个体唾液中的CD44浓度。2)量化慢性牙周炎患者唾液中的CD44水平。第三个目的是比较牙龈健康者和活动性牙周炎患者唾液中可溶解的CD44水平。4)评估慢性牙周炎患者龈上洁治和根面平整后唾液中的CD44水平。

材料与方法

研究参与者一半被归类为患有慢性牙周炎,另一半牙龈健康。对牙龈健康者和慢性牙周炎患者的菌斑水平、牙龈状况和探诊深度进行测量。同样,在慢性牙周炎患者进行龈上洁治和根面平整一个月后计算数据。在对慢性牙周炎患者进行龈上洁治和根面平整前及一个月后再次评估临床附着水平。慢性牙周炎患者、龈上洁治和根面平整后病情未改善的患者(SRP)以及健康个体在一个月后均进行唾液检测。采用化学偶联免疫吸附测定法测定唾液中sCD44的浓度。

结果

慢性牙周炎患者的唾液sCD44水平显著高于非慢性牙周炎患者。慢性牙周炎患者龈上洁治和根面平整一个月后,sCD44水平急剧下降(p<0.0001)。

结论

慢性牙周炎与唾液sCD44水平升高有关。sCD44可作为慢性牙周炎一种可能的唾液生物标志物。

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本文引用的文献

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Comparative evaluation of salivary soluble CD44 levels in periodontal health and disease.
J Indian Soc Periodontol. 2014 Nov-Dec;18(6):734-8. doi: 10.4103/0972-124X.147409.
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Salivary-soluble CD44 levels in smokers and non-smokers with chronic periodontitis: a pilot study.
J Periodontol. 2010 May;81(5):710-7. doi: 10.1902/jop.2010.090630.
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