Desingu Vanathy, Ravi Saranyan, Balagangadharan Manovijay, Nagarajan Sayeeganesh, Kesavan Priya, Ramalingam Kurinchichelvan
Department of Periodontology, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth (Deemed to be University), Puducherry, India.
Department of Periodontology, Vinayaka Mission's Sankarachariyar Dental College, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, Tamil Nadu, India.
J Indian Soc Periodontol. 2024 Nov-Dec;28(6):651-656. doi: 10.4103/jisp.jisp_41_24. Epub 2025 Apr 3.
To evaluate the serum level of endothelin-1 (ET-1) and lipid profile in chronic periodontitis patients before and after periodontal therapy.
Sixty systemically healthy patients were divided into two groups, each with 30 patients. Group A with 30 healthy individuals and Group B with 30 chronic periodontitis patients. Group B was further divided into Group B1 and Group B2. Group B1 consisted of 15 patients with clinical attachment loss (CAL) of 1-2 mm treated by nonsurgical periodontal therapy. Group B2 of 15 patients with CAL of 3-4 mm, treated by periodontal flap surgery. Blood samples were collected before and 3 months following periodontal treatment to determine the serum level of ET-1 and lipid profile.
There was a statistically significant difference in ET-1 and lipid profile levels before and after periodontal treatment in both Groups B1and B2. However, the difference was more significant in Group B2 than Group B1 ( < 0.001).
Serum ET-1 and lipid profile could be a potential biomarker for periodontal and cardiovascular diseases. Periodontal therapy could reduce the risk of cardiovascular disease by reducing ET-1 and lipid profile postoperatively.
评估慢性牙周炎患者牙周治疗前后血清内皮素-1(ET-1)水平和血脂情况。
60例全身健康的患者分为两组,每组30例。A组为30名健康个体,B组为30例慢性牙周炎患者。B组进一步分为B1组和B2组。B1组由15例临床附着丧失(CAL)为1 - 2mm且接受非手术牙周治疗的患者组成。B2组为15例CAL为3 - 4mm且接受牙周翻瓣手术的患者。在牙周治疗前及治疗后3个月采集血样,以测定血清ET-1水平和血脂情况。
B1组和B2组牙周治疗前后ET-1水平和血脂情况均有统计学显著差异。然而,B2组的差异比B1组更显著(<0.001)。
血清ET-1水平和血脂情况可能是牙周疾病和心血管疾病的潜在生物标志物。牙周治疗可通过术后降低ET-1水平和血脂情况来降低心血管疾病风险。