Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Association of Hematological and Periodontal Parameters in Healthy, Chronic and Aggressive Periodontitis Patients – A Cross Sectional Study


Affiliations
1 Department of Periodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
2 Department of Biochemistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
     

   Subscribe/Renew Journal


Periodontitis is a multifactorial disease, it is mainly due to infection from periodontal bacteria present in the dental plaque and host response. The lipopolysaccharide from bacteria results in greater tissue destruction leading to increased blood loss which is manifested by increase in bleeding on probing. There are numerous studies which have been done which shows the association between anemia and chronic periodontitis, but there are very few studies which compare chronic periodontitis, aggressive periodontitis and health. Hence this study was done to assess the periodontal and haematological parameters in chronic periodontitis, aggressive periodontitis and healthy subjects. A total of 50 patients were screened for assessment of periodontitis and 15 patients were then categorised into healthy, chronic and aggressive periodontitis based on AAP classification. Various periodontal and haematological parameters were assessed. There was significant association in the periodontal parameters among the chronic periodontitis patients, aggressive periodontitis patients and healthy subjects. Among the haematological parameters, there was a statistically significant increase in serum ferritin level in chronic periodontitis patients when compared to healthy subjects. The results indicated an association of chronic periodontitis and anemia of chronic disease, which was not seen in aggressive periodontitis.

Keywords

Chronic Periodontitis, Aggressive Periodontitis, Serum Ferritin, Anemia, Haemoglobin.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Bascones-Martínez A, Muñoz-Corcuera M, Noronha S, Mota P, Bascones-Ilundain C, Campo-Trapero J. Host defence mechanisms against bacterial aggression in periodontal disease: Basic mechanisms. Medicina Oral Patologia Oral y Cirugia Bucal. 2009 Dec 1;14(12):e680-5.
  • Zhang L, Henson BS, Camargo PM, Wong DT. The clinical value of salivary biomarkers for periodontal disease. Periodontoly 2000. 2009 Oct 1;51(1):25-37.
  • Latha S, Thirugnanamsambandan S, Arun RT, Masthan KM, Malathi L, Rajesh E. Serum ferritin level and red blood cell parameters in healthy controls and chronic periodontitis patients. Journal of Pharmacy and BioAllied Sciences. 2015 Apr;7(Suppl 1):S184.
  • Rosenfeld Y, Shai Y. Lipopolysaccharide (Endotoxin)-host defense antibacterial peptides interactions: role in bacterial resistance and prevention of sepsis. Biochimica et Biophysica Acta (BBA)Biomembranes. 2006 Sep 30;1758(9):1513-22.
  • Olczak T, Simpson W, Liu X, Genco CA. Iron and heme utilization in Porphyromonas gingivalis. FEMS microbiology reviews. 2005 Jan 1;29(1):119-44.
  • Hutter JW, Velden UV, Varoufaki A, Huffels RA, Hoek FJ, Loos BG. Lower numbers of erythrocytes and lower levels of hemoglobin in periodontitis patients compared to control subjects. Journal of clinical periodontology. 2001 Oct;28(10):930-6.
  • Lainson PA, Brady PP, Fraleigh CM. Anemia, a systemic cause of periodontal disease?. Journal of periodontology. 1968 Jan;39(1):35-8.
  • Gokhale SR, Sumanth S, Padhye AM. Evaluation of blood parameters in patients with chronic periodontitis for signs of anemia. Journal of Periodontoly. 2010 Aug 1;81(8):1202-6.
  • Means RJ, Krantz SB. Progress in understanding the pathogenesis of the anemia of chronic disease. Blood. 1992 Oct 1; 80(7):1639-47.
  • Weiss G, Goodnough LT. Anemia of chronic disease. New England Journal of Medicine. 2005 Mar 10;352(10):1011-23.
  • Johnson MA. Iron: nutrition monitoring and nutrition status assessment. The Journal of nutrition. 1990 Nov 1;120(suppl_11):1486-91.
  • Genco RJ. Assessment of risk of periodontal disease. Compendium (Newtown, Pa.). Supplement. 1994(18):S678-83.
  • Gemmell E, Marshall RI, Seymour GJ. Cytokines and prostaglandins in immune homeostasis and tissue destruction in periodontal disease. Periodontoly 2000. 1997 Jun 1;14(1):112-43.
  • Lowe GD. Etiopathogenesis of cardiovascular disease: hemostasis, thrombosis, and vascular medicine. Annals of periodontology. 1998 Jul;3(1):121-6.
  • Dinant HJ, De Maat CE. Erythropoiesis and mean red‐cell lifespan in normal subjects and in patients with the anaemia of active rheumatoid arthritis. British journal of haematology. 1978 Jul;39(3):437-44.
  • Anumolu VN, Srikanth A, Paidi K. Evaluation of the relation between anemia and periodontitis by estimation of blood parameters: A cross-sectional study. Journal of Indian Society of Periodontology. 2016 May;20(3):265.
  • Mann VS, Subramanyam M, Verma RK, Jha AA, John JR. Estimation and comparison of erythrocyte and hemoglobin levels in subjects with healthy periodontium and chronic periodontitis. Pesquisa Brasileira em Odontopediatria e Clinica Integrada. 2017;17(1):1-9.
  • Chakraborty S, Tewari S, Sharma RK, Narula SC. Effect of non‐surgical periodontal therapy on serum ferritin levels: an interventional study. Journal of periodontology. 2014 May;85(5):688-96.
  • Latha S, Thirugnanamsambandan S, Arun RT, Masthan KM, Malathi L, Rajesh E. Serum ferritin level and red blood cell parameters in healthy controls and chronic periodontitis patients. Journal of pharmacy and bioallied sciences. 2015 Apr;7(Suppl 1):S184.
  • Johnson MA. Iron: nutrition monitoring and nutrition status assessment. The Journal of nutrition. 1990 Nov 1;120(suppl_11):1486-91.
  • Uppal SS, Al-Mutairi M, Hayat S, Abraham M, Malaviya A. Ten years of clinical experience with adult onset Still’s disease: is the outcome improving?. Clinical rheumatology. 2007 Jul 1;26(7):1055-60.
  • Da Costa R, Szyper-Kravitz M, Szekanecz Z, Csepany T, Danko K, Shapira Y, Zandman-Goddard G, Orbach H, Agmon-Levin N, Shoenfeld Y. Ferritin and prolactin levels in multiple sclerosis. Sat. 2011 Feb 1;2:18.
  • Blake DR, Bacon PA, Eastham EJ, Brigham K. Synovial fluid ferritin in rheumatoid arthritis. British Medical Journal. 1980 Sep 13;281(6242):715.
  • Theil EC. Ferritin: structure, gene regulation, and cellular function in animals, plants, and microorganisms. Annual review of biochemistry. 1987 Jul;56(1):289-315.
  • Chow JK, Werner BG, Ruthazer R, Snydman DR. Increased serum iron levels and infectious complications after liver transplantation. Clinical Infectious Diseases. 2010 Aug 1;51(3):e16-23.
  • Torti FM, Torti SV. Regulation of ferritin genes and protein. Blood. 2002 May 15;99(10):3505-16.
  • Torti SV, Kwak EL, Miller SC, Miller LL, Ringold GM, Myambo KB, Young AP, Torti FM. The molecular cloning and characterization of murine ferritin heavy chain, a tumor necrosis factor-inducible gene. Journal of Biological Chemistry. 1988 Sep 5;263(25):12638-44.
  • Muntané‐Relat J, Ourlin JC, Domergue J, Maurel P. Differential effects of cytokines on the inducible expression of CYP1A1, CYP1A2, and CYP3A4 in human hepatocytes in primary culture. Hepatology. 1995 Oct 1;22(4):1143-53.
  • Becerik S, Öztürk VÖ, Atmaca H, Atilla G, Emingil G. Gingival crevicular fluid and plasma acute‐phase cytokine levels in different periodontal diseases. Journal of periodontology. 2012 Oct;83(10):1304-13.

Abstract Views: 191

PDF Views: 0




  • Association of Hematological and Periodontal Parameters in Healthy, Chronic and Aggressive Periodontitis Patients – A Cross Sectional Study

Abstract Views: 191  |  PDF Views: 0

Authors

Christeena Abraham
Department of Periodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
Sankari Malaiappan
Department of Periodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
G. Savitha
Department of Biochemistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India

Abstract


Periodontitis is a multifactorial disease, it is mainly due to infection from periodontal bacteria present in the dental plaque and host response. The lipopolysaccharide from bacteria results in greater tissue destruction leading to increased blood loss which is manifested by increase in bleeding on probing. There are numerous studies which have been done which shows the association between anemia and chronic periodontitis, but there are very few studies which compare chronic periodontitis, aggressive periodontitis and health. Hence this study was done to assess the periodontal and haematological parameters in chronic periodontitis, aggressive periodontitis and healthy subjects. A total of 50 patients were screened for assessment of periodontitis and 15 patients were then categorised into healthy, chronic and aggressive periodontitis based on AAP classification. Various periodontal and haematological parameters were assessed. There was significant association in the periodontal parameters among the chronic periodontitis patients, aggressive periodontitis patients and healthy subjects. Among the haematological parameters, there was a statistically significant increase in serum ferritin level in chronic periodontitis patients when compared to healthy subjects. The results indicated an association of chronic periodontitis and anemia of chronic disease, which was not seen in aggressive periodontitis.

Keywords


Chronic Periodontitis, Aggressive Periodontitis, Serum Ferritin, Anemia, Haemoglobin.

References