Assessment of tumor necrosis factor- alpha in gingivitis and periodontitis patients
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2017-06-29 https://doi.org/10.14419/ijdr.v5i2.7874 -
Clinical Attachment Level, Gingivitis, Periodontitis, Pocket Depth -
Abstract
Background: Tumor necrosis factor-α, one of the cytokines, is released in various chronic inflammatory diseases including periodontitis.
Aims: To estimate the level of Tumor necrosis factor- alpha (TNF-α) in gingivitis and periodontitis patients
Settings and Design: A cross-sectional study was conducted. A total of 75 patients were recruited by purposive sampling technique among the patients visiting the Department of Periodontology and Oral Implantology during the period one year from August 2014 to July 2015.
Material and methods: The recruited samples were divided into gingivitis and periodontitis groups based on clinical attachment level (CAL). A periodontitis subject was defined as having at least 4 sites with pocket depth (PD) >3mm and at least 4 sites with CAL>3 mm, while gingivitis group included the subjects having no CAL measurements greater than 3 mm with signs of inflammation. The TNF-α level was measured using the RayBio Human TNF-alpha ELISA (Enzyme-linked Immunosorbent Assay) kit.
Results: The Median TNF-α interquartile range (IQR) (minimum-maximum) in gingivitis and periodontitis was 58.37 (32.63 – 198.77) and 111.89 (39.27 – 215.0) pg/ml, respectively.
Conclusion: The level of TNF-α was found to be higher in periodontitis group compared to gingivitis group, although the result was not statistically significant.
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References
[1] Ababneh KT, Abu Hwaij ZMF, Khader YS, Armitage G, Page R, Offenbacher S,.Velden UV (2012) Prevalence and risk indicators of gingivitis and periodontitis in a Multi-Centre study in North Jordan: a cross sectional study. BMC Oral Health, 12(1), 1. https://doi.org/10.1186/1472-6831-12-1.
[2] Abdellatif HM & Burt BA (1987) an epidemiological investigation into the relative importance of age and oral hygiene status as determinants of periodontitis. Journal of Dental Research, 66(1), 13–8. https://doi.org/10.1177/00220345870660010201.
[3] Ainamo J & Bay I (1975) Problems and proposals for recording gingivitis and plaque. International Dental Journal, 25(4), 229–35.
[4] Albandar JM & Rams TE (2002) Global epidemiology of periodontal diseases: an overview. Periodontology 2000, 29, 7–10. https://doi.org/10.1034/j.1600-0757.2002.290101.x.
[5] Bastos MF, Lima JA, Vieira PM, Mestnik MJ, Faveri M & Duarte PM (2009) TNF-alpha and IL-4 levels in generalized aggressive periodontitis subjects. Oral Diseases, 15(1), 82–7. https://doi.org/10.1111/j.1601-0825.2008.01491.x.
[6] Boström L, Linder LE & Bergström J (1998) Clinical expression of TNF-alpha in smoking-associated periodontal disease. Journal of Clinical Periodontology, 25(10), 767–73. https://doi.org/10.1111/j.1600-051X.1998.tb02368.x.
[7] Cairo F, Nieri M, Gori AM, Tonelli P, Branchi R, Castellani S., … Pini-Prato GP (2010). Markers of systemic inflammation in periodontal patients: chronic versus aggressive periodontitis. An explorative cross-sectional study. European Journal of Oral Implantology, 3(2), 147–53.
[8] Craig RG, Yip JK, So MK, Boylan RJ, Socransky SS, & Haffajee AD (2003) Relationship of destructive periodontal disease to the acute-phase response. Journal of Periodontology, 74(7), 1007–16. https://doi.org/10.1902/jop.2003.74.7.1007.
[9] Flemmig TF (1999) Periodontitis. Annals of Periodontology, 4(1), 32–37. https://doi.org/10.1902/annals.1999.4.1.32.
[10] Gargiulo AW, Wentz FM, Orban B (1961) Dimensions and relations of the dentogingival junction in humans. J Periodontol, 32, 261–267. https://doi.org/10.1902/jop.1961.32.3.261.
[11] Gokul K, Faizuddin M, & Pradeep AR (2012) Estimation of the level of tumor necrosis factor-α in gingival crevicular fluid and serum in periodontal health and disease: A biochemical study. Indian Journal of Dental Research, 23(3), 348. https://doi.org/10.4103/0970-9290.102221.
[12] Gorska R, Gregorek H, Kowalski J, Laskus-Perendyk A, Syczewska M, & Madalinski K (2003) Relationship between clinical parameters and cytokine profiles in inflamed gingival tissue and serum samples from patients with chronic periodontitis. Journal of Clinical Periodontology, 30(12), 1046–1052. https://doi.org/10.1046/j.0303-6979.2003.00425.x.
[13] Grossi SG, Zambon JJ, Ho AW, Koch G, Dunford RG, Machtei EE, … Genco RJ (1994) Assessment of risk for periodontal disease. I. Risk indicators for attachment loss. Journal of Periodontology, 65(3), 260–7. https://doi.org/10.1902/jop.1994.65.3.260
[14] Herzberg MC & Weyer MW (1998) Dental plaque, platelets, and cardiovascular diseases. Annals of Periodontology, 3(1), 151–60. https://doi.org/10.1902/annals.1998.3.1.151.
[15] Kim J & Amar S (2006) Periodontal disease and systemic conditions: a bidirectional relationship. Odontology, 94(1), 10–21. https://doi.org/10.1007/s10266-006-0060-6.
[16] Loe H (1993) Periodontal Disease: The sixth complication of diabetes mellitus. Diabetes Care, 16(1), 329–334. https://doi.org/10.2337/diacare.16.1.329.
[17] Löe H (1967) the Gingival Index, the Plaque Index and the Retention Index Systems. Journal of Periodontology, 38(6), Suppl: 610-6. https://doi.org/10.1902/jop.1967.38.6.610.
[18] Marcenes WS & Sheiham A (1992) the relationship between work stress and oral health status. Social Science & Medicine (1982), 35 (12), 1511–20. https://doi.org/10.1016/0277-9536(92)90054-T.
[19] Müller HP (2001) Periodontitis and cardiovascular disease: an ecological fallacy? European Journal of Oral Sciences, 109(4), 286–7. https://doi.org/10.1034/j.1600-0722.2001.00109.x.
[20] Nikolopoulos GK, Dimou NL, Hamodrakas SJ & Bagos PG (2008) Cytokine gene polymorphisms in periodontal disease: a meta-analysis of 53 studies including 4178 cases and 4590 controls. Journal of Clinical Periodontology, 35(9), 754–767. https://doi.org/10.1111/j.1600-051X.2008.01298.x.
[21] Noh MK, Jung M, Kim SH, Lee SR, Park KH, Kim DH., … Park YG (2013) Assessment of IL-6, IL-8 and TNF-α levels in the gingival tissue of patients with periodontitis. Experimental and Therapeutic Medicine, 6(3), 847–851.
[22] Page RC & Eke PI (2007) Case definitions for use in population-based surveillance of periodontitis. Journal of Periodontology, 78(7 Suppl), 1387–99. https://doi.org/10.1902/jop.2007.060264.
[23] Pihlstrom BL, Michalowicz BS & Johnson NW (2005) Periodontal diseases. Lancet (London, England), 366(9499), 1809–20. https://doi.org/10.1016/S0140-6736(05)67728-8
[24] Ranney RR (1993) Classification of periodontal diseases. Periodontology 2000, 2, 13–25. https://doi.org/10.1111/j.1600-0757.1993.tb00216.x.
[25] Shiau HJ & Reynolds MA (2010) Sex Differences in Destructive Periodontal Disease: A Systematic Review. Journal of Periodontology, 81(10), 1379–1389. https://doi.org/10.1902/jop.2010.100044.
[26] Solhjoo S, Mahmoudzadeh Sagheb H, Heidari Z, Hashemi M & Rigi Ladez M (2014) Association between TNF-α (– 308 G → A) Gene Polymorphism and Chronic Periodontitis. Zahedan Journal of Research in Medical Sciences, 16 (2), 10–14.
[27] Syrjänen J (1990) vascular diseases and oral infections. Journal of Clinical Periodontology, 17(7 (Pt 2)), 497–500. https://doi.org/10.1111/j.1365-2710.1992.tb01222.x.
[28] Teng AYT (2004) Is Immunity the Key to Our Periodontal Well-Being? Journal of the Canadian Dental Association, 70(7), 476.
[29] Van Palenstein Helderman W, Groeneveld A, Jan Truin G, Kumar Shrestha B, Bajracharya M & Stringer R (1998) Analysis of epidemiological data on oral diseases in Nepal and the need for a national oral health survey. International Dental Journal, 48 (1), 56–61. https://doi.org/10.1111/j.1875-595X.1998.tb00695.x.
[30] Yousefimanesh H, Maryam R, Mahmoud J, Mehri GB & Mohsen T (2013) Evaluation of salivary tumor necrosis factor-alpha in patients with the chronic periodontitis: A case-control study. Journal of Indian Society of Periodontology, 17(6), 737–40. https://doi.org/10.4103/0972-124X.124490.
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How to Cite
Shrestha, S., Neupane, M., Sharma, S., & Lamsal, M. (2017). Assessment of tumor necrosis factor- alpha in gingivitis and periodontitis patients. International Journal of Dental Research, 5(2), 108-111. https://doi.org/10.14419/ijdr.v5i2.7874Received date: 2017-05-27
Accepted date: 2017-06-17
Published date: 2017-06-29