Effect of smoking on potential salivary markers of periodontal disease: A clinical and biochemical study

Introduction: Tobacco smoking exerts a harmful effect on the periodontal tissues manifested by periodontal pockets, attachment loss, and periodontal bone loss. Various factors contribute to the deleterious periodontal effects of smoking, including alteration of both microbial and host response facto...

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Main Authors: Narender Dev Gupta, Neha Agrawal, Namita Gupta, Saif Khan, Pritma Singh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Journal of Indian Association of Public Health Dentistry
Subjects:
Online Access:http://www.jiaphd.org/article.asp?issn=2319-5932;year=2016;volume=14;issue=4;spage=377;epage=382;aulast=Gupta
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author Narender Dev Gupta
Neha Agrawal
Namita Gupta
Saif Khan
Pritma Singh
author_facet Narender Dev Gupta
Neha Agrawal
Namita Gupta
Saif Khan
Pritma Singh
author_sort Narender Dev Gupta
collection DOAJ
description Introduction: Tobacco smoking exerts a harmful effect on the periodontal tissues manifested by periodontal pockets, attachment loss, and periodontal bone loss. Various factors contribute to the deleterious periodontal effects of smoking, including alteration of both microbial and host response factors. Moreover, smoking may exert effects throughout the cytokine network. Aims: The aim of this study was to evaluate the influence of smoking on periodontal biomarkers possibly related to the development of periodontitis including inflammatory mediators and pro-inflammatory cytokines in saliva. Materials and Methods: A total of sixty subjects aged 30–55 years were included in the study and divided into three groups: systemically and periodontally healthy individuals (Group 1), subjects with pocket probing depth (PPD) ≥5 mm and clinical attachment loss (CAL) of ≥2 mm (Group 2), and a subjects smoking (≥10 cigarettes a day) with periodontal parameters of Group 2 (Group 3). Periodontal parameters of PPD, CAL, gingival index (GI), and plaque index were measured using standard indices and criteria. Three milliliters of unstimulated saliva was taken, and salivary tumor necrosis factor-alpha (TNF-α) and matrix metalloproteinase-8 (MMP-8) were determined using ELISA technique. Results: The mean GI was lowest for Group 3, but the mean probing depth of Group 3 (4.93 ± 0.41) was highest. The mean TNF-α level of Group 3 was significantly different and higher as compared to Group 1 and Group 2 (24.32 ± 8.32 ng/ml vs. 6.43 ± 2.65 ng/ml, q = 16.14; P< 0.001). Similarly, the mean MMP-8 level of Group 3 (461.71 ± 58.01 ng/ml) was significantly different (P < 0.001) and higher as compared to Group 1 (192.96 ± 134.89 ng/ml) and Group 2 (347.83 ± 206.72 ng/ml). Both markers showed positive and significant correlation with their periodontal status. Conclusion: Our study clearly indicates a profound effect of smoking on salivary markers of periodontal disease (TNF-α and MMP-8) in chronic periodontitis subjects in comparison to healthy controls.
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spelling doaj.art-732945f0b5ac4b50a23d607b2c8f49862022-12-22T00:54:59ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Public Health Dentistry2319-59322350-04842016-01-0114437738210.4103/2319-5932.195846Effect of smoking on potential salivary markers of periodontal disease: A clinical and biochemical studyNarender Dev GuptaNeha AgrawalNamita GuptaSaif KhanPritma SinghIntroduction: Tobacco smoking exerts a harmful effect on the periodontal tissues manifested by periodontal pockets, attachment loss, and periodontal bone loss. Various factors contribute to the deleterious periodontal effects of smoking, including alteration of both microbial and host response factors. Moreover, smoking may exert effects throughout the cytokine network. Aims: The aim of this study was to evaluate the influence of smoking on periodontal biomarkers possibly related to the development of periodontitis including inflammatory mediators and pro-inflammatory cytokines in saliva. Materials and Methods: A total of sixty subjects aged 30–55 years were included in the study and divided into three groups: systemically and periodontally healthy individuals (Group 1), subjects with pocket probing depth (PPD) ≥5 mm and clinical attachment loss (CAL) of ≥2 mm (Group 2), and a subjects smoking (≥10 cigarettes a day) with periodontal parameters of Group 2 (Group 3). Periodontal parameters of PPD, CAL, gingival index (GI), and plaque index were measured using standard indices and criteria. Three milliliters of unstimulated saliva was taken, and salivary tumor necrosis factor-alpha (TNF-α) and matrix metalloproteinase-8 (MMP-8) were determined using ELISA technique. Results: The mean GI was lowest for Group 3, but the mean probing depth of Group 3 (4.93 ± 0.41) was highest. The mean TNF-α level of Group 3 was significantly different and higher as compared to Group 1 and Group 2 (24.32 ± 8.32 ng/ml vs. 6.43 ± 2.65 ng/ml, q = 16.14; P< 0.001). Similarly, the mean MMP-8 level of Group 3 (461.71 ± 58.01 ng/ml) was significantly different (P < 0.001) and higher as compared to Group 1 (192.96 ± 134.89 ng/ml) and Group 2 (347.83 ± 206.72 ng/ml). Both markers showed positive and significant correlation with their periodontal status. Conclusion: Our study clearly indicates a profound effect of smoking on salivary markers of periodontal disease (TNF-α and MMP-8) in chronic periodontitis subjects in comparison to healthy controls.http://www.jiaphd.org/article.asp?issn=2319-5932;year=2016;volume=14;issue=4;spage=377;epage=382;aulast=GuptaBiomarkerchronic periodontitismatrix metalloproteinase-8smokingtumor necrosis factor-alpha
spellingShingle Narender Dev Gupta
Neha Agrawal
Namita Gupta
Saif Khan
Pritma Singh
Effect of smoking on potential salivary markers of periodontal disease: A clinical and biochemical study
Journal of Indian Association of Public Health Dentistry
Biomarker
chronic periodontitis
matrix metalloproteinase-8
smoking
tumor necrosis factor-alpha
title Effect of smoking on potential salivary markers of periodontal disease: A clinical and biochemical study
title_full Effect of smoking on potential salivary markers of periodontal disease: A clinical and biochemical study
title_fullStr Effect of smoking on potential salivary markers of periodontal disease: A clinical and biochemical study
title_full_unstemmed Effect of smoking on potential salivary markers of periodontal disease: A clinical and biochemical study
title_short Effect of smoking on potential salivary markers of periodontal disease: A clinical and biochemical study
title_sort effect of smoking on potential salivary markers of periodontal disease a clinical and biochemical study
topic Biomarker
chronic periodontitis
matrix metalloproteinase-8
smoking
tumor necrosis factor-alpha
url http://www.jiaphd.org/article.asp?issn=2319-5932;year=2016;volume=14;issue=4;spage=377;epage=382;aulast=Gupta
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