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Roberts M, Jimson S, Srinivasan M. Are Adults Over 18 Years of Age with Anaemia More Likely to Develop Chronic Periodontitis Than Adults Without Anaemia? - A Systematic Review and Meta-Analysis. J Int Soc Prev Community Dent 2023; 13:287-298. [PMID: 37876584 PMCID: PMC10593371 DOI: 10.4103/jispcd.jispcd_37_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 07/10/2023] [Accepted: 07/13/2023] [Indexed: 10/26/2023] Open
Abstract
Aims and Objectives Periodontitis is a chronic disease affecting the supporting tissues of the teeth and exhibits bidirectional relation with systemic diseases. This study aims to determine the association between chronic periodontitis and erythrocyte functional measures: total red blood cells (RBCs), hemoglobin (Hb) concentration, mean corpuscular volume (MCV), and mean corpuscular hemoglobin concentration (MCHC) by systematic review and meta-analysis. Materials and Methods A systematic search of the electronic databases PUBMED, OVID, Embase, Web on Science, and Google Scholar was undertaken from inception to July 2022. English language studies that evaluated the erythrocyte functional measures in periodontitis and health were selected. Other review reports, letters/opinion articles, studies without a definition of periodontitis, and the concomitant presence of systemic conditions (diabetes, kidney disease, cancer) were excluded. Two reviewers determined full-text eligibility in a blinded process. Meta-Essentials software was used to generate forest plots and to determine heterogeneity and publication bias. Results Twenty-six studies involving 1082 patients with chronic periodontitis and 980 healthy controls were analyzed. Pooled results showed lower Hb concentration (Hedges' g = -1.16; 95% confidence intervals [CI], -1.7 to -0.62), RBC counts (Hedges' g = -0.85; 95% CI, -1.31 to -0.38) and packed cell volume (-0.56; 95% CI, -1.02 to -0.11) in patients with chronic periodontitis. Conclusion This meta-analysis showed a decreasing trend in the hematological parameters, including hemoglobin concentration, number of erythrocytes, and hematocrit in patients with chronic periodontitis compared to healthy controls.
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Affiliation(s)
- Madison Roberts
- Department of Periodontics & Allied Dental Health, Indianapolis, Indiana, USA
- Department of Oral Pathology, Medicine and Radiology, Indianapolis, Indiana, USA
| | - Sudha Jimson
- Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Mythily Srinivasan
- Department of Oral Pathology, Medicine and Radiology, Indianapolis, Indiana, USA
- Department of Oral Pathology, Medicine & Radiology, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India
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Vanasi M, Shetty S, Patel VB, Jagnade Saini R, Begum N, Singh Baghel R. Estimation and Co-Relation of the Neutrophil Count and Neutrophil Chemotaxis in Patients With Gingivitis, Chronic Periodontitis, and Localized Aggressive Periodontitis Compared With Healthy Controls. Cureus 2023; 15:e36627. [PMID: 37102031 PMCID: PMC10123450 DOI: 10.7759/cureus.36627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 03/19/2023] [Indexed: 04/28/2023] Open
Abstract
INTRODUCTION Neutrophils are the most plentiful WBCs found in human blood. They are the first cells to respond to wounds and foreign invaders in the human body. They help the body fight infections. The neutrophil count may be used to check for infections, inflammation, or any other underlying conditions. The lower the neutrophil count, the higher the infection risk. Chemotaxis is the ability of the body cells to move in a specific direction as a response to a chemical stimulus. Neutrophil chemotaxis, a feature of the innate immune response, is the directed migration of neutrophils from one site in the body to another to provide effector functions. The present study was aimed at estimating and co-relating the neutrophil count and neutrophil chemotaxis in patients who had gingivitis, chronic periodontitis, and localized aggressive periodontitis, and in healthy participants. METHODS Eighty participants (40 males and 40 females), aged 20-50 years, were included in the study and divided into four groups: Group I: control group with healthy periodontium; Group II: participants with gingivitis; Group III: participants with periodontitis; and Group IV: participants with localized aggressive periodontitis. Blood samples were collected for hematological analysis to evaluate the neutrophil counts and neutrophil chemotaxis. RESULTS The mean value of neutrophil count (%) was highest in Group IV (72.535) followed by Group III (71.29), Group II (62.13), and least in Group I (58.15). This difference is statistically significant (p < 0.001). On intergroup comparison, a statistically significant difference was noted between all the groups except between Group I and Group II, and between Group III and Group IV. The mean value of neutrophil count and neutrophil chemotaxis assay were found to be statistically significant in all four groups. CONCLUSION This study shows a positive correlation between neutrophils and periodontal diseases which could be beneficial for further studies.
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Affiliation(s)
- Megha Vanasi
- Department of Periodontics, Faculty of Dental Science, Dharmsinh Desai University, Nadiad, IND
| | - Shamila Shetty
- Department of Periodontics, A.J. Institute of Dental Sciences, Mangalore, IND
| | - Vinit B Patel
- Department of Periodontics, Faculty of Dental Science, Dharmsinh Desai University, Nadiad, IND
| | | | - Nidha Begum
- Department of Periodontics, KVG (Kurunji Venkatramana Gowda) Dental College & Hospital, Sullia, IND
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Show S, Bagchi S, Dey AK, Boyapati R, Pal PC, Tejaswi KS. Effect of nonsurgical periodontal therapy and smoking status on hematological variables related to anemia of chronic disease in chronic periodontitis patient: a case-control study. JOURNAL OF YEUNGNAM MEDICAL SCIENCE 2022; 39:244-249. [PMID: 35570650 PMCID: PMC9273135 DOI: 10.12701/jyms.2022.00045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 03/07/2022] [Indexed: 11/04/2022]
Abstract
Background: Chronic infectious, inflammatory, or neoplastic disorders are associated with anemia of chronic disease. Chronic inflammatory diseases such as periodontitis may contribute to masked anemia, especially in smokers. This study was aimed at verifying and comparing the efficacy of nonsurgical periodontal therapy (NSPT) for improving anemia among chronic periodontitis patients with and without the habit of smoking. Methods: Thirty systemically healthy individuals with chronic periodontitis were divided into two groups of 15 each, smokers (group A) and nonsmokers (group B). The groups were compared based on hematological parameters such as serum erythropoietin (SE) and serum ferritin (SF) levels at baseline and 3 months after NSPT for anemia evaluation. Results: The baseline SE levels in groups A and B were 11.84 and 15.19 mIU/mL (p=0.031), respectively; the corresponding levels at 3 months after NSPT were 13.00 and 17.74 mIU/mL (p=0.022). The baseline SF levels in groups A and B were 95.49 and 44.86 ng/mL (p=0.018), respectively; the corresponding levels at 3 months after NSPT were 77.06 and 39.05 ng/mL (p=0.009). Group B showed a significant increase and decrease in the SE and SF levels, respectively, at 3 months after NSPT (p=0.035 and p=0.039, respectively), whereas group A showed insignificant changes (p=0.253 and p=0.618, respectively). Conclusion: NSPT led to an improvement in anemia among chronic periodontitis patients. However, the improvement is less in smokers compared to that in nonsmokers. Furthermore, SF and SE levels might serve as effective biomarkers for assessing anemia in smokers and nonsmokers with chronic periodontitis.
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Affiliation(s)
- Sangita Show
- Department of Periodontology, Trinity Dental & Maxillofacial Multispeciality Clinic, Kolkata, India
- Corresponding author: Sangita Show, MDS Department of Periodontology, Trinity Dental & Maxillofacial Multispeciality Clinic, 2/C R.N Tagore Road, Budge Budge, Kolkata, West Bengal 700137, India Tel: +91-83-2741-3017 • Fax: +91-33-2265-6876 • E-amil:
| | - Somen Bagchi
- Department of Periodontics, Dr. R. Ahmed Dental College and Hospital, Kolkata, India
| | - Arka Kanti Dey
- Department of Oral and Maxillofacial Surgery, Diamond Harbour Government Medical College and Hospital, Diamond Harbour, India
| | | | - Pritish Chandra Pal
- Department of Periodontology, Pacific Dental College and Hospital, Udaipur, India
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Almășan O, Leucuța DC, Hedeșiu M. Blood Cell Count Inflammatory Markers as Prognostic Indicators of Periodontitis: A Systematic Review and Meta-Analysis. J Pers Med 2022; 12:jpm12060992. [PMID: 35743775 PMCID: PMC9225277 DOI: 10.3390/jpm12060992] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 06/11/2022] [Accepted: 06/15/2022] [Indexed: 11/16/2022] Open
Abstract
(1) Background: Our study aimed to assess the association between the neutrophil to lymphocyte ratio (NLR), platelet to leukocyte ratio (PLR), lymphocyte to monocyte ratio (LMR), red cell distribution width (RDW), and systemic immune inflammation index (SII) and periodontitis. (2) Methods: We searched PubMed, Embase, Scopus, Web of Science, and LILACS databases, identifying observational studies. The Newcastle Ottawa scale was used to evaluate the quality of the included studies. The principal summary outcome measure in our random effects meta-analysis was the mean difference (MD). (3) Results: After screening 682 search results, a total of 10 studies including 3164 subjects were selected for quantitative assessment. We found a higher mean NLR, PLR, and LMR in the periodontitis group compared to the control group (0.41 (95% CI 0.12–0.7), p = 0.006; 7.43 (95% CI 0.31–14.54), p = 0.04; 2.05 (95% CI 0.27–3.83), p = 0.024). No differences were observed for RDW. (4) Conclusions: We found an association between NLR, LMR, and PLR and periodontitis, which might be thought of as emerging blood cell count inflammatory biomarkers that could shed light on the link between periodontitis and systemic disbalances, as well as for periodontitis prognosis and grading.
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Affiliation(s)
- Oana Almășan
- Prosthetic Dentistry and Dental Materials Department, Iuliu Hațieganu University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania;
| | - Daniel-Corneliu Leucuța
- Department of Medical Informatics and Biostatistics, Iuliu Hațieganu University of Medicine and Pharmacy, 400349 Cluj-Napoca, Romania
- Correspondence:
| | - Mihaela Hedeșiu
- Department of Oral and Maxillofacial Surgery and Radiology, Iuliu Hațieganu University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania;
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Chaushu L, Tal H, Sculean A, Fernández-Tomé B, Chaushu G. Peri-implant disease affects systemic complete blood count values-an experimental in vivo study. Clin Oral Investig 2020; 24:4531-4539. [PMID: 32415398 DOI: 10.1007/s00784-020-03318-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Accepted: 04/30/2020] [Indexed: 01/03/2023]
Abstract
OBJECTIVES To assess complete blood count (CBC) dynamics following ligature removal and open flap debridement in experimental peri-implantitis in dogs. MATERIALS AND METHODS Seven male beagle dogs were included in the study. Four rough-surface implants were placed pair-wise in both sides of the mandible 14 weeks after tooth extraction. Second stage surgery was performed after 14 weeks. Experimental peri-implantitis was initiated 3 weeks later by ligature placement around the healing caps thus facilitating plaque accumulation and inducing inflammation and destruction of peri-implant tissues. Ligature removal and open flap debridement were performed 11 weeks later. The CBC values were compared with baseline after each procedure. Wilcoxon paired tests were conducted in order to identify statistically significant differences between baseline data and values obtained after each procedure. RESULTS Following experimental peri-implantitis, statistically significant (p < 0.05) increases were noted for white blood cells-WBC (9.62 ± 4.34 vs. 6.48 ± 1.34 cells per microliter of blood × 1000), hemoglobin-Hb (15.25 ± 0.94 vs. 13.52 ± 1.46, grams per deciliter), red blood cells-RBC (7.26 ± 0.79 vs. 5.9 ± 0.61 cells per microliter of blood × 1000), mean corpuscular hemoglobin-MCH (23.64 ± 0.96 vs. 23.16 ± 0.83 picograms/cell), platelets-PLT (349.86 ± 51.05 vs. 277.57 ± 66 cells per microliter of blood × 1000), and mean corpuscular hemoglobin concentration-MCHC (35.83 ± 0.27 vs. 31.04 ± 0.48 grams per deciliter). A statistically significant (p < 0.05) decrease in values was noted only for after ligature removal and open flap debridement. Mean corpuscular volume-MCV values were significantly lower (65.99 ± 2.31 vs. 74.65 ± 2.85 femtoliter) following 1st ligature. Values returned to baseline after open flap debridement. CONCLUSIONS Within its limits, the present data suggest that experimentally induced peri-implantitis affects CBC values. Following surgical treatment, CBC values returned to normal. Clinical relevance This is the first study suggesting possible relationships between peri-implantitis and CBC values. Future studies, confirming such correlation, may provide an insight into the importance of peri-implant maintenance and treatment to minimize supporting tissues disease and reduce systemic effects.
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Affiliation(s)
- Liat Chaushu
- Department of Periodontology and Oral Implantology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.
| | - Haim Tal
- Department of Periodontology and Oral Implantology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Anton Sculean
- Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
| | | | - Gavriel Chaushu
- Department of Oral and Maxillofacial Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.,Department of Oral and Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
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Wu D, Lin Z, Zhang S, Cao F, Liang D, Zhou X. Decreased Hemoglobin Concentration and Iron Metabolism Disorder in Periodontitis: Systematic Review and Meta-Analysis. Front Physiol 2020; 10:1620. [PMID: 32082180 PMCID: PMC7005133 DOI: 10.3389/fphys.2019.01620] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2019] [Accepted: 12/24/2019] [Indexed: 01/01/2023] Open
Abstract
Background: Periodontitis is a chronic inflammatory disease with a possible infectious component. Anemia of inflammation (AI) occurring in various chronic diseases alters the hemoglobin (Hb) concentration and iron status. Currently, the association between periodontitis and AI is still controversial. The aim of this study was to assess the alterations of the level of hematological parameters and iron metabolism markers in patients with or without periodontitis. Methods: Electronic databases (MEDLINE, EMBASE, and Cochrane) were searched to identify publications about anemia and periodontitis. Subgroup analyses regarding gender, extent of periodontitis, and sample size were performed using STATA 12.1. Results: Sixteen studies were included in this meta-analysis. Pooled results showed a decrease in Hb [standardized mean difference (SMD) = −0.76, 95% CI = (−1.15, −0.37)], red blood cell [SMD = −0.69, 95% CI = (−1.09, −0.29)], hematocrit [SMD = −1.13, 95% CI = (−1.69, −0.57)], mean corpuscular volume [SMD = −0.16, 95% CI = (−0.32, −0.01)], and mean corpuscular Hb [SMD = −0.16, 95% CI = (−0.28, −0.04)], but upregulation in erythrocyte sedimentation rate [SMD = 0.63, 95% CI = (0.06, 1.19)]. In addition, patients with periodontitis had a higher level of hepcidin [SMD = 0.59, CI = (0.05, 1.12)] and decreased level of transferrin [SMD = −4.6, CI = (−13.1, −3.90)], with high heterogeneity. Conclusion: This meta-analysis indicates that periodontitis decreases Hb concentration and disturbs the balance of iron metabolism, which confirms strength of association between periodontitis and the development tendency of AI, especially for severe periodontitis. More unbiased cohort studies with larger sample sizes are still warranted to make a definitive judgment in the future.
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Affiliation(s)
- Donglei Wu
- Department of Stomatology, Jinan University-Affiliated Shenzhen Baoan Women's and Children's Hospital, Shenzhen, China
| | - Zhengshen Lin
- Department of Stomatology, Jinan University-Affiliated Shenzhen Baoan Women's and Children's Hospital, Shenzhen, China
| | - Shiwei Zhang
- Department of Stomatology, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde Foshan), Foshan, China
| | - Fengdi Cao
- Department of Stomatology, The First Affiliated Hospital Jinan University, Guangzhou, China
| | - Defeng Liang
- Department of Stomatology, Jinan University-Affiliated Shenzhen Baoan Women's and Children's Hospital, Shenzhen, China
| | - Xincai Zhou
- Department of Stomatology, Jinan University-Affiliated Shenzhen Baoan Women's and Children's Hospital, Shenzhen, China
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Leite SADM, Casanovas RC, Rodrigues VP, Pereira ADFV, Ferreira TCA, Nascimento FRFD, Nascimento JRD, Gomes-Filho IS, Bastos MG, Pereira ALA. The effect of nonsurgical periodontal therapy on hepcidin and on inflammatory and iron marker levels. Braz Oral Res 2019; 33:e055. [PMID: 31531562 DOI: 10.1590/1807-3107bor-2019.vol33.0055] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Accepted: 04/08/2019] [Indexed: 11/22/2022] Open
Abstract
Serum hepcidin levels may increase in response to infection and inflammation. The present study investigated the effect of nonsurgical periodontal therapy (NSPT) on levels of serum hepcidin, inflammatory markers, and iron markers. An interventional study was conducted on 67 patients (age 30-65 years) without other diseases, except for chronic periodontitis (CP). Patients were allocated to either CP or control groups. The CP group received supragingival and subgingival scaling and root planing procedures, whereas the control group received supragingival scaling. Probing depth (PD), bleeding on probing, clinical attachment level (CAL), visible plaque index (VPI), serum hepcidin and interleukin-6 (IL-6) levels, high-sensitivity C-reactive protein (hs-CRP), hematological markers, and iron markers were measured at baseline and at 90 days after NSPT. The CP group had statistically significant lower mean values for mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH) (p ≤ 0.05). The control group had statistically significant reductions in hemoglobin, hematocrit, MCV, and MCH (p ≤ 0.05). Serum hepcidin, IL-6, and erythrocyte sedimentation rate (ESR) levels were significantly decreased in both groups after NSPT. Periodontal markers were more markedly reduced in the CP group compared with the control group (p ≤ 0.05). These findings suggest that NSPT may reduce the serum levels of IL-6, hepcidin, and periodontal parameters.
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Affiliation(s)
| | - Rosana Costa Casanovas
- Universidade Federal do Maranhão - UFMA, Graduate Program in Dentistry, São Luís, MA, Brazil
| | | | | | | | | | | | - Isaac Suzart Gomes-Filho
- Universidade Estadual de Feira de Santana - UEFS, Department of Health, Feira de Santana, BA, Brazil
| | - Marcus Gomes Bastos
- Universidade Federal de Juiz de Fora - UFJF, Department of Nephrology, Juiz de Fora, MG, Brazil
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Comparative analysis of blood parameters of the erythrocyte lineage between patients with chronic periodontitis and healthy patients: Results obtained from a meta-analysis. Arch Oral Biol 2018; 97:144-149. [PMID: 30388570 DOI: 10.1016/j.archoralbio.2018.10.024] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 10/06/2018] [Accepted: 10/21/2018] [Indexed: 12/11/2022]
Abstract
Objective Quantitatively evaluate blood parameters of the erythrocyte lineage in patients with chronic periodontitis and healthy controls by means of a meta-analysis. Material and methods A review of literature was performed in the scientific databases for studies published before September 2016. The abstracts were evaluated and the extraction of data performed by two examiners. The parameters assessed were: hemoglobin levels, number of circulating red blood cells, hematocrit, mean corpuscular hemoglobin and mean corpuscular hemoglobin concentration in patients with chronic periodontitis and healthy controls. The calculations were obtained through the statistical software Review Manager version 5.3, with calculation of Mean Difference, heterogeneity (I²) and funnel plot with P < 0.05. Results Nine case/control studies composed the results with 342 patients with chronic periodontitis and 359 healthy controls. There was a significant decrease in hemoglobin levels (MD = -1.60, 95% CI: -2.72, -0.48, P = 0.005) and number of circulating red blood cells (MD = -0.51, 95% CI: -0.78, -0.24, P = 0.0002), hematocrit (MD = -4.41, IC 95%: -7.13, -1.68, P = 0.002), mean corpuscular hemoglobin (MD = -0.80; IC 95%: -1.38, -0,22, P = 0.007) and mean corpuscular hemoglobin concentration (MD = -0.93, IC 95%: -1.63, -0.23, P = 0.009) in patients with chronic periodontitis when compared to healthy controls. No publication bias was found through the funnel plot asymmetry. Conclusion There is an associated of the reduction of hematological parameters (such as levels of hemoglobin and circulating red blood cells, hematocrit, mean corpuscular hemoglobin and mean corpuscular hemoglobin concentration) to patients with chronic periodontitis.
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Han K, Park JB. Evaluation of the association between the number of natural teeth and anemia among Korean adults using nationally representative data. J Periodontol 2018; 89:1184-1192. [PMID: 29624683 DOI: 10.1002/jper.17-0440] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2017] [Revised: 01/22/2018] [Accepted: 01/30/2018] [Indexed: 11/06/2022]
Abstract
BACKGROUND Anemia as a chronic disease is defined as anemia occurring in chronic infections with inflammatory conditions. The purpose of this study is to assess the association between the number of natural teeth and anemia using nationally representative data. METHODS This study involved a cross-sectional analysis using data from the Korean National Health and Nutrition Examination Survey from 2010 to 2012. A total of 16,875 respondents aged > 19 years without missing values were included in this study. The association between the number of natural teeth and anemia was evaluated by multivariable logistic regression analyses after adjusting for age, sex, body mass index, smoking habits, drinking habits, exercise levels, income levels, education levels, vitamin D levels, diabetes, toothbrushing frequency, energy intake, and percentage of fat in total energy intake among Korean adults. RESULTS There was a significant decrease in prevalence of anemia and a significant increase in hemoglobin levels in participants with more natural teeth (P < 0.05). Adjusted odds ratios and their 95% confidence intervals for anemia in participants with numbers of natural teeth of < 15, 15 to 19, 20 to 24, or 24 to 28 were 1 (reference), 0.856(0.591 to 1.24), 0.659(0.5 to 0.868), and 0.607(0.463 to 0.797), respectively, with adjustment for confounding factors (P < 0.05). CONCLUSION The number of natural teeth is negatively associated with anemia in Korean adults, and the number of natural teeth may be considered an independent risk indicator of anemia.
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Affiliation(s)
- Kyungdo Han
- Department of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Jun-Beom Park
- Department of Periodontics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
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Al-Radha ASD. Impact of Anxiety on the Satisfaction of Dental Implant Patients. J Prosthodont 2017; 28:766-771. [PMID: 29239052 DOI: 10.1111/jopr.12729] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/28/2017] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To study the influence of anxiety on dental implant patient satisfaction, and to explore if hemoglobin levels and the amount of body fat affected patient satisfaction. MATERIALS AND METHODS One hundred three partially edentulous patients (mean age 42.06 years) who had received dental implant therapy were enrolled in the study. Self-administered questionnaires were given to those patients to evaluate their level of satisfaction with implant treatment. The State-Trait Anxiety Inventory (STAI) self-reported questionnaire was used to determine anxiety levels. Hemoglobin levels (HB) were measured using an electronic hemoglobin meter, and body fat (BF) was measured using a special diagnostic scale. Statistical analysis was conducted using T-test to assess any significant differences between the groups. Pearson Correlation was used to measure the correlation between variables. RESULTS Overall satisfaction for all patients was high (86.7%) for both STAI-trait and STAI -state anxiety groups. Highly significant differences in patient satisfaction were found between high and low STAI-state anxiety groups (p < 0.01). Patients with low STAI-state anxiety levels demonstrated significant negative correlations of many parts of patient satisfaction with HB levels and STAI-state scores. While for patients in the low STAI-trait anxiety group, the negative correlation was just with HB levels. For the patients with high STAI-state anxiety levels, a highly significant positive correlation was observed between many elements of patient satisfaction and BF and patient age. CONCLUSION The results of this study indicated that patient satisfaction with dental implant treatment was high in all patients. STAI-state anxiety had a greater impact on patient satisfaction than did trait anxiety. HB levels negatively affected patient satisfaction in patients with low STAI-trait and STAI-state anxiety levels. BF positively affected patient satisfaction in patients with high STAI-state anxiety levels.
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Affiliation(s)
- Afya Sahib Diab Al-Radha
- Oral Surgery and Periodontology Department, College of Dentistry, Al- Mustansiriyah University, Baghdad, Iraq
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Singh V, Tanwar AS, Hungund AS, Hungund SA, Nagaraja C. Comparison of serum erythropoietin levels in smokers and nonsmokers with periodontitis: A biochemical study. J Indian Soc Periodontol 2016; 20:249-53. [PMID: 27563196 PMCID: PMC4976543 DOI: 10.4103/0972-124x.181242] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Aims: This study was carried out to compare serum erythropoietin (Epo) levels in smokers and nonsmokers with periodontitis. Materials and Methods: Fifty-one subjects of both sexes (age range: 30–65 years) with chronic periodontitis (CP) participated in this study. Seventeen patients with generalized CP, nonsmokers without anemia were included in Group I (control group), 17 patients with generalized CP, nonsmokers with anemia were included in Group II, and 17 patients who were smokers, having generalized CP were included in Group III. Peripheral blood samples were obtained and assessed for the number of erythrocytes (total red blood cell [TRBC]), hemoglobin (Hb), and Epo levels. Statistical Analysis Used: One-way analysis of variance and Tukey–Kramer multiple comparisons test to assess the statistical difference between groups. Results: Epo levels varied considerably between the 3 groups. Highest values of Epo were seen in Group III with mean Epo value = 42.81 ± 15, followed by Group II Epo value = 35.21 ± 10.9, then Group I Epo value = 22.06 ± 4.19. Smokers in Group III with CP showed more prevalence toward higher values of Hb% (mean Hb = 12.06 ± 0.84) while there was no statistical difference in the values of TRBC values among the 3 groups (Group I TRBC value = 3.87 ± 0.38, Group II TRBC value = 4.01 ± 0.83, and Group III TRBC value = 3.88 ± 0.45). Conclusion: Periodontitis patients were seen to have lower Epo values further strengthening the hypothesis that CP may lead to anemia of chronic disease. In smokers, higher Hb values were seen with higher Epo levels. It indicates that periodontitis individually and along with smoking may affect anemic status of smokers. Thus, Epo levels may be better means to assess anemic status of smokers than relying only on Hb values.
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Affiliation(s)
- Vatsala Singh
- Department of Periodontology, Darshan Dental College, Udaipur, Rajasthan, India
| | | | | | - Shital Ajit Hungund
- Department of Periodontology, Darshan Dental College, Udaipur, Rajasthan, India
| | - Chaitra Nagaraja
- Department of Periodontology, Darshan Dental College, Udaipur, Rajasthan, India
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Khan NS, Luke R, Soman RR, Krishna PM, Safar IP, Swaminathan SK. Qualitative assessment of red blood cell parameters for signs of anemia in patients with chronic periodontitis. J Int Soc Prev Community Dent 2015; 5:476-81. [PMID: 26759801 PMCID: PMC4697232 DOI: 10.4103/2231-0762.167726] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
AIM Anemia of chronic disease is defined as anemia occurring in chronic infections and inflammatory conditions that is not caused by marrow deficiencies or other diseases and in the presence of adequate iron stores and vitamins. The present case control study was aimed to assess the red blood cell parameters for signs of anemia in patients with mild, moderate, and severe chronic periodontitis. MATERIALS AND METHODS A simple random sampling method was used to select 80 healthy male patients, who were divided into four groups based on full mouth periodontal examination as follows: group I patients comprised the control group (n = 20), which included patients with a clinically healthy periodontium, group II patients (n = 20) were diagnosed with mild chronic periodontitis, group III (n = 20) included moderate chronic periodontitis patients, and patients with severe chronic periodontitis formed group IV (n = 20). Laboratory blood investigations included total number of erythrocytes, hemoglobin concentration, packed cell volume, mean corpuscular volume, mean corpuscular hemoglobin, and mean corpuscular hemoglobin concentration. RESULTS Data analysis showed a statistically significant decrease in red blood cell parameters with increase in different grades of periodontitis. CONCLUSION Results of the present study show a substantial decrease in red blood cell parameters with increase in the severity of periodontal destruction.
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Affiliation(s)
- Nubesh S. Khan
- Department of Periodontics, Sri Sankara Dental College, Trivandrum, Kerala, India
| | - Roji Luke
- Department of Periodontics, Educare Institute of Dental Sciences, Malappuram, Kerala, India
| | - Rino Roopak Soman
- Department of Periodontics, Pushpagiri College of Dental Sciences, Thiruvalla, Kerala, India
| | - Praveen M. Krishna
- Department of Periodontics, SRI Ramakrishna Dental College and Hospital, Coimbatore, India
| | - Iqbal P. Safar
- Department of Periodontics, Malabar Dental College, Edappal, Kerala, India
| | - Senthil Kumar Swaminathan
- Department of Periodontics, Rajah Muthiah Dental College and Hospital, Chidambaram, Tamil Nadu, India
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Patel MD, Shakir QJ, Shetty A. Interrelationship between chronic periodontitis and anemia: A 6-month follow-up study. J Indian Soc Periodontol 2014; 18:19-25. [PMID: 24744539 PMCID: PMC3988635 DOI: 10.4103/0972-124x.128194] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2013] [Accepted: 07/18/2013] [Indexed: 12/11/2022] Open
Abstract
Background: In India, anemia is a common and serious health disorder among both sexes and all age groups, with anemia of chronic disease (ACD) being the second most prevalent anemia. Periodontitis is an inflammatory disease of the supporting tissues of the tooth caused by specific microorganisms. An immune response to bacteria and their products induces a major vascular response, offering explanatory mechanisms for the interactions between periodontal infection and a variety of systemic disorders. Therefore, periodontitis results in low-grade systemic inflammation, which may cause lower number of erythrocytes and, consequently, lower hemoglobin concentration. Materials and Methods: A total of 100 systemically healthy male patients visiting the outpatient department participated in the study. Of these, 50 patients had healthy periodontium and 50 patients had chronic periodontitis. Clinical parameters and red blood cell parameters of all the patients were assessed at baseline and 6 months after non-surgical periodontal therapy. Statistical analysis using Student's t-test was performed. Results: Data analysis revealed that patients with chronic periodontitis showed an improvement in both clinical and red blood cell parameters from baseline to 6 months after non-surgical periodontal therapy. Conclusion: From the present study, it can be concluded that like any other chronic condition, chronic periodontitis can lead to ACD. It also provides evidence that non-surgical periodontal therapy can improve the anemic status of patients with chronic periodontitis.
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Affiliation(s)
- Megha Dhananjay Patel
- Department of Periodontology and Oral Implantology, Padmashree Dr. D. Y. Patil Dental College and Hospital, Nerul, Navi Mumbai, Maharashtra, India
| | - Quaid Johar Shakir
- Department of Periodontology and Oral Implantology, Padmashree Dr. D. Y. Patil Dental College and Hospital, Nerul, Navi Mumbai, Maharashtra, India
| | - Arvind Shetty
- Department of Periodontology and Oral Implantology, Padmashree Dr. D. Y. Patil Dental College and Hospital, Nerul, Navi Mumbai, Maharashtra, India
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