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Assessment of salivary elements (Zinc, Copper and Magnesium) among groups of patients with rheumatoid arthritis and chronic periodontitis and its correlation to periodontal health status

Authors: Alyamama Mahmood اليمامة محمود --- Maha Shukri مها شكري
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: 3 Pages: 87-92
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Periodontal diseases are common in the society and some researchers suggestedan associationbetween rheumatoid arthritis (RA) and periodontal diseases. The aims of study were to determine the periodontalhealth status in patient with RA and chronic periodontitis and compare it with those having chronic periodontitiswithout RA anddetermine the level of salivary elements Copper(Cu),Zinc( Zn) and Magnesium( Mg) in patients withrheumatoid arthritis and patients have no rheumatoid arthritis (RA) and compare with the control group.Andcorrelate between these salivary elements with the periodontal parameters Plaque index (PLI), gingival index (GI),bleeding on probing (BOP), probing pocketdepth (PPD) and clinical attachment level (CAL).Materials and Methods: In this study, the samples were recruited from patientsreferred todepartment ofRheumatology at Baghdad hospital. Seventy five female patients participated in this study, twenty five of themrheumatoid arthritis patient andhad chronic periodontitis; twenty five were with chronicperiodontitis and have noarthritis; Twenty five patients wereperiodontally and systemically healthy (control group). Patients were with agerange 40-50 yearswith no other systemic diseases. The smokers and patients taking medication affectingperiodontium status were excluded from the study.Also the patients had normal weight and length. Periodontalparameters were measuredin all groups at four surfaces.Salivary elements (Zn, Cu and Mg) also measured in thisstudy.Results: Patients with RA had higher prevalence of sites presenting dental plaque, a higher rate of gingivalinflammation and bleeding on probing,greater probing depth, and greater attachment loss compared with controland high level of Copper and low level of Zinc and Magnesium.Conclusion: The results suggest higher potentiality for moderate to severe periodontitis involvement among RApatients, with higher levels of Copper (Cu), and low level of Zinc (Zn) and Magnesium (Mg).


Article
Detection of specific IgG and IgA anti Epstein-Barr virus in saliva of chronic periodontitis patients and healthy subjects

Authors: Wasan A. Abid Aun وسن عبد عون --- Maha Shukri مها شكري
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2011 Volume: 23 Issue: special issue Pages: 125-128
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Chronic periodontitis is an inflammatory disease that extends into the tissues supporting the teeth.Recent studies have demonstrated that various human herpesviruses especially Epstein-Barr virus (EBV) may play apart in the pathogenesis of human chronic periodontitis. This study aimed to detect anti EBV IgG and IgA in saliva ofchronic periodontitis patients and healthy control subjects by enzyme linked immunosorbent assay (ELISA) test and todetermine the differences between males and females regarding the periodontal condition and the levels of antiEBV IgG and IgA .Materials and methods: The study sample consisted of sixty chronic periodontitis patients of both gender (32 malesand 28 females) and thirty healthy control subjects of both gender (16 males and 14 females) with age ranged from30 to 50 years. Both groups without any systemic disease.Periodontal parameters used in this study were plaque index (PLI), gingival index (GI), bleeding on probing (BOP),probing pocket depth (PPD) and clinical attachment level (CAL). Unstimulated saliva samples were collected fromall subjects and examined by ELISA test for EBV IgG and IgA antibodies detection.Results: The results of the present study observed that there was no significant difference of PLI and GI betweenmales and females in chronic periodntitis patients. Concerning BOP the number of bleeding sites in females wasmore than in males. For PPD and CAL, there was increased PPD with its different scores (0, 1, 2) in males comparedwith females and there was increased CAL with its different scales (scales 0, 1, 2, 3) in males than females. Thepercentage of control group who were positive for anti- EBV IgG was (36.7%) and in chronic periodontitis was (81.7%). Concerning IgA, 40.0% of healthy group and 68.3% of chronic periodontitis patients showed a positivereaction for anti- EBV IgA .Conclusions: The present study showed that EBV Abs (IgG and IgA) were detectable in saliva from healthy individualsbut they were significantly more frequently found in saliva of chronic periodontitis patients. The present study showedthat there was no significant gender difference regarding the salivary level of anti- EBV IgG and IgA.

Keywords

chronic periodontitis --- EBV --- IgG --- IgA

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