Evaluation of Glutathione Levels in Saliva and Gingival Crevicular Fluid in Diabetic Patients with Chronic Periodontitis before and after Non-Surgical Periodontal Therapy

Mohamed El Kwas, M. Bayoumy, M. Hosny
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Abstract

Objective: the objective of this study was designed to evaluate the effect of non-surgical periodontal therapy on glutathione levels in saliva and gingival crevicular fluid among diabetics with chronic periodontitis. Subjects and Methods: A total number of 60 patients were selected consists of three groups: group 1 was 20 patients with healthy periodontal condition, group 2 was 20 patients with chronic periodontitis and group 3 was 20 diabetic patients with chronic. Scaling, root planning and oral hygiene instructions were performed for patients in group 2 and group 3.Saliva and GCF samples were collected from each subjects at baseline (before treatment) , one month and three months after performing the non –surgical periodontal therapy. Results: Following non-surgical therapy, glutathione levels in diabetic and chronic periodontitis groups improved significantly when compared to base line levels.No significant correlation between glutathione, age and disease activity in diabetic & periodontitis groups. Conclusion: Glutathione levels should be considered a marker for disease and the concentration of reactive oxygen species in human body and an important indicator for the progression of the periodontal treatment in patients with periodontal disease.
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糖尿病合并慢性牙周炎患者非手术牙周治疗前后唾液和龈沟液谷胱甘肽水平的评价
目的:本研究旨在评估非手术牙周治疗对慢性牙周炎糖尿病患者唾液和龈沟液谷胱甘肽水平的影响。对象与方法:60例患者分为3组:1组20例牙周健康患者,2组20例慢性牙周炎患者,3组20例糖尿病慢性牙周炎患者。2组和3组分别进行刮治、牙根规划和口腔卫生指导。在进行牙周非手术治疗后1个月和3个月分别收集每位受试者的唾液和GCF样本。结果:在非手术治疗后,糖尿病和慢性牙周炎组的谷胱甘肽水平与基线水平相比显著改善。糖尿病和牙周炎患者谷胱甘肽、年龄和疾病活动度之间无显著相关性。结论:谷胱甘肽水平可作为牙周病患者病情和体内活性氧浓度的标志,是牙周病患者牙周治疗进展的重要指标。
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