Investigation of leptin levels in periodontal wound healing: A preliminary study

C. Bharadwaj, K. B. Varadhan, Prabhuji Munivenkatappa Lakshmaiah Venkatesh, R. Gautam
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Abstract

Background and Objectives: Leptin (Ob) is an obese protein and is known to maintain tissue integrity. Off late, there are reports that leptin aids in dermal wound healing. However, to date, there are no reports on whether leptin has a similar role in periodontal wound healing. Hence, the present study was undertaken to explore whether leptin has a similar role in periodontal wound healing. Materials and Methods: A total of 15 patients (10 males and 5 females) diagnosed as periodontitis were selected who fell under the age range of 30–39 years. The gingival crevicular fluid was collected for leptin analysis from the study group at baseline (who acted as pre-treatment controls), 30th day following non-surgical periodontal therapy (which coincides with the surgical intervention, i.e. open flap periodontal surgery), and at the 3rd day, 14th day, and 35th day following surgical intervention which corresponds to the various phases of periodontal wound healing, acted as post-treatment tests groups. Leptin levels were determined from individual gingival crevicular fluid samples by enzyme-linked immunosorbent assay. Results: There was a little increase in gingival crevicular fluid leptin levels following surgical intervention which was statistically not significant (P > 0.01). One-way analysis of variance and Tukey test were applied for statistical significance. Conclusion: Within the limitations of our study, it can be concluded that there was a little and insignificant raise of leptin at various stages of periodontal wound healing. Hence, it is not clear whether leptin aids in periodontal wound healing and maintains tissue integrity and homeostasis. At the same time, we cannot categorically deny the role of leptin in periodontal wound healing.
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调查瘦素水平在牙周伤口愈合:初步研究
背景和目的:瘦素(Ob)是一种肥胖蛋白,已知可维持组织完整性。最近,有报道称瘦素有助于皮肤伤口愈合。然而,到目前为止,还没有关于瘦素在牙周伤口愈合中是否有类似作用的报道。因此,本研究旨在探讨瘦素在牙周伤口愈合中是否具有类似的作用。材料与方法:选取年龄30 ~ 39岁的牙周炎患者15例(男10例,女5例)。研究组在基线(作为治疗前对照)、非手术牙周治疗后第30天(与手术干预同时进行,即开瓣牙周手术)、手术干预后第3天、第14天、第35天对应牙周伤口愈合的各个阶段作为治疗后试验组,收集龈沟液进行瘦素分析。用酶联免疫吸附法测定个体龈沟液中瘦素水平。结果:术后龈沟液瘦素水平略有升高,差异无统计学意义(P > 0.01)。统计学显著性采用单因素方差分析和Tukey检验。结论:在我们的研究范围内,可以得出结论,在牙周创面愈合的各个阶段,瘦素的升高幅度不大且不显著。因此,尚不清楚瘦素是否有助于牙周伤口愈合和维持组织完整性和体内平衡。同时,我们也不能断然否认瘦素在牙周创面愈合中的作用。
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