牙周炎吸烟者和非吸烟者龈沟液中LL-37和hBD-2的含量

Alessandra Barreto Lopes, N. H. Colombo, N. Z. Assem, M. A. A. Nuernberg, V. Garcia, C. Duque, L. Theodoro
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摘要

临床和流行病学研究已经描述了吸烟与牙周病之间的关系。目的比较吸烟者(S)和非吸烟者(NS)广泛性牙周炎患者沟液中LL-37和人β-防御素-2 (hBD-2)水平。材料与方法本研究共纳入35例III期和IV期广泛性牙周炎患者,其中NS 15例(女11例,男4例),S 20例(女7例,男13例)。评估的临床参数为探查出血(BOP)、探查深度(PD)和临床附着水平(CAL)。采用酶联免疫吸附法测定这些患者龈沟液中LL-37和hBD-2的水平。结果进行统计学分析,显著性水平设为5%。结果在牙周临床参数方面,S组与NS组BOP、PD差异无统计学意义。S组CAL高于NS组(p = 0.0095)。S组与NS组比较,LL-37、hBD-2水平差异无统计学意义(p < 0.05)。结论吸烟对牙周炎患者牙龈沟液中LL-37和hBD-2的表达无明显影响,但吸烟对牙周炎患者临床附着丧失的影响高于非吸烟者。
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LL-37 and hBD-2 in the gingival crevicular fluid of smokers and nonsmokers with periodontitis
Abstract Introduction The association between smoking and periodontal diseases has been described in clinical and epidemiological studies. Objective The aim of this study was to compare the LL-37 and human β-defensin-2 (hBD-2) levels in crevicular fluid of patients with generalized periodontitis in smokers (S) and nonsmokers (NS). Material and method A total of 35 patients with generalized periodontitis stages III and IV, 15 NS (11 female, 4 male) and 20 S (7 female and 13 male), were included in the study. The evaluated clinical parameters were bleeding on probing (BOP), probing depth (PD) and clinical attachment level (CAL). Enzyme-linked immunosorbent assays were performed to quantify the LL-37 and hBD-2 levels in the gingival crevicular fluid of these patients. The results were analyzed statistically with the level of significance set at 5%. Result In relation to periodontal clinical parameters, no statistically significant difference was observed for BOP and PD between groups S and NS. There was a higher CAL in the S group than in the NS group (p = 0.0095). There was no statistically significant difference between the levels of LL-37 and hBD-2 when comparing groups S and NS (p>0.05). Conclusion It was concluded that smokers have a higher clinical attachment loss than nonsmokers, but that smoking did not influence the levels of LL-37 and hBD-2 in the gingival crevicular fluid in periodontitis.
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