Evaluatıon Of Gıngıval Crevıcular Fluıd (Gcf) Levels Of Ll-37 And Serum Vıtamın D3 Levels In Smoker And Nonsmoker Patıents Wıth Chronıc Perıodontıtıs


Thesis Type: Doctorate

Institution Of The Thesis: Gazi University, Turkey

Approval Date: 2015

Thesis Language: Turkish

Student: Elifcan Kıvrak

Supervisor: GÜLAY TÜTER

Abstract:

Cathelicidin LL-37, an antimicrobial peptide, is part of the host innate immune response in the oral cavity. The aims of this study are to evaluate; gingival crevicular fluid (GCF) levels of LL-37 and serum vitamin D3 levels and clinical parameters in smoker and nonsmoker patients with chronic periodontitis. Plaque index (PI), gingival index (GI), probing depth (PD) and clincal attachment level (CAL) measurements, GCF and blood serum samples were collected from smoker (n:20) and non-smoker (n:20) patients with chronic periodontitis and periodontally healthy (n:20) control subjects at baseline. GCF levels of LL-37 were measured by ELISA and serum levels of vitamin D3 were analysed by High-performance liquid chromatography (HPLC). Statistical analysis were performed. GCF levels of LL-37 have been found significantly higher in chronic periodontitis groups than control subjects but no significant difference was found between smoking and nonsmoking periodontitis groups (p<0.05). There was a positive correlation between GCF LL-37 and vitamin D levels in smoker chronic periodontitis group (p<0.01). All clinical parameters were found correlated with GCF LL-37 levels. PI,GI,PD,CAL measurements were significantly higher in both chronic periodontitis groups than controls (p<0.05). Vitamin D can act as a potent stimulater of LL-37 in DOS. Elevated levels of GCF cathelicidin LL-37 in chronic periodontitis suggest that it may play a role in the host innate immune response during periodontal inflammation.