Evaluation of periodontal status and cytokine levels in saliva and gingival crevicular fluid of patients with inflammatory bowel diseases


Enver A., ÖZMERİÇ KURTULUŞ N., İŞLER S. Ç., TÖRÜNER M., FİDAN Ç., DEMİRCİ G., ...More

JOURNAL OF PERIODONTOLOGY, vol.93, no.11, pp.1649-1660, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 93 Issue: 11
  • Publication Date: 2022
  • Doi Number: 10.1002/jper.22-0065
  • Journal Name: JOURNAL OF PERIODONTOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database, DIALNET
  • Page Numbers: pp.1649-1660
  • Keywords: gingival crevicular fluid, periodontal diseases, cytokines, saliva, Crohn's disease, ulcerative colitis, PERI-IMPLANT DISEASES, 2017 WORLD WORKSHOP, CONSENSUS REPORT, DENTAL-CARIES, PREVALENCE, HEALTH, CLASSIFICATION, ASSOCIATION, PARAMETERS, EXPRESSION
  • Gazi University Affiliated: Yes

Abstract

Background Periodontal diseases and inflammatory bowel diseases (IBD, ulcerative colitis [UC] and Crohn disease [CD]) have been reported to present with increased salivary and gingival crevicular fluid (GCF) concentrations of cytokines. The aim of this study was to evaluate the salivary and GCF levels of TNF-alpha, IL-1 beta, IL-10, and IL-17A and their associations with the periodontal statuses of UC, CD, and non-IBD patients, and to analyze the interrelationships among these cytokines, IBD conditions, and periodontal diseases. Methods This cross-sectional study was performed with a total of 131 patients (62 women and 69 men, mean age 42.96 +/- 13.02 years). Patients were divided into three groups: UC, CD, and non-IBD. Periodontal status was defined according to the 2017 World Workshop Disease Classification. Salivary and GCF cytokine levels were analyzed using ELISA. Results UC and CD patients diagnosed as having periodontitis and gingivitis presented with significantly higher levels of TNF-alpha and lower levels of IL-10 as compared with non-IBD patients (p<0.05). UC patients diagnosed with periodontitis exhibited significantly higher scores of bleeding on probing (p = 0.011) and increased salivary and GCF IL-1 beta levels as compared with CD patients (p = 0.005, and 0.012, respectively). Considering the active and remission status of IBD, salivary IL-1 beta was found to be correlated with the parameters representing the severity of periodontal diseases in active UC and CD patients. Conclusion In the presence of periodontal diseases, UC and CD patients showed different expression levels of TNF-alpha, IL-1 beta, and IL-10 in oral secretions as compared with non-IBD patients.