Effect of nonsurgical periodontal therapy on C-reactive protein and iron indices in hemodialysis patients

Background and Aim: The aim of the study was to evaluate the effect of nonsurgical periodontal therapy on clinical, renal, and hematological parameters at baseline and 3 months postoperatively on chronic kidney disease (CKD) patients undergoing hemodialysis. This comparative interventional study was...

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Autores principales: Sheethel Menon Vrinda, Arun Sadasivan, Elizabeth Koshi, Beena Unnikrishnan, Nikhil Das Chandradas, Indhuja Raveendran Saraswathi
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Publicado: Wolters Kluwer Medknow Publications 2021
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spelling oai:doaj.org-article:1c80ce4da56e4342b8e4cf8792a21bfd2021-11-12T10:23:42ZEffect of nonsurgical periodontal therapy on C-reactive protein and iron indices in hemodialysis patients0972-124X10.4103/jisp.jisp_32_20https://doaj.org/article/1c80ce4da56e4342b8e4cf8792a21bfd2021-01-01T00:00:00Zhttp://www.jisponline.com/article.asp?issn=0972-124X;year=2021;volume=25;issue=6;spage=485;epage=490;aulast=Vrindahttps://doaj.org/toc/0972-124XBackground and Aim: The aim of the study was to evaluate the effect of nonsurgical periodontal therapy on clinical, renal, and hematological parameters at baseline and 3 months postoperatively on chronic kidney disease (CKD) patients undergoing hemodialysis. This comparative interventional study was conducted among CKD patients undergoing hemodialysis. Materials and Methods: This study included chronic periodontitis (CP) patients divided into three groups Group I: CKD patients undergoing hemodialysis for less than a year; Group II: CKD patients undergoing hemodialysis for more than a year; and Group III: systemically healthy CP patients. Clinical parameters (bleeding on probing [BOP], probing pocket depth (PPD), and clinical attachment level [CAL]) were recorded at baseline (T0), 1 month (T1), and 3 months after scaling and root planing (SRP) (T2). C-reactive protein (CRP) and transferrin saturation (TSAT) were observed at T0 and at T2. Paired t-test and Chi-square test were applied to find the statistical significance (P < 0.05 was considered statistically significant at 95% confidence interval) between the T0 and T2 time within the groups. Results: Clinical parameters such as PPD and CAL decreased with statistical significance in Group III alone, whereas BOP decreased with statistical significance in all the three groups. The study showed statistically significant reduction of CRP (in Group I and Group III) and TSAT increased with statistical significance in all the three groups after SRP. Conclusion: This suggests that SRP can bring an improvement in the systemic markers in CP patients under hemodialysis. However, we need a longitudinal study with a larger sample size to confirm the results.Sheethel Menon VrindaArun SadasivanElizabeth KoshiBeena UnnikrishnanNikhil Das ChandradasIndhuja Raveendran SaraswathiWolters Kluwer Medknow Publicationsarticledialysisinflammationperiodontitisrenal insufficiencytreatmentDentistryRK1-715ENJournal of Indian Society of Periodontology, Vol 25, Iss 6, Pp 485-490 (2021)
institution DOAJ
collection DOAJ
language EN
topic dialysis
inflammation
periodontitis
renal insufficiency
treatment
Dentistry
RK1-715
spellingShingle dialysis
inflammation
periodontitis
renal insufficiency
treatment
Dentistry
RK1-715
Sheethel Menon Vrinda
Arun Sadasivan
Elizabeth Koshi
Beena Unnikrishnan
Nikhil Das Chandradas
Indhuja Raveendran Saraswathi
Effect of nonsurgical periodontal therapy on C-reactive protein and iron indices in hemodialysis patients
description Background and Aim: The aim of the study was to evaluate the effect of nonsurgical periodontal therapy on clinical, renal, and hematological parameters at baseline and 3 months postoperatively on chronic kidney disease (CKD) patients undergoing hemodialysis. This comparative interventional study was conducted among CKD patients undergoing hemodialysis. Materials and Methods: This study included chronic periodontitis (CP) patients divided into three groups Group I: CKD patients undergoing hemodialysis for less than a year; Group II: CKD patients undergoing hemodialysis for more than a year; and Group III: systemically healthy CP patients. Clinical parameters (bleeding on probing [BOP], probing pocket depth (PPD), and clinical attachment level [CAL]) were recorded at baseline (T0), 1 month (T1), and 3 months after scaling and root planing (SRP) (T2). C-reactive protein (CRP) and transferrin saturation (TSAT) were observed at T0 and at T2. Paired t-test and Chi-square test were applied to find the statistical significance (P < 0.05 was considered statistically significant at 95% confidence interval) between the T0 and T2 time within the groups. Results: Clinical parameters such as PPD and CAL decreased with statistical significance in Group III alone, whereas BOP decreased with statistical significance in all the three groups. The study showed statistically significant reduction of CRP (in Group I and Group III) and TSAT increased with statistical significance in all the three groups after SRP. Conclusion: This suggests that SRP can bring an improvement in the systemic markers in CP patients under hemodialysis. However, we need a longitudinal study with a larger sample size to confirm the results.
format article
author Sheethel Menon Vrinda
Arun Sadasivan
Elizabeth Koshi
Beena Unnikrishnan
Nikhil Das Chandradas
Indhuja Raveendran Saraswathi
author_facet Sheethel Menon Vrinda
Arun Sadasivan
Elizabeth Koshi
Beena Unnikrishnan
Nikhil Das Chandradas
Indhuja Raveendran Saraswathi
author_sort Sheethel Menon Vrinda
title Effect of nonsurgical periodontal therapy on C-reactive protein and iron indices in hemodialysis patients
title_short Effect of nonsurgical periodontal therapy on C-reactive protein and iron indices in hemodialysis patients
title_full Effect of nonsurgical periodontal therapy on C-reactive protein and iron indices in hemodialysis patients
title_fullStr Effect of nonsurgical periodontal therapy on C-reactive protein and iron indices in hemodialysis patients
title_full_unstemmed Effect of nonsurgical periodontal therapy on C-reactive protein and iron indices in hemodialysis patients
title_sort effect of nonsurgical periodontal therapy on c-reactive protein and iron indices in hemodialysis patients
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/1c80ce4da56e4342b8e4cf8792a21bfd
work_keys_str_mv AT sheethelmenonvrinda effectofnonsurgicalperiodontaltherapyoncreactiveproteinandironindicesinhemodialysispatients
AT arunsadasivan effectofnonsurgicalperiodontaltherapyoncreactiveproteinandironindicesinhemodialysispatients
AT elizabethkoshi effectofnonsurgicalperiodontaltherapyoncreactiveproteinandironindicesinhemodialysispatients
AT beenaunnikrishnan effectofnonsurgicalperiodontaltherapyoncreactiveproteinandironindicesinhemodialysispatients
AT nikhildaschandradas effectofnonsurgicalperiodontaltherapyoncreactiveproteinandironindicesinhemodialysispatients
AT indhujaraveendransaraswathi effectofnonsurgicalperiodontaltherapyoncreactiveproteinandironindicesinhemodialysispatients
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