Comparisons Between Two Biochemical Markers in Evaluating Periodontal Disease Severity: a Cross-sectional Study

Overview

Journal BMC Oral Health

Publisher Biomed Central

Specialty Dentistry

Date 2014 Sep 2

PMID 25174345

Citations 5

Authors

Sakornrat Khongkhunthian

Prachya Kongtawelert

Siriwan Ongchai

Peraphan Pothacharoen

Thanapat Sastraruji

Dhirawat Jotikasthira

Suttichai Krisanaprakornkit

Affiliations

Soon will be listed here.

Abstract

Background: The purpose of this study was to compare two biochemical markers, which have been previously used to determine the degrees of alveolar bone destruction, in evaluating periodontal disease severity.

Methods: The WF6 epitope of chondroitin sulfate (CS) and the alkaline phosphatase (ALP) levels were determined in gingival crevicular fluid (GCF) samples collected from patients with various degrees of disease severity, including ten patients with gingivitis (50 gingivitis sites) and 33 patients with chronic periodontitis (including gingivitis, slight, moderate, and severe periodontitis sites; n = 50 each), as well as from ten healthy volunteers (50 healthy sites) by Periopaper strips. The levels of CS and ALP were measured by an ELISA and a fluorometric assay, respectively.

Results: The results demonstrated low levels of CS and ALP in non-destructive and slightly destructive periodontitis sites, whereas significantly high levels of these two biomolecules were shown in moderately and severely destructive sites (p < 0.05). Although a significant difference in CS levels was found between moderate and severe periodontitis sites, no difference in ALP levels was found. Stronger correlations were found between CS levels and periodontal parameters, including probing depth, loss of clinical attachment levels, gingival index and plaque index, than between ALP levels and these parameters.

Conclusions: It is suggested that the CS level is a better diagnostic marker than the ALP level for evaluating distinct severity of chronic periodontitis.

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