Salivary TNF-alpha in chronic periodontitis: A case-control study
Journal name: Journal of Indian Society of Periodontology
Original article title: Evaluation of salivary tumor necrosis factor-alpha in patients with the chronic periodontitis: A case-control study
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Hojatollah Yousefimanesh, Robati Maryam, Jahangirnezhad Mahmoud, Ghafourian Boroujerdnia Mehri, Taghipour Mohsen
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Evaluation of salivary tumor necrosis factor-alpha in patients with the chronic periodontitis: A case-control study
Year: 2013 | Doi: 10.4103/0972-124X.124490
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Chronic periodontitis is a persistent infectious disease characterized by the inflammation of the tissues that support the teeth, leading to progressive attachment and bone loss. The disease initiates through the presence of infectious agents, which activate host immune responses and inflammatory reactions. Tumor necrosis factor-alpha (TNF-α) is an inflammatory cytokine that plays a critical role in the destruction of periodontal tissues, and this study aimed to investigate its salivary levels in patients with generalized moderate chronic periodontitis compared to healthy controls.
Salivary TNF-α and Periodontal Disease
The research involved a case-control study with 60 participants, equally divided between patients with chronic periodontitis and healthy controls, matched for age and sex. Unstimulated saliva samples were collected, and TNF-α levels were measured using an enzyme-linked immunosorbent assay. The results indicated a slight difference in mean concentrations of TNF-α between the two groups; however, this difference was not statistically significant (P > 0.05). Furthermore, clinical measurements such as probing pocket depth, clinical attachment loss, and bleeding on probing showed no significant correlation with salivary TNF-α levels. These findings suggest that TNF-α in saliva may not serve as a reliable biomarker for assessing periodontal disease severity.
Conclusion
The study ultimately concluded that there is no significant relationship between salivary TNF-α levels and generalized moderate chronic periodontitis, suggesting the cytokine may not be a suitable biomarker for periodontal disease evaluation. Given the variability of results in existing literature, it is recommended that further studies with larger sample sizes and a focus on various forms of periodontal disease be conducted. Such research could better clarify the role of TNF-α and other biomarkers in periodontal disease diagnosis and prognosis.
FAQ section (important questions/answers):
What is the role of TNF-α in chronic periodontitis?
TNF-α is an inflammatory cytokine that can potentially contribute to tissue destruction in periodontal diseases, but this study found no significant relationship between salivary TNF-α levels and chronic periodontitis.
What methods were used to measure TNF-α levels?
TNF-α levels were measured in unstimulated saliva samples using an enzyme-linked immunosorbent assay (ELISA) method, allowing for precise quantification of this biomarker.
How significant were the findings regarding TNF-α levels?
The study revealed no significant differences in TNF-α levels between chronic periodontitis patients and healthy controls, leading to the conclusion that this cytokine may not be a reliable biomarker for periodontal disease.
Are there any potential reasons for differing results in studies?
Differences in study outcomes may arise from variations in patient selection, sample sizes, or methods used in measuring cytokine levels across different research projects.
What further research is suggested based on this study's findings?
Further studies with larger sample sizes and diverse periodontal disease groups are recommended to better assess TNF-α and other biomarkers, including evaluations in gingival crevicular fluid.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Salivary TNF-alpha in chronic periodontitis: A case-control study”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Study (Studying):
The keyword 'Study' refers to the systematic investigation conducted to understand the relationship between chronic periodontitis and the salivary levels of TNF-α. The study's design, methodology, and findings contribute to the body of knowledge in periodontology and inflammatory diseases, helping to establish more effective diagnostic and therapeutic strategies.
2) Disease:
The term 'Disease' in this context specifically pertains to chronic periodontitis, which is a significant health concern characterized by inflammation and destruction of the supporting tissues of the teeth. Understanding such diseases is crucial for developing treatments and preventive measures that improve oral and overall health.
3) Table:
In the context of the study, 'Table' refers to an organized presentation of demographic data and clinical parameters. Tables facilitate the visualization and comparison of numerical data and statistics, helping to underline significant findings and trends in the research, making complex information more accessible and interpretable.
4) Science (Scientific):
'Science' relates to the systematic enterprise that builds and organizes knowledge in the form of testable explanations and predictions about the universe. In this study, scientific principles and research methodologies are applied to understand the pathophysiology of chronic periodontitis and the potential role of inflammatory mediators.
5) Inflammation:
The keyword 'Inflammation' is central to chronic periodontitis. It describes the body's immune response to infection that leads to tissue destruction. Understanding inflammation pathways, including those involving TNF-α, is critical in managing periodontal diseases and developing potential therapeutic targets to mitigate tissue loss.
6) Cina (Cīna, Cīnā, Ciṉa, Ciṉā, Cīṉā, Cinā):
The mention of 'China' highlights the geographical context of some referenced studies related to cytokine levels and chronic periodontitis. Different populations can exhibit varying disease characteristics and cytokine profiles, influencing research outcomes and potential applications of findings in public health and dental practices.
7) Male (Mālē):
The keyword 'Male' pertains to one of the demographics evaluated in the study, indicating the gender distribution of participants. Gender differences may influence the prevalence and progression of chronic periodontitis, and including both males and females enhances the relevance and comprehensiveness of the research findings.
8) Malnutrition:
'Malnutrition' refers to deficiencies, excesses, or imbalances in a person's intake of energy and/or nutrients. Inflammatory cytokines like TNF-α can impact nutritional status, and understanding links between periodontal health and nutritional factors is important for developing holistic treatment approaches in periodontal therapy.
9) Controversy:
The keyword 'Controversy' indicates the ongoing debates surrounding the role of inflammatory factors such as TNF-α in periodontal disease pathology. Disparities in study findings necessitate further exploration to clarify the relationship between these cytokines and disease, ultimately driving advancements in both research and clinical practices.
10) Measurement:
The term 'Measurement' relates to the quantitative assessment of TNF-α levels in saliva using the enzyme-linked immunosorbent assay (ELISA). Accurate measurement techniques are vital for validating research findings and ensuring reliable data that can inform clinical practice and future studies on periodontal disease.
11) Antibiotic (Antibacterial):
'Antibiotic' refers to a class of medications used to treat bacterial infections, which may have implications in periodontal disease management. Their effects on oral microbiota and host immune responses can influence the progression of chronic periodontitis, highlighting the importance of understanding antibiotic usage and its consequences.
12) Medicine:
The term 'Medicine' signifies the field concerned with the diagnosis, treatment, and prevention of diseases. The study's implications relate to practicing medicine in dentistry by enhancing understanding of periodontal disease mechanisms, thereby informing treatment strategies that incorporate biochemical markers like TNF-α.
13) Activity:
'Activity' often denotes the biological actions of substances such as TNF-α in mediating inflammatory responses. Understanding the activity of inflammatory mediators can guide therapeutic interventions aimed at modulating the immune response in chronic periodontitis, thereby improving patient outcomes.
14) Bleeding:
The mention of 'Bleeding' relates to the clinical parameter of bleeding on probing (BOP), which indicates periodontal inflammation and tissue loss. Evaluating BOP is essential for diagnosing chronic periodontitis severity, making it a critical focal point in periodontal disease assessments and interventions.
15) Pregnant:
'Pregnant' refers to a specific exclusion criterion for participants. Hormonal changes during pregnancy can profoundly influence periodontal health, potentially confounding the study's results. Thus, excluding pregnant individuals ensures that findings specifically relate to chronic periodontitis without the influence of pregnancy-related factors.
16) Reason:
'Reason' encapsulates the underlying justification for the study's design and approach. Investigating the role of TNF-α in chronic periodontitis aims to establish connections between inflammatory markers and disease mechanisms, contributing to better diagnostic and treatment strategies in distinctive patient populations.
17) Water:
'Water' was mentioned concerning sample collection procedures, where participants rinsed their mouths before saliva collection. Hydration and oral hygiene practices can influence salivary composition, making it crucial to standardize sample collection methods to ensure consistent and reliable data during studies.
18) Blood:
'Blood' refers to the systemic circulation that can reflect levels of inflammatory cytokines. Understanding how substances like TNF-α in saliva correlate to systemic markers of inflammation may enhance knowledge on periodontal disease progression and potentially inform broader health implications for patients.
19) Drug:
'Drug' typically refers to substances used for medical treatment. In this study's context, it highlights the importance of understanding the interactions between medications (e.g., antibiotics or anti-inflammatory drugs) and periodontal disease mechanisms, guiding practitioners in making informed decisions regarding patient treatment plans.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Salivary TNF-alpha in chronic periodontitis: A case-control study’. Further sources in the context of Science might help you critically compare this page with similair documents:
Statistical analysis, Ethical committee, Plaque index, Systematic Review, Periodontal pathogens, Chronic periodontitis, Sample collection, Case-control study, Alkaline phosphatase, Tumor necrosis factor-alpha, Clinical attachment level, Salivary biomarker, Matrix metalloproteinase, Differential diagnoses, Laboratory study, Oral microbiome, Bleeding On Probing.