Peri-implant diseases and systemic inflammation: A preliminary analysis from a cross-sectional survey of patients with hypertension.

Autor: Orlandi M; University College London (UCL) Eastman Dental Institute, London, UK., Pranno N; Department of Oral and Maxillo-Facial Sciences, 'Sapienza' University of Rome, Rome, Italy., Patel V; University College London (UCL) Eastman Dental Institute, London, UK., Papi P; Department of Oral and Maxillo-Facial Sciences, 'Sapienza' University of Rome, Rome, Italy., Di Murro B; Department of Oral and Maxillo-Facial Sciences, 'Sapienza' University of Rome, Rome, Italy., Pompa G; Department of Oral and Maxillo-Facial Sciences, 'Sapienza' University of Rome, Rome, Italy., Polimeni A; Department of Oral and Maxillo-Facial Sciences, 'Sapienza' University of Rome, Rome, Italy., Letizia C; Department of Oral and Maxillo-Facial Sciences, 'Sapienza' University of Rome, Rome, Italy.; Department of Precision and Translational Medicine, 'Sapienza' University of Rome, Rome, Italy., Suvan J; University College London (UCL) Eastman Dental Institute, London, UK., D'Aiuto F; University College London (UCL) Eastman Dental Institute, London, UK.
Jazyk: angličtina
Zdroj: Journal of periodontology [J Periodontol] 2024 Jun; Vol. 95 (6), pp. 525-534. Date of Electronic Publication: 2024 May 14.
DOI: 10.1002/JPER.21-0338
Abstrakt: Background: The aim of this study was to investigate the association between peri-implant diseases and systemic inflammation assessed by serum C-reactive protein (CRP) levels in a sample of patients with hypertension.
Methods: A total of 151 participants with hypertension were included in a cross-sectional study. The population was divided into six groups according to their peri-implant and periodontal status (healthy controls, mucositis, peri-implantitis, periodontitis, periodontitis and mucositis, periodontitis, and peri-implantitis). Linear, logistic regression, and correlation analyses were performed.
Results: CRP levels were statistically significantly higher in participants with periodontitis alone (median 3.2 mg/L, interquartile range [IQR] 1.8, p = 0.012), combined with mucositis (3.10 mg/L, IQR 2.35, p < 0.001) or peri-implantitis (2.7 mg/L, IQR 2.53, p = 0.002) when compared to the healthy controls (1 mg/L, IQR 1.2). This association was independent of age, sex, smoking status, and adiposity differences. Participants with periodontitis with and without peri-implant diseases had the greatest odds of exhibiting CRP > 3 mg/L (odds ratio = 7.3, 95% confidence interval 1.6-33.9).
Conclusions: Peri-implant diseases are associated with systemic inflammation, but the nature of the association should be further investigated.
(© 2024 The Authors. Journal of Periodontology published by Wiley Periodicals LLC on behalf of American Academy of Periodontology.)
Databáze: MEDLINE
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