Correlates of Periodontal Decline and Biologic Markers in Older Adults
| Autor: | Jessica Swoboda, G. Rutger Persson, Richard P. Darveau, H. Asuman Kiyak |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Interleukin-1beta Colony Count Microbial Gingiva Disease Prevotella intermedia Gastroenterology White People Streptococcus mutans Sex Factors Risk Factors Internal medicine Periodontal Attachment Loss medicine Bacteroides Humans Periodontal Pocket Periodontitis Interleukin 6 Aged Biologic marker Asian biology Interleukin-6 Peptostreptococcus business.industry C-reactive protein Acute-phase protein Interleukin Middle Aged medicine.disease Black or African American Serum cytokine C-Reactive Protein Chronic Disease Immunology biology.protein Cytokines Osteoporosis Periodontics Female Periodontal Index business Biomarkers Follow-Up Studies |
| Zdroj: | Journal of Periodontology. 79:1920-1926 |
| ISSN: | 1943-3670 0022-3492 |
| DOI: | 10.1902/jop.2008.080005 |
| Popis: | There is limited information on infectious and host responses distinguishing older people with or without active periodontitis. This study measured bacterial and serum cytokine and high-sensitivity C-reactive protein (hsCRP) levels in older persons.Elders (mean age: 67 years), whose periodontal status had declined most or least (20% worst or 20% best) over 5 years, were enrolled. Two years later, they were classified as periodontally declining (active periodontitis [AP]), if they had at least five teeth with probing depth (PD)or =5 mm, or stable (stable periodontally [SP]), if they did not. Groups were compared with respect to demographics, PD, clinical loss of attachment, subgingival bacteria, serum hsCRP, interleukin (IL)-1beta and -6, and chronic diseases.Ten AP and 24 SP subjects were identified; 13% of women and 44% of men from the original sample were in the AP group (P0.05). Most Asians were SP; most whites and all African Americans were classified as having AP (P0.01). More AP elders had osteoporosis (P0.01), but the AP and SP groups did not differ with respect to IL-1beta and -6 or hsCRP. Bacterial counts were higher in the AP group for Parvimonas micra (previously Peptostreptococcus micros or Micromonas micros) (7.7 x 10(5) cells versus 3.8 x 10(5) cells; P0.05), Prevotella intermedia (25.7 x 10(5) cells versus 9.8 x 10(5) cells; P0.01), Tannerella forsythia (previously T. forsythensis) (16.2 x 10(5) cells versus 8.0 x 10(5) cells; P0.05), and Streptococcus mutans (6.2 x 10(5) cells versus 2.0 x 10(5) cells; P0.01). Three risk factors were most predictive of periodontal decline: PD, osteoporosis, and being white or African American.Periodontal decline was associated with osteoporosis, ethnicity, PD, gender, serum hsCRP, and levels of four bacterial species. |
| Databáze: | OpenAIRE |
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