Background and Objective
Periodontitis may crosstalk with renal diseases, yet that remains unclear. We investigated whether the renal alterations caused by induced periodontitis are reversible after removal of the ligatures in experimental ligature‐induced periodontitis.
Material and methods
Twenty‐four female rats were divided into three groups: control (without periodontitis), periodontitis (20 days of ligature‐induced periodontitis), and P20‐20 (20 days of ligature‐induced periodontitis and 20 days after ligature removal). The following periodontal parameters were assessed: gingival bleeding index, probing pocket depth, myeloperoxidase activity, and alveolar bone height. For renal tissues, histopathology, malonaldehyde (MDA) levels, glutathione (GSH) content, and renal weight were evaluated. In the blood, creatinine, uric acid, albumin, total cholesterol, total protein, and glucose levels were assessed. Total protein and creatinine levels in urine were also investigated.
Results
Rat renal tissues did not demonstrate reversal of periodontitis‐related changes in the P20‐20 group in terms of MDA, GSH, and histopathological evaluations when compared to the periodontitis group. Accordingly, only total cholesterol levels were reversible in the P20‐20.
Conclusion
Renal alterations caused by ligature‐induced periodontitis persisted even after removal of ligatures in rats.
Background
Chronic periodontitis (CP) is an immune-inflammatory disease that promotes tissue damage around the teeth. Among the several inflammatory mediators that orchestrate the periodontitis, there is the interleukin (IL)-2. Genetic variations in IL2 gene may be associated with the risk and severity of the disease. Contrary results are available in the literature with inconclusive findings and none meta-analysis to gather these data.
Methods
A literature search was performed for studies published before June 11, 2019 in diverse scientific and educational databases. The data was extracted by two investigators and the statistical evaluation was performed by Review Manager statistical program with heterogeneity (I2) and Odds Ratio (OR) with 95% of Confidence Intervals (CI) calculations and a sensitive analysis to assess the accuracy of the obtained results. The publication bias was evaluated by Begg’ and Egger’s test with Comprehensive meta-analysis software. The value of P < 0.05 was considered as significant.
Results
Five studies were identified in diverse ethnical groups with 1425 participants. The − 330 T/G polymorphism in IL2 gene was not significantly associated with CP in allelic evaluation (P > 0.05) as well as in the genotypic comparisons (P = 0.15). The Begg’s test and the linear regression Egger’s test did not show any evidence of publication bias risk (P > 0.05) which was corroborated by the absence of obvious asymmetry in Funnel plot graphic.
Conclusions
This meta-analysis showed a non-significant association between − 330 T/G polymorphism in IL2 gene and CP in any allelic evaluation.
Aim: Helicobacter pylori (H. pylori) infection and periodontitis have considerable worldwide prevalence
once they both present systemic alterations with a possible association between them. Therefore, we have
performed this meta-analysis to assess the possible association between H. pylori infection and periodontitis.
Material and Methods: A systematic search in the literature was performed for studies published before
December 2, 2019 in diverse scientific and educational databases. The data was extracted by two
investigators and the statistical analysis was performed by Review Manager statistical program with
heterogeneity and Odds Ratio (OR) with 95% of Confidence Intervals (CI) calculations as well as a sensitive
analysis to assess the accuracy of the results. The value of P<0.05 was considered as significant. In addition,
we performed the analysis of the quality of included studies as well as the evaluation for risk of bias.
Results: In overall analysis, H. pylori infection was associated with the risk of periodontitis development
(OR = 1.72, CI: 1.47, 2.02, P<0.00001) and the periodontitis was considered as a risk factor for H. pylori
infection (OR = 3.21, CI: 2.31, 4.47, P<0.00001). Moreover, the evaluation of dental plaque from patients
with periodontitis reveled increased risk of H. pylori infection (OR = 3.46, CI: 2.39, 5.01, P<0.00001).
Conclusions: This current systematic review and meta-analysis composed by 12 studies in 7,059
participants showed that H. pylori infection increased significantly the risk of the development of
periodontitis and the periodontitis may be a risk for this bacterial infection.
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