PERIODONTAL DISEASE RELATED TO OXIDATIVE STRESS

  • Ivan M Srejovic Department of Physiology, Faculty of Medical Sciences, University of Kragujevac, Republic of Serbia
  • Katerina Dirjanska Faculty of Dentistry, University of “Ss. Cirilius and Methodius” Skopje, Republic of Macedonia
  • Beti Dejanova Faculty of Medicine, University of “Ss. Cirilius and Methodius” Skopje, Republic of Macedonia
  • Suncica Petrovska Faculty of Medicine, University of “Ss. Cirilius and Methodius” Skopje, Republic of Macedonia
  • Dragica Selakovic Department of Physiology, Faculty of Medical Sciences, University of Kragujevac, Republic of Serbia
  • Jovana Joksimovic Department of Physiology, Faculty of Medical Sciences, University of Kragujevac, Republic of Serbia
  • Kiro Ivanovski Faculty of Dentistry, University of “Ss. Cirilius and Methodius” Skopje, Republic of Macedonia
  • Marija Nakova Faculty of Dentistry, University of “Ss. Cirilius and Methodius” Skopje, Republic of Macedonia

Abstract


The study evaluates oxidative stress (OS) in patients with different stages of periodontal disease (PD), and the influence of their smoking habits. PD is related to connective tissue inflammation which leads to impairment of the tooth structure support. OS is a condition of free radicals (FR) overproduction which may be involved in PD, thus causes periodontal tissue damage and other related diseases. Patients’ groups were: I-non smokers (n=45), II-smokers (n=45), concerning 3 stages: mild (1), moderate (2) and severe (3) and control group (n=30). FR was determined by D-Roms test, total antioxidant capacity (AOC) by OXY-adsorbent test, (Diacron, Italy) and lipid peroxidation (LP) was determined by fluorimetric method with thiobarbituric acid method and its end product malonyldyaldehyde (MDA). OS was found in the periodontal tissue and serum of PD patients: FR showed the highest level in the severe stage (3) in non smokers (p<0.05) and in smokers (p<0.01); AOC showed decreasing values from mild (1) to severe stage (3) of PD for smokers (p<0.05). LP in serum showed the highest level in severe stage (3) in both groups, non smokers and smokers (p<0.05).

Due to obtained results, we may conclude that PD is related to OS, and may be either a cause or a trigger mechanism for more accelerated OS. Cigarette smoking increased FR production, and is a serious factor for further tissue damage in PD. These findings may contribute for possible use of efficient antioxidant agents as a prevention for PD and as a therapy for the disease better outcome.

References

Grant M, Brock G, Matthews J, Chapple I. Crevicular fluid glutathione levels in periodontitis and the effect on non surgical therapy. J Clin Perio 2010; 37: 17-23.

Takane M, Sugano N, Ezawa T, Uchiyama T, Ito K. A marker of oxidative stress in saliva: association with periodontally-involved teeth of a hopeless prognosis. J Oral Sci 2005; 47 (1): 53-7.

Bagchi K, Puri S. Free radicals and antioxidants in health and disease. East Mediterran Health J 1998; 4(2): 350-60.

Battino M, Bullon P, Wilson M, Newman H. Oxidative injury and inflamatory periodontal diseases: the challenge of anti-oxidants to free radicals and reactive oxygen species. Crit Rev Oral Biol Med 1999; 10 (4): 458-76.

Benzie IF. Evolution of antioxidant defence mechanisms. Eur J Nutr 2000; 39(2): 53-61.

Blokhina O, Virolainen E, Faqerstedt KV. Antioxidants, oxidative damage and oxygen deprivation stress: a review. Ann Bot 2003; 91: 179-94.

Pejcic A, Obradovic R, Kesic L, Kojovic D. Smoking and periodontal disease. A review. Medicine and Biology 2007; 14 (2): 53-9.

Soory M. Oxidative stress induced mechanisms in the progression of periodontal diseases and cancer: a common approach to redox homeostasis? Cancer 2010; 2: 670-92.

Aiuto FD, Nibali L, Parkar M, Patel K, Suvan J, Donos N. Oxidative stress, systemic inflamation and severe periodontitis. J Dent Res 2010; 11: 1241-1246.

Pendyala G, Thomas B, Kumari S. The challenge of antioxidants to free radicals in periodontitis. J Indian Soc Periodontol 2008; 12(3):79-83.

Maritim AC, Sanders RA, Watkins JB. Diabetes, oxidative stress, and antioxidants: a review. J Biochem Mol Toxicol 2003; 17(1):24-38.

Uttara B, Singh AV, Zamboni P, Mahajan RT. Oxidative stress and neurodegenerative disease: a review of upstream and downstream antioxidant therapeutic options. Curr Neuropharmacol 2009; 7(1): 65-74.

Benz CC, Yau C. Ageing, oxidative stress and cancer: paradigms in parallax. Nat Rev Cancer 2008; 8(11): 875-9.

Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 1963; 21:533-51.

Hiroshi O. Ohishi N, Yagi K. Assay for lipid peroxidation in animal tissues by thiobarbituric reaction. Analytical Biochem 1979; 95 (2): 351-8.

Chapple ILC. Role of free radicals and antioxidants in the pathogenesis of the inflammatory periodontal diseases. J Clin Pathol: Mol Pathol 1996; 49: M247-M255.

Van Dyke TE, Serhan CN. Resolution of inflammation: a new paradigm for the pathogenesis of periodontal diseases. J Dent Res 2003; 82(2):82-90.

Borges I, Addison Machado Moreira E, Filho DW, Bittencourt de OliveiraT, Spirelle da Silva MB, Silvia Frode T. Proinflammatory and oxidative stress markers in patients with periodontal disease. Mediators Inflamm 2007;1-5.

Tonguc MO, Ozturk O, Sutcu R, at al. J Periodont 2011; 82(9): 1320-8.

Katsuragi H, Hasegawa A, Saito K. Distribution of metallothionen in cigarette smokers and non-smokers in advanced periodontitis patients. J Periodont 1997; 68(10):1005-9.

Garg N, Singh R, Dixit J, Jain A, Tewari V. Levels of lipid peroxides and antioxidants in smokers and nonsmokers. J Periodontal Res 2006; 41(5): 405-10.

Malhotra R. Nicotine and periodontal tissues. J Indian Soc Periodont 2010; 14: 72-9.

Galli C, Passeri G, Macaluso GM. FoxOs, Wnts and oxidative stress-induced bone loss: new players in the periodontitris arena? J Periodont Res 2011; 46: 397-406.

Published
2013/09/23
Section
Original Scientific Paper