|2846 Periodontal Treatment Reduces CRP and TNF-a, but not Adiponectin|
Y. IWAMOTO, F. NISHIMURA, Y. SOGA, K. TAKEUCHI, and S. TAKASHIBA, Okayama University Graduate School of Medicine and Dentistry, Japan|
Objectives: Elevated level of C-reactive protein (CRP) and decreased plasma adiponectin are associated with increased risk of atherosclerosis. Furthermore, recent observation suggested that adiponectin and tumor necrosis factor-a (TNF-a) supressed each other's production. Scince periodontal disease has been suggested to act as a risk factor for atherosclerosis, we examined the effect of anti-microbial periodontal treatment on CRP, adiponectin, and TNF-a levels in serum. Methods: Fifteen adult patients suffering from advanced periodontitis, who had various systemic conditions at high risk for atherosclerosis, were enrolled in the study with informed consent. Patients were non-surgically treated with local minocycline administration (Periocline, Sunster Inc, Osaka, Japan) in every periodontal pocket around all existing teeth and supragingival scaling once a week for one month. Befor and after the therapy, CRP, adiponectin, and TNF-a levels were measured. Results: Both CRP and TNF-a significantly decreased by the treatment (p<0.01 and p<0.03, respectively), while adiponectin level did not change significantly. Conclusions: Periodontal treatment is effective in reducting CRP and TNF-a value, mechanisms independent of adiponectin. Thus, the results indicate that periodontal inflammation up-regulate CRP and TNF-a, although still for the most part in the healty reference range. Elevated level of CRP and TNF-a might be associated with increased risk for future development of atherosclerosis in periodontal patients.
|Seq #284 - Periodontal - Systemic Interactions|
11:00 AM-12:15 PM, Saturday, 28 June 2003 Svenska Massan Exhibition Hall B