World Journal of Dentistry

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VOLUME 14 , ISSUE 5 ( May, 2023 ) > List of Articles

ORIGINAL RESEARCH

Effect of Full Mouth Disinfection on Serum Ferritin Level in Periodontitis Patients: An Interventional Study

Sowmya Suriyanarayanan, Jaideep Mahendra, LK Anitha, Sathish Rajendran, Sruthi Srinivasan, Ambalavanan Namasivayam

Keywords : Full mouth disinfection, Inflammation, Nonsurgical periodontal therapy, Periodontitis, Serum ferritin

Citation Information : Suriyanarayanan S, Mahendra J, Anitha L, Rajendran S, Srinivasan S, Namasivayam A. Effect of Full Mouth Disinfection on Serum Ferritin Level in Periodontitis Patients: An Interventional Study. World J Dent 2023; 14 (5):440-446.

DOI: 10.5005/jp-journals-10015-2226

License: CC BY-NC 4.0

Published Online: 02-08-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: The aim of the present study was to assess the outcome of full-mouth disinfection (FMD) on serum ferritin levels from baseline (0 day) to 90th day in subjects with periodontitis. Materials and methods: A total of 28 periodontitis individuals were selected and randomly allocated into two study groups. The conventional staged scaling and root planing (CSSRP) group consisted of 14 subjects with stage II grade I periodontitis who were scheduled for CSSRP. The FMD group consisted of 14 subjects with stage II grade I periodontitis who were scheduled to undergo FMD. Modified gingival index (MGI), probing pocket depth (PPD), bleeding on probing (BOP), and clinical attachment level (CAL) were the periodontal parameters assessed in the present study, followed by the estimation of serum ferritin levels at baseline (0th day) and 90th day. Results: Increased serum ferritin levels were observed in both the CSSRP group and FMD group at baseline (0th day). On the 90th day, both groups showed a statistically significant decrease in serum ferritin levels following CSSRP and FMD. However, the FMD group showed an additional reduction of serum ferritin levels when compared to the CSSRP group. Serum ferritin was positively correlated with all the periodontal variables in both groups. Conclusion: The present research concluded that FMD showed marginal improvement in serum ferritin levels compared to conventional staged SRP, thus concluding that FMD has an additive effect on serum ferritin levels in decreasing the inflammatory burden. Clinical significance: Serum ferritin can be regarded as a potential diagnostic as well as a prognostic biomarker for assessing the inflammatory status of periodontitis following nonsurgical periodontal treatment (NSPT).


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  1. Thounaojam N. Effects of chronic periodontitis in serum ferritin levels before and 1 month after nonsurgical periodontal therapy: an intervention study. Int J Preventive clin Dent Res 2019;6(2):32–34. DOI: 10.4103/INPC.INPC_29_19
  2. Gutiérrez-de la Garza IK, Martínez-Sandoval G, Rodríguez-Franco NI, et al. Full-mouth disinfection protocol: applications, techniques and variables in non-surgical periodontal treatment literature review. Int J Appl Dent 2019;5(3):25–29.
  3. Heitz-Mayfield LJ, Trombelli L, Heitz F, et al. A systematic review of the effect of surgical debridement vs. non-surgical debridement for the treatment of chronic periodontitis. J clin periodontal 2002;29(Suppl 3):92–102. DOI: 10.1034/j.1600-051x.29.s3.5.x
  4. Drisko CH. Nonsurgical periodontal therapy. Periodontal 2000 2001;25(1):77–88. DOI: 10.1034/j.1600-0757.2001.22250106.x
  5. Quirynen M, Bollen CM, Vandekerckhove BN, et al. Full-vs. partial-mouth disinfection in the treatment of periodontal infections: short-term clinical and microbiological observations. J Dent Res 1995;74(8):1459–1467. DOI: 10.1177/00220345950740080501
  6. Haffajee AD, Socransky SS, Goodson JM. Clinical parameters as predictors of destructive periodontal disease activity. J Clin Periodontol 1983;10(3):257–265. DOI: 10.1111/j.1600-051x.1983.tb01274.x
  7. Tonetti MS, Claffey N. Advances in the progression of periodontitis and proposal of definitions of a periodontitis case and disease progression for use in risk factor research. Group C consensus report of the 5th European Workshop in Periodontology. J Clin Periodontol 2005;32(Suppl 6):210–213. DOI: 10.1111/j.1600-051X.2005.00822.x
  8. Chakraborty S, Tewari S, Sharma RK, et al. Effect of non-surgical periodontal therapy on serum ferritin levels: an interventional study. J Periodontol 2014;85(5):688–696. DOI: 10.1902/jop.2013.130107
  9. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Periodontol 2018;89(Suppl 1):S159-S172. DOI: 10.1002/JPER.18-0006
  10. Cercek JF, Kiger RD, Garrett S, et al. Relative effects of plaque control and instrumentation on the clinical parameters of human periodontal disease. J Clin Periodontol 1983;10(1):46–56. DOI: 10.1111/j.1600-051x.1983.tb01266.x
  11. Apatzidou DA, Kinane DF. Quadrant root planing versus same-day full-mouth root planning. I. Clinical findings. J Clin Periodontol 2004;31(2):132–140. DOI: 10.1111/j.0303-6979.2004.00461.x
  12. Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy: II. Severely advanced periodontitis. J Clin Periodontol 1984;11(1):63–76. DOI: 10.1111/j.1600-051x.1984.tb01309.x
  13. Isidor F, Karring T, Attström R. The effect of root planing as compared to that of surgical treatment. J Clin Periodontol 1984;11(10):669–681. DOI: 10.1111/j.1600-051x.1984.tb01315.x
  14. Shirmohammadi A, Babaloo Z, Eskandari A, et al. The effects of one-stage full-mouth disinfection and quadrant wise scaling and root planing on serum levels of IL-17 and IL-1β and clinical parameters (a randomized controlled trial study). J Dent (Tehran) 2013;10(3):248–255.
  15. Eberhard J, Jepsen S, Jervøe-Storm PM, et al. Full-mouth treatment modalities (within 24 hours) for chronic periodontitis in adults. Cochrane Database Syst Rev 2015;4(4)CD004622. DOI: 10.1002/14651858.CD004622.pub3
  16. Badersten A, Nilvéus R, Egelberg J. Effect of nonsurgical periodontal therapy. I. Moderately advanced periodontitis. J Clin Periodontol 1981;8(1):57–72. DOI: 10.1111/j.1600-051x.1981.tb02024.x
  17. Novaes Junior AB, de Souza SL, Taba M jr, et al. Control of gingival inflammation in a teenager population using ultrasonic prophylaxis. Braz Dent J 2004;15(1):41–45. DOI: 10.1590/s0103-64402004000100008
  18. Bollen CM, Mongardini C, Papaioannou W, et al. The effect of a one-stage full-mouth disinfection on different intra-oral niches Clinical and microbiological observations. J Clin Periodontol 1998;25(1): 56–66. DOI: 10.1111/j.1600-051x.1998.tb02364.x
  19. Sherman PR, Hutchens LH Jr, Jewson LG. The effectiveness of subgingival scaling and root planing II. Clinical responses related to residual calculus. J Periodontol 1990;61(1):9–15. DOI: 10.1902/jop.1990.61.1.9
  20. Faramarzi M, Sadighi M, Chitsazi M, et al. The effect of adjunctive use of melatonin as a supplement on serum ferritin level in periodontal patients: a randomized, controlled trial. Dent Res J (Isfahan) 2021;18:39. PMID: 34322215.
  21. Lee SH, Kim YJ, Chung HJ, et al. The clinical effects of modified full-mouth disinfection in the treatment of moderate to severe chronic periodontitis patients. J Korean Acad Periodontol 2009;39(Suppl):239–251. DOI: 10.5051/jkape.2009.39.S.239
  22. Meseli SE, Kuru B, Kuru L. Relationships between initial probing depth and changes in the clinical parameters following non-surgical periodontal treatment in chronic periodontitis. J Istanb Univ Fac Dent 2017;51(3):11–17. DOI: 10.17096/jiufd.40993
  23. Enhos S, Duran I, Erdem S, et al. Relationship between iron-deficiency anemia and periodontal status in female patients. J Periodontol 2009;80(11):1750–1755. DOI: 10.1902/jop.2009.090209
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