The Markers of Systemic Inflammation in Patients with Chronic Periodontitis: Leukocytes, C-reactive Protein and Fibrinogen

Pejcic Ana^1, , Kojovic Draginja¹, Mirkovic Dimitrije², Minic Ivan² and Stojanovic Mariola³

¹Department of Periodontology and Oral Medicine, Medical Faculty, University of Nis, Nis, Serbia

²Medical Faculty, University of Nis, Nis, Serbia

³Institute for Public health, Medical Faculty, University of Nis, Nis, Serbia

Cite this paper:
Pejcic Ana, Kojovic Draginja, Mirkovic Dimitrije, Minic Ivan and Stojanovic Mariola. The Markers of Systemic Inflammation in Patients with Chronic Periodontitis: Leukocytes, C-reactive Protein and Fibrinogen. World Journal of Preventive Medicine. 2013; 1(3):43-49. doi: 10.12691/jpm-1-3-6

Abstract

Background: Periodontitis has been identified as potential risk factors for systemic pathologies. The aim of this study was to investigate the relationship between periodontitis and systemic inflammatory markers, as well as, if there is a relation to severity of periodontitis. Methodology: Periodontal examinations and serum markers of inflammation levels mesaurements were performed in 50 patients. The patients with moderate periodontitis had low CAL and PD < 5mm. The patients with severe periodontitis were with high CAL and PD > 5mm. The clinical parameters of periodontitis were determined among all subjects. The LEU, CRP, and FIB for the present investigation were obtained from peripheral venous blood patients from all groups. Findings: In both moderate and severe periodontitis, the results indicated that the total leukocytes count and neutrophils had a significantly higher count (p < 0.001) among the groups with periodontitis but that there was no significance in the lymphocytes counts. The results also show a significant relation between indicators of poor periodontal status and increased levels CRP and fibrinogen. Conclusion: Periodontitis is associated with an enhanced inflammatory response expressed by higher levels of inflammatory markers. The extent of increase in these marker levels in periodontitis patients depends of severity of the disease. Significance: The association of periodontitis with WBC, CRP and fibrinogen levels appears to be contributing factors for CVD and might be a possible intermediate pathway in this association.

Keywords:
leukocyte neutrophil inflammation periodontitisC-reactive protein fibrinogen

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