• This record comes from PubMed

C-Reactive Protein in Peripheral Blood of Patients with Chronic and Aggressive Periodontitis, Gingivitis, and Gingival Recessions

. 2015 ; 2015 () : 564858. [epub] 20150804

Language English Country United States Media print-electronic

Document type Journal Article, Research Support, Non-U.S. Gov't

CRP is a plasma protein that reflects a measure of the acute phase response to inflammation and is one of the markers of choice in monitoring this response. CRP can be used for the prediction and early detection of periodontal disease. The aim of this study was to compare and evaluate the systemic levels of CRP in the peripheral blood samples of patients with chronic and aggressive periodontitis, gingivitis, and gingival recessions and compare them with periodontal clinical parameters. All patients (N = 158) were examined prior to the initiation of periodontal treatment. Patients were divided into four groups. Group A consisted of 26 patients with aggressive periodontitis, Group B consisted of 111 patients with chronic periodontitis, Group C consisted of 13 patients with gingivitis, and Group D consisted of 8 patients with gingival recessions. Our study results indicate that CRP levels increase subsequently with the severity of the periodontal disease and that the bleeding on probing index showed much better positive correlation with the CRP levels compared to the pocket depth index in both periodontitis patients groups, especially in aggressive periodontitis patients.

See more in PubMed

Tillett W. S., Francis T. Serological reactions in pneumonia with a non-protein somatic fraction of pneumococcus. Journal of Experimental Medicine. 1930;52(4):561–571. doi: 10.1084/jem.52.4.561. PubMed DOI PMC

Ramamoorthy R., Nallasamy V., Reddy R., Esther N., Maruthappan Y. A review of C-reactive protein: a diagnostic indicator in periodontal medicine. Journal of Pharmacy and Bioallied Sciences. 2012;4(6, supplement 2):S422–S426. doi: 10.4103/0975-7406.100318. PubMed DOI PMC

Black S., Kushner I., Samols D. C-reactive protein. The Journal of Biological Chemistry. 2004;279(47):48487–48490. doi: 10.1074/jbc.r400025200. PubMed DOI

Gomes-Filho I. S., Coelho J. M. F., da Cruz S. S., et al. Chronic periodontitis and C-reactive protein levels. Journal of Periodontology. 2011;82(7):969–978. doi: 10.1902/jop.2010.100511. PubMed DOI

López R., Baelum V., Hedegaard C. J., Bendtzen K. Serum levels of C-reactive protein in adolescents with periodontitis. Journal of Periodontology. 2011;82(4):543–549. doi: 10.1902/jop.2010.100334. PubMed DOI

Bansal T., Pandey A., Deepa D., Asthana A. K. C-reactive protein (CRP) and its association with periodontal disease: a brief review. Journal of Clinical and Diagnostic Research. 2014;8(7):E21–E24. doi: 10.7860/JCDR/2014/8355.4646. PubMed DOI PMC

Goyal L., Bey A., Gupta N. D., Sharma V. K. Comparative evaluation of serum C-reactive protein levels in chronic and aggressive periodontitis patients and association with periodontal disease severity. Contemporary Clinical Dentistry. 2014;5(4):484–488. doi: 10.4103/0976-237x.142816. PubMed DOI PMC

Linden G. J., McClean K., Young I., Evans A., Kee F. Persistently raised C-reactive protein levels are associated with advanced periodontal disease. Journal of Clinical Periodontology. 2008;35(9):741–747. doi: 10.1111/j.1600-051X.2008.01288.x. PubMed DOI

Eickholz P., Siegelin Y., Scharf S., et al. Non-surgical periodontal therapy decreases serum elastase levels in aggressive but not in chronic periodontitis. Journal of Clinical Periodontology. 2013;40(4):327–333. doi: 10.1111/jcpe.12076. PubMed DOI

Jayaprakash D., Aghanashini S., Chatterjee A., Bharwani A., Vijayendra R., Rosh R. Effect of periodontal therapy on C-reactive protein levels in gingival crevicular fluid of patients with gingivitis and chronic periodontitis: a clinical and biochemical study. Journal of Indian Society of Periodontology. 2014;18(4):456–460. doi: 10.4103/0972-124x.138688. PubMed DOI PMC

Pradeep A. R., Manjunath R. G., Kathariya R. Progressive periodontal disease has a simultaneous incremental elevation of gingival crevicular fluid and serum CRP levels. Journal of Investigative and Clinical Dentistry. 2010;1(2):133–138. doi: 10.1111/j.2041-1626.2010.00022.x. PubMed DOI

Marcaccini A. M., Meschiari C. A., Sorgl C. A., et al. Circulating interleukin-6 and high-sensitivity C-reactive protein decrease after periodontal therapy in otherwise healthy subjects. Journal of Periodontology. 2009;80(4):594–602. doi: 10.1902/jop.2009.080561. PubMed DOI

Musalaiah S. V., Anupama M., Nagasree M., Krishna C. M., Kumar A., Kumar P. Evaluation of nonsurgical periodontal therapy in chronic periodontitis patients with anemia by estimating hematological parameters and high-sensitivity C-reactive protein levels. Journal of Pharmacy and Bioallied Sciences. 2014;6(5):64–69. doi: 10.4103/0975-7406.137390. PubMed DOI PMC

Koppolu P., Durvasula S., Palaparthy R., et al. Estimate of CRP and TNF-alpha level before and after periodontal therapy in cardiovascular disease patients. The Pan African Medical Journal. 2013;15, article 92 doi: 10.11604/pamj.2013.15.92.2326. PubMed DOI PMC

Zhou S. Y., Duan X. Q., Hu R., Ouyang X. Y. Effect of non-surgical periodontal therapy on serum levels of TNF-a, IL-6 and C-reactive protein in periodontitis subjects with stable coronary heart disease. The Chinese Journal of Dental Research. 2013;16(2):145–151. PubMed

Radafshar G., Shad B., Ariamajd E., Geranmayeh S. Effect of intensive non-surgical treatment on the level of serum inflammatory markers in advanced periodontitis. Journal of Dentistry. 2010;7(1):24–30. PubMed PMC

Shojaee M., Fereydooni Golpasha M., Maliji G., Bijani A., Aghajanpour Mir S. M., Mousavi Kani S. N. C-reactive protein levels in patients with periodontal disease and normal subjects. International Journal of Molecular and Cellular Medicine. 2013;2(3):151–155. PubMed PMC

Bansal T., Dhruvakumar D., Pandey A. Comparative evaluation of C-reactive protein in peripheral blood of patients with healthy gingiva, gingivitis and chronic periodontitis: a clinical and particle-enhanced turbidimetric immuno-analysis. Journal of Indian Society of Periodontology. 2014;18(6):739–743. doi: 10.4103/0972-124x.147410. PubMed DOI PMC

American Academy of Periodontology. http://www.perio.org/

Armitage G. C. Development of a classification system for periodontal diseases and conditions. Annals of Periodontology. 1999;4(1):1–6. doi: 10.1902/annals.1999.4.1.1. PubMed DOI

Smith R. G. Gingival recession: reappraisal of an enigmatic condition and a new index for monitoring. Journal of Clinical Periodontology. 1997;24(3):201–205. doi: 10.1111/j.1600-051x.1997.tb00492.x. PubMed DOI

Wohlfeil M., Scharf S., Siegelin Y., et al. Increased systemic elastase and C-reactive protein in aggressive periodontitis (CLOI-D-00160R2) Clinical Oral Investigations. 2012;16(4):1199–1207. doi: 10.1007/s00784-011-0627-7. PubMed DOI

Salzberg T. N., Overstreet B. T., Rogers J. D., Califano J. V., Best A. M., Schenkein H. A. C-reactive protein levels in patients with aggressive periodontitis. Journal of Periodontology. 2006;77(6):933–939. doi: 10.1902/jop.2006.050165. PubMed DOI

Kalburgi V., Sravya L., Warad S., Vijayalaxmi K., Sejal P., Hazeil D. Role of systemic markers in periodontal diseases: a possible inflammatory burden and risk factor for cardiovascular diseases? Annals of Medical and Health Sciences Research. 2014;4(3):388–392. doi: 10.4103/2141-9248.133465. PubMed DOI PMC

1999 International workshop for a classification of periodontal diseases and conditions. Papers. Oak Brook, Illinois, October 30–November 2, 1999. Annals of Periodontology. 1999;4:1–112. PubMed

Newman M., Takei H., Klokkevold P., Carranza F. A. Carranza’s Clinical Periodontology. 11th. St. Louis, Mo, USA: Elsevier Sauders; 2012.

Slezak R. Preclinical Periodontology. 1st. Hradec Králové, Czech Republic: NUCLEUS HK; 2007.

Armitage G. C. Clinical evaluation of periodontal diseases. Periodontology 2000. 1995;7:39–53. doi: 10.1111/j.1600-0757.1995.tb00035.x. PubMed DOI

Highfield J. Diagnosis and classification of periodontal disease. Australian Dental Journal. 2009;54(1, supplement):S11–S26. doi: 10.1111/j.1834-7819.2009.01140.x. PubMed DOI

WHO. Oral Health Surveys—Basic Methods. 5th. Geneva, Switzerland: World Health Organization; 2013.

Gani D., Lakshmi D., Krishnan R., Emmadi P. Evaluation of C-reactive protein and interleukin-6 in the peripheral blood of patients with chronic periodontitis. Journal of Indian Society of Periodontology. 2009;13(2):69–74. doi: 10.4103/0972-124x.55840. PubMed DOI PMC

Graziani F., Cei S., Tonetti M., et al. Systemic inflammation following non-surgical and surgical periodontal therapy. Journal of Clinical Periodontology. 2010;37(9):848–854. doi: 10.1111/j.1600-051x.2010.01585.x. PubMed DOI

Sun X. J., Meng H. X., Shi D., et al. Elevation of C-reactive protein and interleukin-6 in plasma of patients with aggressive periodontitis. Journal of Periodontal Research. 2009;44(3):311–316. doi: 10.1111/j.1600-0765.2008.01131.x. PubMed DOI

Noack B., Genco R. J., Trevisan M., Grossi S., Zambon J. J., De Nardin E. Periodontal infections contribute to elevated systemic C-reactive protien level. Journal of Periodontology. 2001;72(9):1221–1227. doi: 10.1902/jop.2000.72.9.1221. PubMed DOI

Fredriksson M. I., Figueredo C. M. S., Gustafsson A., Bergström K. G., Åsman B. E. Effect of periodontitis and smoking on blood leukocytes and acute-phase proteins. Journal of Periodontology. 1999;70(11):1355–1360. doi: 10.1902/jop.1999.70.11.1355. PubMed DOI

Loos B. G., Craandijk J., Hoek F. J., Wertheim-van Dillen P. M. E., van der Velden U. Elevation of systemic markers related to cardiovascular diseases in the peripheral blood of periodontitis patients. Journal of Periodontology. 2000;71(10):1528–1534. doi: 10.1902/jop.2000.71.10.1528. PubMed DOI

Chopra R., Patil S. R., Kalburgi N. B., Mathur S. Association between alveolar bone loss and serum C-reactive protein levels in aggressive and chronic periodontitis patients. Journal of Indian Society of Periodontology. 2012;16(1):28–31. doi: 10.4103/0972-124X.94600. PubMed DOI PMC

Ebersole J. L., Machen R. L., Steffen M. J., Willmann D. E. Systemic acute-phase reactants, C-reactive protein and haptoglobin, in adult periodontitis. Clinical and Experimental Immunology. 1997;107(2):347–352. doi: 10.1111/j.1365-2249.1997.270-ce1162.x. PubMed DOI PMC

Bokhari S. A., Khan A. A., Butt A. K., et al. Periodontitis in coronary heart disease patients: strong association between bleeding on probing and systemic biomarkers. Journal of Clinical Periodontology. 2014;41(11):1048–1054. doi: 10.1111/jcpe.12284. PubMed DOI

Beck J. D., Offenbacher S. Relationships among clinical measures of periodontal disease and their associations with systemic markers. Annals of Periodontology. 2002;7(1):79–89. doi: 10.1902/annals.2002.7.1.79. PubMed DOI

Newest 20 citations...

See more in
Medvik | PubMed

C-reactive protein in patients with aggressive periodontitis

. 2017 Dec ; 12 (4) : 368-374. [epub] 20170731

Salivary Markers for Periodontal and General Diseases

. 2016 ; 2016 () : 9179632. [epub] 20160406

Find record

Citation metrics

Loading data ...

Archiving options

Loading data ...