Association between the concentration of salivary lactoferrin, smoking, and periodontal disease parameters: A randomized observational study

Introduction: Saliva, a versatile biological fluid, has gained recognition as an invaluable medium for point-of-care diagnostics, offering insight into the complex dynamics of periodontal tissue inflammation. Aims: This study aimed to assess salivary lactoferrin (LF) concentration among individuals...

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Main Authors: Hattan Mohamed Arab, Hassan Abed, Arkadiusz Dziedzic, Doaa Nadhim, Mutaz Banjar, Khalid Metwalli, Mohsen Aljabri, Marta Tanasiewicz
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-08-01
Series:Saudi Journal of Oral Sciences
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Online Access:https://journals.lww.com/10.4103/sjoralsci.sjoralsci_35_24
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author Hattan Mohamed Arab
Hassan Abed
Arkadiusz Dziedzic
Doaa Nadhim
Mutaz Banjar
Khalid Metwalli
Mohsen Aljabri
Marta Tanasiewicz
author_facet Hattan Mohamed Arab
Hassan Abed
Arkadiusz Dziedzic
Doaa Nadhim
Mutaz Banjar
Khalid Metwalli
Mohsen Aljabri
Marta Tanasiewicz
author_sort Hattan Mohamed Arab
collection DOAJ
description Introduction: Saliva, a versatile biological fluid, has gained recognition as an invaluable medium for point-of-care diagnostics, offering insight into the complex dynamics of periodontal tissue inflammation. Aims: This study aimed to assess salivary lactoferrin (LF) concentration among individuals diagnosed with periodontitis (PDS) compared to a control group. Materials and Methods: A randomized, observational study enrolled 441 participants residing in Southern Sweden, aged 20 and 89 years and diagnosed with PDS. Clinical examination was performed following a standardized periodontal protocol, measuring key periodontal parameters such as plaque index (PI), bleeding index (BI), periodontal pocket depth (PPD), and marginal alveolar bone level/bone loss using posterior intraoral bitewing radiographs. Stimulated saliva samples were analyzed for LF concentration using enzyme e-linked immunosorbent assay. Statistical analysis included Pearson correlation and ANOVA variance with a 95% confidence interval. Results and Discussion: We found no significant difference among the studied groups in mean salivary LF concentration (P > 0.05), whereas we observed a negative association between PI and salivary LF concentration (Pearson correlation = 0.110, P = 0.024), suggesting that increased plaque scores were associated with decreased LF level. In addition, smokers exhibited lower LF levels (P = 0.001). Notably, salivary LF concentration did not correlate with selected clinical parameters of PDS, including BI and PPD. Conclusions: These results underscore the multifaceted nature of salivary components and emphasize the need to consider various factors when evaluating the impact of PDS on saliva. Further research is imperative to validate risk factors contributing to the development of PDS and the diagnostic potential of salivary biomarkers, considering the intricate interplay between saliva and periodontal status. This study contributes valuable insight into the potential utility of saliva as a diagnostic medium.
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spelling doaj-art-0406ae127afa44d697fcd87a7ea3f8712025-08-20T02:09:48ZengWolters Kluwer Medknow PublicationsSaudi Journal of Oral Sciences2542-78492024-08-0111211612410.4103/sjoralsci.sjoralsci_35_24Association between the concentration of salivary lactoferrin, smoking, and periodontal disease parameters: A randomized observational studyHattan Mohamed ArabHassan AbedArkadiusz DziedzicDoaa NadhimMutaz BanjarKhalid MetwalliMohsen AljabriMarta TanasiewiczIntroduction: Saliva, a versatile biological fluid, has gained recognition as an invaluable medium for point-of-care diagnostics, offering insight into the complex dynamics of periodontal tissue inflammation. Aims: This study aimed to assess salivary lactoferrin (LF) concentration among individuals diagnosed with periodontitis (PDS) compared to a control group. Materials and Methods: A randomized, observational study enrolled 441 participants residing in Southern Sweden, aged 20 and 89 years and diagnosed with PDS. Clinical examination was performed following a standardized periodontal protocol, measuring key periodontal parameters such as plaque index (PI), bleeding index (BI), periodontal pocket depth (PPD), and marginal alveolar bone level/bone loss using posterior intraoral bitewing radiographs. Stimulated saliva samples were analyzed for LF concentration using enzyme e-linked immunosorbent assay. Statistical analysis included Pearson correlation and ANOVA variance with a 95% confidence interval. Results and Discussion: We found no significant difference among the studied groups in mean salivary LF concentration (P > 0.05), whereas we observed a negative association between PI and salivary LF concentration (Pearson correlation = 0.110, P = 0.024), suggesting that increased plaque scores were associated with decreased LF level. In addition, smokers exhibited lower LF levels (P = 0.001). Notably, salivary LF concentration did not correlate with selected clinical parameters of PDS, including BI and PPD. Conclusions: These results underscore the multifaceted nature of salivary components and emphasize the need to consider various factors when evaluating the impact of PDS on saliva. Further research is imperative to validate risk factors contributing to the development of PDS and the diagnostic potential of salivary biomarkers, considering the intricate interplay between saliva and periodontal status. This study contributes valuable insight into the potential utility of saliva as a diagnostic medium.https://journals.lww.com/10.4103/sjoralsci.sjoralsci_35_24bone lossgingival indexinflammationlactoferrinperiodontal diseaseperiodontal pocket depthperiodontitissalivasmoking
spellingShingle Hattan Mohamed Arab
Hassan Abed
Arkadiusz Dziedzic
Doaa Nadhim
Mutaz Banjar
Khalid Metwalli
Mohsen Aljabri
Marta Tanasiewicz
Association between the concentration of salivary lactoferrin, smoking, and periodontal disease parameters: A randomized observational study
Saudi Journal of Oral Sciences
bone loss
gingival index
inflammation
lactoferrin
periodontal disease
periodontal pocket depth
periodontitis
saliva
smoking
title Association between the concentration of salivary lactoferrin, smoking, and periodontal disease parameters: A randomized observational study
title_full Association between the concentration of salivary lactoferrin, smoking, and periodontal disease parameters: A randomized observational study
title_fullStr Association between the concentration of salivary lactoferrin, smoking, and periodontal disease parameters: A randomized observational study
title_full_unstemmed Association between the concentration of salivary lactoferrin, smoking, and periodontal disease parameters: A randomized observational study
title_short Association between the concentration of salivary lactoferrin, smoking, and periodontal disease parameters: A randomized observational study
title_sort association between the concentration of salivary lactoferrin smoking and periodontal disease parameters a randomized observational study
topic bone loss
gingival index
inflammation
lactoferrin
periodontal disease
periodontal pocket depth
periodontitis
saliva
smoking
url https://journals.lww.com/10.4103/sjoralsci.sjoralsci_35_24
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