Effects of Non-Surgical Periodontal Therapy on Alveolar Bone Metabolism at Different Stages of Periodontitis: A Prospective Clinical and Biochemical study. | ||
| Al-Azhar Journal of Dentistry | ||
| Volume 10, Issue 4, October 2023 | ||
| DOI: 10.58675/2974-4164.1571 | ||
| Authors | ||
| Gehad S. Abd Elsalam1; Naglaa M. El-wakeel2; Hamdy A. Nassar3 | ||
| 1Assistant lecturer of Oral Medicine, Periodontology, Diagnosis, and Radiology. Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt. | ||
| 2⦁ Professor of Oral Medicine, Periodontology, Diagnosis, and Radiology. Faculty of Dental Medicine for Girls, Al- Azhar University, Cairo, Egypt. | ||
| 3⦁ Professor of Oral Medicine, Periodontology, Diagnosis and Radiology, Faculty of Dental Medicine for Girls, Al- Azhar University, Cairo, Egypt. | ||
| Abstract | ||
| Purpose: The aim of this study was to assess the impact of periodontal therapy on alveolar bone metabolism at various stages of periodontitis. Material and Methods: This study was conducted on sixty patients prospectively collected from the periodontology outpatient clinics at Al-Azhar University's Faculty of Dental Medicine for Girls. Patients were categorized into four groups according to their periodontitis stage. Each patient in each group received cause-related therapy, which included patient education about appropriate oral hygiene instructions scaling, and root planning. Periodontal status was assessed for each patient by measuring plaque, gingival indices, probing depth, and level of clinical attachment loss. At baseline, three-month, and nine-month intervals, periodontal parameters were listed for each patient in all groups. Osteocalcin level was detected in gingival crevicular fluid samples collected from periodontal pockets at the beginning and end of the study. The SPSS statistical package was used for all statistical analyses. Results: significant outcomes of non-surgical periodontal therapy's effects on clinical parameters reduction with significant elevation of osteocalcin level at different stages of periodontitis confirm that this therapy modality significantly alters bone metabolism in periodontitis. Conclusion: The clinical parameters remain the gold standard for diagnosing and monitoring periodontally diseased patients. Estimating osteocalcin levels in the gingival crevicular fluid was a useful biochemical tool for assessing bone turnover in periodontally diseased patients. | ||
| Keywords | ||
| Periodontitis; Non-surgical therapy; Osteocalcin; Bone turnover | ||
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