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Clinical and Biochemical Evaluation of Dental and Periodontal Conditions in Children With Juvenile Idiopathic Arthritis

Conditions
Decay, Dental
Juvenile Idiopathic Arthritis
Gingivitis
Interventions
Diagnostic Test: Humans ELISA kits
Registration Number
NCT05217277
Lead Sponsor
Marmara University
Brief Summary

Aimed to be done in the planned thesis to evaluate the dental and periodontal health of patients with newly diagnosed JIA and healthy-periodontal problems with cytokines from saliva and oxidative stress markers non-invasively, and thus, to determine the markers' evaluability in terms of markers in determining the state of inflammation among individuals with and without the disease.

Detailed Description

Periodontal diseases and inflammatory diseases such as arthritis show similar clinical pathologies such as connective tissue deterioration and bone destruction. They carry the risk of being seen together and the possibility of mutual influence. It is important whether these patients have a difference in cytokine profile from individuals who do not have the disease. In the literature, it has been determined that pro and anti-inflammatory cytokines, which are involved in the pathogenesis of periodontitis, are also involved in the pathogenesis of juvenile idiopathic arthritis (JIA). Cytokines play an undeniable role in the pathogenesis of both diseases. The cytokine profile in periodontal disease is distinctly similar to that of rheumatoid arthritis (RA). As in RA, the level of pro-inflammatory cytokines such as interleukin-1 beta (IL-1β) and tumor necrosis factor-alpha (TNF-α) increase in periodontal disease. Again, it is stated that oxidative stress assessment is an important factor in evaluating the development of the disease. Saliva evaluation can be made with new oxidative stress markers that can be used in this sense.

On the subject of the proposed thesis; It is to determine the profile of dental and periodontal health in a specific group in terms of biochemical and microbiology using different body fluids together with clinical findings and has an interdisciplinary character. Aimed to be done in the planned thesis;

It was aimed to evaluate the dental and periodontal health of patients with newly diagnosed JIA and healthy-periodontal problems with cytokines from saliva and oxidative stress markers non-invasively, and thus, to determine the markers' evaluability in terms of markers in determining the state of inflammation among individuals with and without the disease.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
114
Inclusion Criteria
  • healty patients
Exclusion Criteria
  • used antibiotics within the last 3 months

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
healthy patient group with gingivitisHumans ELISA kitsIt is a group of healthy patients with gingivitis between the ages of 5-16 who have not taken antibiotics in the last 3 months.
healthy patient group without gingivitisHumans ELISA kitsIt is a group of healthy patients without gingivitis between the ages of 5-16 who have not taken antibiotics in the last 3 months.
patient with juvenile idiopathic arthritis and gingivitisHumans ELISA kitsIt is a group of patients between the ages of 5 and 16 who have recently been diagnosed with juvenile idiopathic arthritis and gingivitis, have not used medication yet.
patient with juvenile idiopathic arthritis and without gingivitisHumans ELISA kitsIt is a group of patients between the ages of 5 and 16 who have recently been diagnosed with juvenile idiopathic arthritis and without gingivitis, have not used medication yet.
Primary Outcome Measures
NameTimeMethod
biochemical evaluation of saliva in juvenile idiopathic arthritisbaseline

Saliva samples were taken from the patients and the levels of interleukin-17, TNF alpha and Total antioxidant status in the saliva were measured with ELISA kits.

Secondary Outcome Measures
NameTimeMethod
Evaluation of periodontal health in patients with juvenile idiopathic arthritisbaseline

Silness-Loe plaque index (PI) was used to assess periodontal health.

Examination of periodontal health in patients with juvenile idiopathic arthritisbaseline

Gingival index (GI) was also used to examination periodontal health.

periodontal health in patients with juvenile idiopathic arthritisbaseline

Bleeding on prob index were used for periodontal health examination.

Evaluation of oral hygiene in patients with juvenile idiopathic arthritisbaseline

The number of caries in the patient was evaluated with the DMFT-dft index.

Trial Locations

Locations (1)

Marmara University Faculty of Dentistry

🇹🇷

Istanbul, Maltepe, Turkey

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