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Relationships Between Tenascin C, Smoking and Periodontal Status

Not yet recruiting
Conditions
Periodontal Diseases
Smoking
Periodontitis
Interventions
Diagnostic Test: Clinical Measurements and Saliva Sample Collection
Registration Number
NCT06523205
Lead Sponsor
Necmettin Erbakan University
Brief Summary

The goal of this observational study is to determine if there is a relationship between different periodontal conditions (gingival healthy, stage 2 grade B, stage 2 grade C, stage 3 grade B, stage 3 grade C) and the levels of tenascin C, IL-1 beta, IL-4, and IL-6 in saliva samples from smokers and non-smokers. The main questions it aims to answer are:

Is there a difference in the levels of tenascin C, IL-1 beta, IL-4, and IL-6 between smokers and non-smokers with different periodontal conditions? Do these biomarkers correlate with the severity and grade of periodontal disease?

Researchers will compare the saliva samples from smokers and non-smokers across the different periodontal conditions to see if there are significant differences in the biomarker levels. Participants will:

Provide saliva samples. Be categorized based on their smoking status and periodontal condition.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • The periodontitis groups (Non-smoking and smoking) in the study will include systemically healthy patients who are clinically diagnosed with Stage II and III, generalized, Grade B, C periodontitis based on the consensus report of the 2017 World Workshop on Classification of Periodontal and Peri-Implant Diseases and Conditions.
  • Agreeing to participate in the study
Exclusion Criteria
  • use of oral contraceptive drugs
  • use of antibiotics, immunosuppressants, or drug therapies in the last 6 months before the study;
  • history of excessive alcohol use;
  • pregnancy or breastfeeding status;
  • periodontal treatment during the last 6 months before the study.
  • Not agreeing to participate in the study
  • Not meeting the inclusion criteria

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
non-smoking - periodontitisClinical Measurements and Saliva Sample Collectionparticipants who reported never smoking, with clinical attachment loss ≥3 mm in \>30% of sites, with probing depth ≥5 mm in at least six teeth, and with radiographic bone loss extending to or beyond the middle third of the root in the coronal third will be included.
smoking - periodontitisClinical Measurements and Saliva Sample Collectionparticipants who reported smoking \>10 cigarettes per day for \>5 years with clinical attachment loss ≥3 mm in \>30% of sites, with probing depth ≥5 mm in at least six teeth, and with radiographic bone loss extending to or beyond the middle third of the root in the coronal third will be included.
non-smoking - periodontally healthyClinical Measurements and Saliva Sample Collectionparticipants who reported never smoking and periodontal healthy.
smoking - periodontally healthyClinical Measurements and Saliva Sample Collectionparticipants who reported smoking \>10 cigarettes per day and periodontal healthy.
Primary Outcome Measures
NameTimeMethod
Periodontal clinical parameters (percentage bleeding on probing (BOP))baseline

The measurements will be performed using a Williams periodontal probe (Hu-Friedy, Chicago, IL, USA) and will include percentage bleeding on probing (BOP) at six sites per tooth (mesio-buccal, buccal, disto-buccal, mesio-lingual, lingual and disto-lingual) on each tooth.

Percentage Bleeding on Probing (BOP) Unit: Percentage (%)

Periodontal clinical parameters (Clinical Attachment Level (CAL) and Probing Pocket Depth (PPD))baseline

The measurements will be performed using a Williams periodontal probe (Hu-Friedy, Chicago, IL, USA) and will include probing pocket depth (PPD) and clinical attachment level (CAL) at six sites per tooth (mesio-buccal, buccal, disto-buccal, mesio-lingual, lingual and disto-lingual) on each tooth.

Clinical Attachment Level (CAL) Unit: Millimeters (mm) Probing Pocket Depth (PPD) Unit: Millimeters (mm)

1.Periodontal clinical parameters (plaque index (PI) and gingival index (GI))baseline

The measurements will be performed using a Williams periodontal probe (Hu-Friedy, Chicago, IL, USA) and will include plaque index (PI) and gingival index (GI) at six sites per tooth (mesio-buccal, buccal, disto-buccal, mesio-lingual, lingual and disto-lingual) on each tooth.

Gingival Index (GI) Unit: Numerical score Plaque Index (PI) Unit: Numerical score

Levels of Tenascin C, IL-1β, IL-4 and IL-6 saliva samplesbaseline

Levels of Tenascin C, IL-1β, IL-4 and IL-6 saliva samples (ng/L)

Unit: Picograms per milliliter (pg/mL)

Tenascin C, IL-1β, IL-4 and IL-6 levels will be assayed with commercially available kits using the enzyme-linked immunosorbent assay (ELISA) method.

Secondary Outcome Measures
NameTimeMethod
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