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Órgano Oficial de la Asociación Dental Mexicana

2019, Number 4

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Rev ADM 2019; 76 (4)

Carbonylated protein levels and total antioxidant capacity in patients with type 2 diabetes mellitus of recent diagnosis and periodontal disease

Rocha NML, Fajardo AME, Orrantia BMA, Ramírez EJ, Salinas Pedroza GE

Language: Spanish
References: 25
Page: 208-213
PDF size: 228.80 Kb.


ABSTRACT

Objective: To compare the concentrations of carbonylated proteins and total antioxidant capacity (TAC) in gingival crevicular fluid (GCF) of patients with newly diagnosed type 2 diabetes mellitus (DM2) with chronic periodontitis (CP), subjects with CP and subjects with gingivitis (G). Material and methods: Cross-sectional study in subjects of both sexes (35-55 years). Three groups were formed: DM2 + CP, CP and G. Subjects with ≤ 1.6 years of DM2 with CP were included. Clinical and periodontal parameters were evaluated. OxS markers were determined by colorimetry and quantified by spectrophotometry. ANOVA/Kruskal Wallis was used to observe differences between the groups and the correlations were analyzed with Pearson/Spearman tests. Results: The DM2 + CP group showed a significant increase in age, body mass index and glucose in comparison with groups CP and G. The depth of the pocket (DP), insertion loss, bleeding and gingival index were higher in the group DM2 + CP versus groups CP and G (p ‹ 0.001). No difference was found between the groups in TAC. The DM2 + CP group showed a higher concentration of carbonylated proteins versus group G (p = 0.03). DP correlated directly with LDL in the DM2 + CP group (p = 0.04). Conclusion: The carbonylated proteins in the DM2 + CP group showed a significant difference, indicating the synergistic oxidative damage of both pathologies. The concentration of TAC tends to rise in the DM2 + CP group, probably as a compensatory mechanism in search of the restoration of homeostasis.


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