UNASSIGNED: The study involved 23 participants with serologically confirmed celiac disease (CD) and 23 control subjects. The CD patients had been following a gluten-free diet (GFD) for a minimum of 1 year and had no other autoimmune disorders. The research involved collecting demographic data, conducting periodontal examinations, gathering unstimulated whole saliva, and performing enzyme-linked immunosorbent assays to measure salivary interleukin-17A, interleukin-1 beta, and interleukin-18 levels. Spearman\'s correlation analysis was utilized to explore the relationships between CD markers in patients on a GFD and their periodontal clinical findings.
UNASSIGNED: The periodontal findings indicated significantly lower values in celiac disease patients adhering to a gluten-free diet compared to control subjects (p = 0.001). No significant differences were found in salivary IL-17A, IL-18, and IL-1B levels between celiac disease patients and control subjects. Nevertheless, the levels of all interleukins were elevated in periodontitis patients in both the celiac and control groups. The IL-1 Beta level was significantly higher in periodontitis patients compared to non-periodontitis patients in the control group (p = 0.035). Significant negative correlations were observed between serum IgA levels and plaque index (r = -0.460, p = 0.010), as well as gingival index (r = -0.396, p = 0.030) in CD patients on a gluten-free diet.
UNASSIGNED: Celiac disease patients on gluten-free diet exhibited better periodontal health compared to control subjects. However, increased levels of salivary IL-17A, IL-18 and IL-1B levels were associated with periodontitis. Additionally, serum IgA level was significantly inversely associated with periodontitis clinical manifestations and with salivary inflammatory mediators in CD patients on GFD.
■该研究涉及23名血清学证实为乳糜泻(CD)的参与者和23名对照受试者。CD患者接受无麸质饮食(GFD)至少1年,没有其他自身免疫性疾病。这项研究涉及收集人口统计数据,进行牙周检查,收集未受刺激的整个唾液,并进行酶联免疫吸附测定以测量唾液白细胞介素-17A,白细胞介素-1β,和白细胞介素-18水平。Spearman的相关分析用于探讨GFD患者的CD标记与其牙周临床表现之间的关系。
■牙周研究结果表明,与对照组相比,坚持无麸质饮食的乳糜泻患者的牙周值明显较低(p=0.001)。在唾液IL-17A中没有发现显著差异,乳糜泻患者和对照受试者之间的IL-18和IL-1B水平。然而,乳糜泻组和对照组牙周炎患者的所有白细胞介素水平均升高。与对照组的非牙周炎患者相比,牙周炎患者的IL-1β水平显着升高(p=0.035)。血清IgA水平与菌斑指数呈显著负相关(r=-0.460,p=0.010),以及无麸质饮食的CD患者的牙龈指数(r=-0.396,p=0.030)。
■与对照组相比,无麸质饮食的乳糜泻患者表现出更好的牙周健康状况。然而,唾液IL-17A水平升高,IL-18和IL-1B水平与牙周炎相关。此外,GFD患者血清IgA水平与牙周炎临床表现和唾液炎症介质呈显著负相关。