Yonsei Med J.  2008 Feb;49(1):71-78.

The Relationship between Periodontal Status and Alkaline Phosphatase Levels in Gingival Crevicular Fluid in Men with Hypergonadotropic Hypogonadism

Affiliations
  • 1Department of Periodontology, Gazi University, Faculty of Dentistry, Ankara, Turkey. bunsal@gazi.edu.tr
  • 2Department of Periodontology, Gulhane Military Medical Academy, Ankara, Turkey.
  • 3Department of Endocrinology, Gulhane Military Medical Academy, Ankara, Turkey.

Abstract

PURPOSE
The aim of this preliminary study was to determine the possible relationship between alkaline phosphatase (ALP) levels in the gingival crevicular fluid (GCF) and periodontal disease in men with hypergonadotropic hypogonadism (HH). MATERIALS AND METHODS: A total of 41 patients were divided into four groups. 9 with HH and periodontitis (P/HH), 11 with HH and gingivitis (G/HH), 12 with systemically healthy and periodontally healthy (H/C) and 9 with systemically healthy and periodontitis (P/C). The clinical evaluation of patients was based on the following parameters; the plaque index (PI), gingival index (GI), probing depths (PD) and attachment level (AL). The levels of ALP in the GCF were measured by enzyme-linked immunosorbent assay (ELISA). RESULTS: No significant difference could be detected in the mean clinical parameter data between the P/HH and P/C groups (p > 0.05). The periodontitis patients in both groups (P/C and P/HH) had higher mean probing depths than the H/C and G/HH patients (p < 0.001). The concentrations and total amounts of ALP in the GCF were significantly higher in both periodontitis groups compared to healthy and gingivitis groups (p < 0.01). The serum ALP levels were significantly higher in the P/HH group when compared to the other groups (p < 0.001). CONCLUSION: The findings of this study suggested that HH could be implicated as a contributing factor to the progress of periodontal disease.

Keyword

Hypogonadism; alkaline phosphatase; gingival crevicular fluid; periodontal disease

MeSH Terms

Adolescent
Adult
Alkaline Phosphatase/*metabolism
Gingival Crevicular Fluid/*enzymology
Humans
Hypogonadism/diagnosis/*enzymology
Male
Periodontium/*enzymology

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