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Published in: Clinical Oral Investigations 7/2022

21-03-2022 | Gingival Diseases | Original Article

Salivary levels of hBDs in children and adolescents with type 1 diabetes mellitus and gingivitis

Authors: Dogukan Yilmaz, Neslihan Yilmaz, Recep Polat, Verneri Nissilä, Elif Gül Aydın, Jaana Rautava, Mervi Gürsoy, Ulvi Kahraman Gürsoy

Published in: Clinical Oral Investigations | Issue 7/2022

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Abstract

Objectives

Type 1 diabetes mellitus (T1DM), a chronic autoimmune disease characterized by insulin deficiency, is related to periodontal diseases in children and adolescents. Our aim was to profile salivary human beta-defensin (hBD)-2 and hBD-3 concentrations in relation to periodontal and T1DM status in children and adolescent populations.

Material and methods

Unstimulated saliva samples were collected from 66 participants including periodontally healthy T1DM patients (T1DM + C; n = 18), T1DM patients with gingivitis (T1DM + G; n = 20), systemically and periodontally healthy individuals (SH + C: n = 15), and systemically healthy gingivitis patients (SH + G; n = 13). Full mouth plaque index (PI), bleeding on probing (BOP), probing pocket depth (PPD), and clinical attachment level (CAL) were recorded. Salivary hBD-2 and hBD-3 concentrations were evaluated by sandwich ELISA method. A p value of < 0.05 was considered statistically significant.

Results

Salivary hBD-3 concentrations were lower in T1DM groups in comparison to systemically healthy counterparts (SH + G vs. T1DM + G; p < 0.001 and SH + C vs. T1DM + C; p < 0.001). Salivary hBD-2 levels did not differ between related groups. The difference in hBD-3 concentrations between T1DM and control groups was still significant (p = 0.008) after being adjusted for PI%, BOP%, and age.

Conclusion

In the limits of study, T1DM patients were found to have decreased salivary hBD-3 concentrations, regardless of their gingival inflammatory status.

Clinical relevance

Altered salivary hBD-3 concentration can partly explain why diabetic children are more prone to periodontal diseases.
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Metadata
Title
Salivary levels of hBDs in children and adolescents with type 1 diabetes mellitus and gingivitis
Authors
Dogukan Yilmaz
Neslihan Yilmaz
Recep Polat
Verneri Nissilä
Elif Gül Aydın
Jaana Rautava
Mervi Gürsoy
Ulvi Kahraman Gürsoy
Publication date
21-03-2022
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 7/2022
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-022-04457-2

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