Skip to main content
Top
Published in: Clinical Oral Investigations 1/2017

01-01-2017 | Original Article

Short-term changes on C-reactive protein (CRP) levels after non-surgical periodontal treatment in systemically healthy individuals

Authors: André Barbisan de Souza, Rogério T. P. Okawa, Cléverson O. Silva, Maurício G. Araújo

Published in: Clinical Oral Investigations | Issue 1/2017

Login to get access

Abstract

Objectives

The aim of the present study was to evaluate serum C-reactive protein (CRP) levels in chronic periodontitis patients and periodontally healthy individuals and to assess the effect of non-surgical periodontal treatment on the CRP levels.

Materials and methods

Twenty-two patients with chronic periodontitis (test group) and 22 periodontally healthy individuals (control group), both groups without any systemic disorder or potential confounding factors, were included in the study. At baseline, periodontal clinical variables and CRP levels were obtained in both groups. In the test group, oral hygiene instruction and scaling and root planning were carried out; then, after 60 days, periodontal clinical variables and CRP levels were reevaluated.

Results

The baseline CRP level in the test group was significantly higher than the corresponding value in the control group (1.98 ± 1.55 vs. 1.26 ± 1.05 mg/L; p < 0.05). After periodontal treatment in the test group, there were improvements in all periodontal clinical variables (p < 0.05). The CRP level decreased significantly in those patients with higher baseline levels of CRP (>3 mg/L).

Conclusions

Chronic periodontitis seemed to promote elevated levels of CRP. Furthermore, non-surgical periodontal treatment significantly decreased the levels of CRP only in patients with high baseline levels of such pro-inflammatory cytokine.

Clinical relevance

Periodontitis may be a potential factor to change the risk of CVD. Thus, the control of periodontal infection performed by health professionals may improve cardiovascular health.
Literature
2.
go back to reference Khader YS, Albashaireh ZS, Alomari MA (2004) Periodontal diseases and the risk of coronary heart and cerebrovascular diseases: a meta-analysis. J Periodontol 75:1046–1053CrossRefPubMed Khader YS, Albashaireh ZS, Alomari MA (2004) Periodontal diseases and the risk of coronary heart and cerebrovascular diseases: a meta-analysis. J Periodontol 75:1046–1053CrossRefPubMed
3.
go back to reference Buhlin K, Mäntyla P, Paju S, Peltola JS, Nieminen MS, Sinisalo J, Pussinen PJ (2011) Periodontitis is associated with angiographically verified coronary artery disease. J Clin Periodontol 38:1007–1014CrossRefPubMed Buhlin K, Mäntyla P, Paju S, Peltola JS, Nieminen MS, Sinisalo J, Pussinen PJ (2011) Periodontitis is associated with angiographically verified coronary artery disease. J Clin Periodontol 38:1007–1014CrossRefPubMed
4.
go back to reference Haro A, Saxlin T, Suominen A-L, Ylöstalo P, Leiviskä J, Tervonen T, Knuuttila M (2012) Serum lipids modify periodontal infection—C-reactive protein association. J Clin Periodontol:1–7 Haro A, Saxlin T, Suominen A-L, Ylöstalo P, Leiviskä J, Tervonen T, Knuuttila M (2012) Serum lipids modify periodontal infection—C-reactive protein association. J Clin Periodontol:1–7
5.
go back to reference Goyal L, Bey A, Gupta ND, Sharma VK (2014) Comparative evaluation of serum C-reactive protein levels in chronic and aggressive periodontitis patients and association with periodontal disease severity. Contemp Clin Dent 5(4):484–488CrossRefPubMedPubMedCentral Goyal L, Bey A, Gupta ND, Sharma VK (2014) Comparative evaluation of serum C-reactive protein levels in chronic and aggressive periodontitis patients and association with periodontal disease severity. Contemp Clin Dent 5(4):484–488CrossRefPubMedPubMedCentral
6.
go back to reference Ardila CM, Guzmán IC (2015) Comparison of serum amyloid A protein and C-reactive protein levels as inflammatory markers in periodontitis. J Periodontal Implant Sci 45:14–22CrossRefPubMedPubMedCentral Ardila CM, Guzmán IC (2015) Comparison of serum amyloid A protein and C-reactive protein levels as inflammatory markers in periodontitis. J Periodontal Implant Sci 45:14–22CrossRefPubMedPubMedCentral
7.
go back to reference Beck JD, Slade G, Offenbacher S (2000) Oral disease, cardiovascular disease and systemic inflammation. Perio 2000(23):110–120CrossRef Beck JD, Slade G, Offenbacher S (2000) Oral disease, cardiovascular disease and systemic inflammation. Perio 2000(23):110–120CrossRef
8.
go back to reference Schenkein HA, Loos BG (2013) Inflammatory mechanisms linking periodontal diseases to cardiovascular diseases. J Clin Periodontol 40(Suppl. 14):S51–S69PubMedPubMedCentral Schenkein HA, Loos BG (2013) Inflammatory mechanisms linking periodontal diseases to cardiovascular diseases. J Clin Periodontol 40(Suppl. 14):S51–S69PubMedPubMedCentral
9.
go back to reference Offenbacher S, Barros SP, Beck JD (2008) Rethinking periodontal inflammation. J Periodontol 79:1577–1584CrossRefPubMed Offenbacher S, Barros SP, Beck JD (2008) Rethinking periodontal inflammation. J Periodontol 79:1577–1584CrossRefPubMed
10.
go back to reference Slade GD, Offenbacher S, Beck JD, Heiss G, Pankow JS (2000) Acutephase inflammatory response to periodontal disease in the US population. J Dent Res 79:49–57CrossRefPubMed Slade GD, Offenbacher S, Beck JD, Heiss G, Pankow JS (2000) Acutephase inflammatory response to periodontal disease in the US population. J Dent Res 79:49–57CrossRefPubMed
11.
go back to reference Amar S, Gokce N, Morgan S, Loukideli M, Van Dyke TE, Vita JA (2003) Periodontal disease is associated with brachial artery endothelial dysfunction and systemic inflammation. Arter Thromb Vasc Biol 23:1245–1249CrossRef Amar S, Gokce N, Morgan S, Loukideli M, Van Dyke TE, Vita JA (2003) Periodontal disease is associated with brachial artery endothelial dysfunction and systemic inflammation. Arter Thromb Vasc Biol 23:1245–1249CrossRef
12.
13.
go back to reference Ridker PM, Glynn RJ, Hennekens CH (1998a) C-reactive protein adds to the predictive value of total and HDL cholesterol in determining risk of first myocardial infarction. Circulation 97:2007–2011CrossRefPubMed Ridker PM, Glynn RJ, Hennekens CH (1998a) C-reactive protein adds to the predictive value of total and HDL cholesterol in determining risk of first myocardial infarction. Circulation 97:2007–2011CrossRefPubMed
14.
go back to reference Ridker PM, Rifai N, Pfeffer MA, Sacks FM, Moye LA, Goldman S, Flaker GC, Braunwald E (1998b) Inflammation, pravastatin, and the risk of coronary events after myocardial infarction in patients with average cholesterol levels. Circulation 98:839–844CrossRefPubMed Ridker PM, Rifai N, Pfeffer MA, Sacks FM, Moye LA, Goldman S, Flaker GC, Braunwald E (1998b) Inflammation, pravastatin, and the risk of coronary events after myocardial infarction in patients with average cholesterol levels. Circulation 98:839–844CrossRefPubMed
15.
go back to reference Blake GJ, Ridker PM (2001) High sensitivity C-reactive protein for predicting cardiovascular disease: an inflammatory hypothesis. Eur Heart J 22:349–352CrossRefPubMed Blake GJ, Ridker PM (2001) High sensitivity C-reactive protein for predicting cardiovascular disease: an inflammatory hypothesis. Eur Heart J 22:349–352CrossRefPubMed
16.
go back to reference Blake GJ, Rifai N, Buring JE, Ridker PM (2003) Blood pressure, C-reactive protein, and risk of future cardiovascular events. Circulation 108:2993–2999CrossRefPubMed Blake GJ, Rifai N, Buring JE, Ridker PM (2003) Blood pressure, C-reactive protein, and risk of future cardiovascular events. Circulation 108:2993–2999CrossRefPubMed
17.
go back to reference Ridker PM, Cushman M, Stampfer MJ, Tracy RP, Hennekens CH (1997) Inflammation, aspirin, and the risk of cardiovascular disease in apparently healthy men. N Engl J Med 336:973–979CrossRefPubMed Ridker PM, Cushman M, Stampfer MJ, Tracy RP, Hennekens CH (1997) Inflammation, aspirin, and the risk of cardiovascular disease in apparently healthy men. N Engl J Med 336:973–979CrossRefPubMed
18.
go back to reference Ridker PM, Hennekens CH, Buring JE, Rifai N (2000) C-reactive protein and other markers of inflammation in the prediction of cardiovascular disease in women. N Engl J Med 342:836–843CrossRefPubMed Ridker PM, Hennekens CH, Buring JE, Rifai N (2000) C-reactive protein and other markers of inflammation in the prediction of cardiovascular disease in women. N Engl J Med 342:836–843CrossRefPubMed
19.
go back to reference De Backer G, Ambrosioni E, Borch-Johnsen K, Brotons C, Cifkova R, Dallongeville J, Ebrahim S, Faergeman O, Graham I, Mancia G, Manger Cats V, Orth-Gomér K, Perk J, Pyorälä K, Rodicio JL, Sans S, Sansoy V, Sechtem U, Silber S, Thomsene T, Wood D (2003) European guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J 24:1601–1610CrossRefPubMed De Backer G, Ambrosioni E, Borch-Johnsen K, Brotons C, Cifkova R, Dallongeville J, Ebrahim S, Faergeman O, Graham I, Mancia G, Manger Cats V, Orth-Gomér K, Perk J, Pyorälä K, Rodicio JL, Sans S, Sansoy V, Sechtem U, Silber S, Thomsene T, Wood D (2003) European guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J 24:1601–1610CrossRefPubMed
20.
go back to reference Ridker PM, Danielson E, Fonseca FA, Genest J, AM G Jr, Kastelein JJ, Koenig W, Libby P, Lorenzatti AJ, MacFadyen JG, Nordestgaard BG, Shepherd J, Willerson JT, Glynn RJ, JUPITER Study Group (2008) Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein. N Engl J Med 359:2195–2207CrossRefPubMed Ridker PM, Danielson E, Fonseca FA, Genest J, AM G Jr, Kastelein JJ, Koenig W, Libby P, Lorenzatti AJ, MacFadyen JG, Nordestgaard BG, Shepherd J, Willerson JT, Glynn RJ, JUPITER Study Group (2008) Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein. N Engl J Med 359:2195–2207CrossRefPubMed
21.
go back to reference Loos BG, Craandijk J, Hoek FJ, Wertheim-van Dillen PM, van der Velden U (2000) Elevation of systemic markers related to cardiovascular diseases in the peripheral blood of periodontitis patients. J Periodontol 71:1528–1534CrossRefPubMed Loos BG, Craandijk J, Hoek FJ, Wertheim-van Dillen PM, van der Velden U (2000) Elevation of systemic markers related to cardiovascular diseases in the peripheral blood of periodontitis patients. J Periodontol 71:1528–1534CrossRefPubMed
22.
go back to reference Noack B, Genco RJ, Trevisan M, Grossi S, Zambon JJ, De Nardin E (2001) Periodontal infections contribute to elevated systemic C-reactive protein level. J Periodontol 72:1221–1227CrossRefPubMed Noack B, Genco RJ, Trevisan M, Grossi S, Zambon JJ, De Nardin E (2001) Periodontal infections contribute to elevated systemic C-reactive protein level. J Periodontol 72:1221–1227CrossRefPubMed
23.
go back to reference Buhlin K, Gustafsson A, Pockley AG, Frostegard J, Klinge B (2003) Risk factors for cardiovascular disease in patients with periodontitis. Eur Heart J 24:2099–2107CrossRefPubMed Buhlin K, Gustafsson A, Pockley AG, Frostegard J, Klinge B (2003) Risk factors for cardiovascular disease in patients with periodontitis. Eur Heart J 24:2099–2107CrossRefPubMed
24.
go back to reference Gorska R, Nedzi-Gora M (2006) The effects of the initial treatment phase and of adjunctive low-dose doxycycline therapy on clinical parameters and MMP-8, MMP-9, and TIMP-1 levels in the saliva and peripheral blood of patients with chronic periodontitis. Arch Immunol Ther Exp 54:419–426CrossRef Gorska R, Nedzi-Gora M (2006) The effects of the initial treatment phase and of adjunctive low-dose doxycycline therapy on clinical parameters and MMP-8, MMP-9, and TIMP-1 levels in the saliva and peripheral blood of patients with chronic periodontitis. Arch Immunol Ther Exp 54:419–426CrossRef
25.
go back to reference Paraskevas S, Huizinga JD, Loos BG (2008) A systematic review and Meta-analyses on C-reactive protein in relation to periodontitis. J Clin Periodontol 35:277–290CrossRefPubMed Paraskevas S, Huizinga JD, Loos BG (2008) A systematic review and Meta-analyses on C-reactive protein in relation to periodontitis. J Clin Periodontol 35:277–290CrossRefPubMed
26.
go back to reference D’Aiuto F, Orlandi M, Gunsolley JC (2013) Evidence that periodontal treatment improves biomarkers and CVD outcomes. J Clin Periodontol 40(Suppl. 14):S85–S105PubMed D’Aiuto F, Orlandi M, Gunsolley JC (2013) Evidence that periodontal treatment improves biomarkers and CVD outcomes. J Clin Periodontol 40(Suppl. 14):S85–S105PubMed
27.
go back to reference Mansia G, De Backer G, Dominiczak A, Cifkova R, Fagardi R, Germano G, Grassi G, Heagerty AM, Kjeldsen SE, Laurent S, Narkiewicz K, Ruilope L, Rynkiewicz A, Schmieder RE, Struijker-Boudier HA, Zanchetti A (2007) Guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC). Euro Heart J 28:1462–1536 Mansia G, De Backer G, Dominiczak A, Cifkova R, Fagardi R, Germano G, Grassi G, Heagerty AM, Kjeldsen SE, Laurent S, Narkiewicz K, Ruilope L, Rynkiewicz A, Schmieder RE, Struijker-Boudier HA, Zanchetti A (2007) Guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC). Euro Heart J 28:1462–1536
28.
go back to reference World Health Organization (WHO) (2000) Obesity: Preventing and Managing the Global Epidemic. report of a WHO consultation. WHO Tech Rep Series 894:1–253 World Health Organization (WHO) (2000) Obesity: Preventing and Managing the Global Epidemic. report of a WHO consultation. WHO Tech Rep Series 894:1–253
29.
go back to reference Alberti KGMM, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart J-C, James WPT, Loria CM, Smith SC Jr (2009) Harmonizing the metabolic syndrome: a joint interim statement of the International diabetes Federation Task Force on Epidemiology and prevention; National Heart, Lung, and Blood Institute; American Heart Association; World heart Federation; International Atherosclerosis Society; and International Association for the Study of obesity. Circulation 120:1640–1645 Alberti KGMM, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart J-C, James WPT, Loria CM, Smith SC Jr (2009) Harmonizing the metabolic syndrome: a joint interim statement of the International diabetes Federation Task Force on Epidemiology and prevention; National Heart, Lung, and Blood Institute; American Heart Association; World heart Federation; International Atherosclerosis Society; and International Association for the Study of obesity. Circulation 120:1640–1645
30.
go back to reference American Diabetes Association (2012) Executive summary: standards of medical care in diabetes - 2012. Diabetes Care 35:S4–S10CrossRef American Diabetes Association (2012) Executive summary: standards of medical care in diabetes - 2012. Diabetes Care 35:S4–S10CrossRef
31.
go back to reference Wilson PWF, D’Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB (1998) Prediction of coronary heart disease using risk factor categories. Circulation 97:1837–1847CrossRefPubMed Wilson PWF, D’Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB (1998) Prediction of coronary heart disease using risk factor categories. Circulation 97:1837–1847CrossRefPubMed
32.
go back to reference Pearson TA, Mensah GA, Alexander RW, Anderson JL, Cannon RO III, Criqui M, Fadl YY, Fortmann SP, Hong Y, Myers GL, Rifai N, Smith SC Jr, Taubert K, Tracy RP, Vinicor F (2003) Markers of inflammation and cardiovascular disease: application to clinical and public health practice: a statement for healthcare professionals from the Centers for Disease Control and Prevention and the American Heart Association. Circulation 107:499–511CrossRefPubMed Pearson TA, Mensah GA, Alexander RW, Anderson JL, Cannon RO III, Criqui M, Fadl YY, Fortmann SP, Hong Y, Myers GL, Rifai N, Smith SC Jr, Taubert K, Tracy RP, Vinicor F (2003) Markers of inflammation and cardiovascular disease: application to clinical and public health practice: a statement for healthcare professionals from the Centers for Disease Control and Prevention and the American Heart Association. Circulation 107:499–511CrossRefPubMed
33.
go back to reference Ainamo J, Bay I (1975) Problems and proposals for recording gingivitis and plaque. Int Dent J 25:229–235PubMed Ainamo J, Bay I (1975) Problems and proposals for recording gingivitis and plaque. Int Dent J 25:229–235PubMed
34.
35.
go back to reference Fredriksson MI, Figueredo CM, Gustafsson A, Bergstrom KG, Asman BE (1999) Effect of periodontitis and smoking on blood leukocytes and acute-phase proteins. J Periodontol 70:1355–1360CrossRefPubMed Fredriksson MI, Figueredo CM, Gustafsson A, Bergstrom KG, Asman BE (1999) Effect of periodontitis and smoking on blood leukocytes and acute-phase proteins. J Periodontol 70:1355–1360CrossRefPubMed
36.
go back to reference Craig RG, Yip JK, So MK, Boylan RJ, Socransky SS, Haffajee AD (2003) Relationship of destructive periodontal disease to the acute-phase response. J Periodontol 74:1007–1016CrossRefPubMed Craig RG, Yip JK, So MK, Boylan RJ, Socransky SS, Haffajee AD (2003) Relationship of destructive periodontal disease to the acute-phase response. J Periodontol 74:1007–1016CrossRefPubMed
37.
go back to reference Joshipura KJ, Wand HC, Merchant AT, Rimm EB (2004) Periodontal disease and biomarkers related to cardiovascular disease. J Dent Res 83:151–155CrossRefPubMed Joshipura KJ, Wand HC, Merchant AT, Rimm EB (2004) Periodontal disease and biomarkers related to cardiovascular disease. J Dent Res 83:151–155CrossRefPubMed
38.
39.
go back to reference Salzberg TN, Overstreet BT, Rogers JD, Califano JV, Best AM, Schenkein HA (2006) C-reactive protein levels in patients with aggressive periodontitis. J Periodontol 77:933–939CrossRefPubMed Salzberg TN, Overstreet BT, Rogers JD, Califano JV, Best AM, Schenkein HA (2006) C-reactive protein levels in patients with aggressive periodontitis. J Periodontol 77:933–939CrossRefPubMed
40.
go back to reference Gomes-Filho IS, Freitas Coelho JM, da Cruz SS, Passos JS, Teixeira de Freitas CO, Aragao Farias NS, Amorim da Silva R, Silva Pereira MN, Lima TL, Barreto ML (2011) Chronic periodontitis and C-reactive protein levels. J Periodontol 82:969–978CrossRefPubMed Gomes-Filho IS, Freitas Coelho JM, da Cruz SS, Passos JS, Teixeira de Freitas CO, Aragao Farias NS, Amorim da Silva R, Silva Pereira MN, Lima TL, Barreto ML (2011) Chronic periodontitis and C-reactive protein levels. J Periodontol 82:969–978CrossRefPubMed
41.
go back to reference Pejcic A, Kesic LJ, Milasin J (2011) C-reactive protein as a systemic marker of inflammation in periodontitis. Eur J Clin Microbiol Infect Dis 30:407–414CrossRefPubMed Pejcic A, Kesic LJ, Milasin J (2011) C-reactive protein as a systemic marker of inflammation in periodontitis. Eur J Clin Microbiol Infect Dis 30:407–414CrossRefPubMed
42.
go back to reference Yamazaki K, Honda T, Oda T, Ueki-Maruyama K, Nakajima T, Yoshie H, Seymour GJ (2005) Effect of periodontal treatment on the C-reactive protein and proinflammatory cytokine levels in Japanese periodontitis patients. J Period Res 40:53–58CrossRef Yamazaki K, Honda T, Oda T, Ueki-Maruyama K, Nakajima T, Yoshie H, Seymour GJ (2005) Effect of periodontal treatment on the C-reactive protein and proinflammatory cytokine levels in Japanese periodontitis patients. J Period Res 40:53–58CrossRef
43.
go back to reference Wu JT, Wu LL (2006) Linking inflammation and atherogenesis: Soluble markers identified for the detection of risk factors and for early risk assessment. Clin Chim Acta 366:74–80CrossRefPubMed Wu JT, Wu LL (2006) Linking inflammation and atherogenesis: Soluble markers identified for the detection of risk factors and for early risk assessment. Clin Chim Acta 366:74–80CrossRefPubMed
44.
go back to reference Hussain Bokhari SA, Khan AA, Tatakis DN, Azhar M, Hanif M, Izhar M (2009) Non-surgical periodontal therapy lowers serum inflammatory markers: a pilot study. J Periodontol 80:1574–1580CrossRefPubMed Hussain Bokhari SA, Khan AA, Tatakis DN, Azhar M, Hanif M, Izhar M (2009) Non-surgical periodontal therapy lowers serum inflammatory markers: a pilot study. J Periodontol 80:1574–1580CrossRefPubMed
45.
go back to reference Vidal F, Figueredo CM, Cordovil I, Fischer RG (2009) Periodontal therapy reduces plasma levels of interleukin-6, C-reac- tive protein, and fibrinogen in patients with severe periodontitis and refractory arterial hypertension. J Periodontol 80:786–791CrossRefPubMed Vidal F, Figueredo CM, Cordovil I, Fischer RG (2009) Periodontal therapy reduces plasma levels of interleukin-6, C-reac- tive protein, and fibrinogen in patients with severe periodontitis and refractory arterial hypertension. J Periodontol 80:786–791CrossRefPubMed
46.
go back to reference Correa FO, Goncalves D, Figueredo CM, Bastos AS, Gustafsson A, Orrico SR (2010) Effect of periodontal treatment on metabolic control, systemic inflammation and cytokines in patients with type 2 diabetes. J Clin Periodontol 37:53–58CrossRefPubMed Correa FO, Goncalves D, Figueredo CM, Bastos AS, Gustafsson A, Orrico SR (2010) Effect of periodontal treatment on metabolic control, systemic inflammation and cytokines in patients with type 2 diabetes. J Clin Periodontol 37:53–58CrossRefPubMed
47.
go back to reference Taylor B, Tofler G, Morel-Kopp MC, Carey H, Carter T, Elliott M, Dailey C, Villata L, Ward C, Woodward M, Schenck K (2010) The effect of initial treat- ment of periodontitis on systemic markers of inflammation and cardiovascular risk: a ran- domized controlled trial. Eur J Oral Sci 118:350–356CrossRefPubMed Taylor B, Tofler G, Morel-Kopp MC, Carey H, Carter T, Elliott M, Dailey C, Villata L, Ward C, Woodward M, Schenck K (2010) The effect of initial treat- ment of periodontitis on systemic markers of inflammation and cardiovascular risk: a ran- domized controlled trial. Eur J Oral Sci 118:350–356CrossRefPubMed
48.
go back to reference Tabet F, Rye KA (2009) High-density lipoproteins, inflammation and oxidative stress. Clin Sci (Lond) 116:87–98CrossRef Tabet F, Rye KA (2009) High-density lipoproteins, inflammation and oxidative stress. Clin Sci (Lond) 116:87–98CrossRef
49.
go back to reference Seinost G, Wimmer G, Skerget M, Thaller E, Brodmann M, Gasser R, Bratschko RO, Pilger E (2005) Periodontal treatment improves endothelial dysfunction in patients with severe periodontitis. Am Heart J 149:1050–1054CrossRefPubMed Seinost G, Wimmer G, Skerget M, Thaller E, Brodmann M, Gasser R, Bratschko RO, Pilger E (2005) Periodontal treatment improves endothelial dysfunction in patients with severe periodontitis. Am Heart J 149:1050–1054CrossRefPubMed
50.
go back to reference Marcaccini AM, Meschiari CA, Sorgi CA, Saraiva MCP, Souza AM, Faccioli LH, Tanus-Santos JE, Novaes AB Jr, Gerlach RF (2009) Circulating interleukin-6 and high-sensitivity C-reactive protein decrease after periodontal therapy in otherwise healthy subjects. J Periodontol 80:594–602CrossRefPubMed Marcaccini AM, Meschiari CA, Sorgi CA, Saraiva MCP, Souza AM, Faccioli LH, Tanus-Santos JE, Novaes AB Jr, Gerlach RF (2009) Circulating interleukin-6 and high-sensitivity C-reactive protein decrease after periodontal therapy in otherwise healthy subjects. J Periodontol 80:594–602CrossRefPubMed
51.
go back to reference D’Aiuto F, Parkar M, Tonetti MS (2005) Periodontal therapy: a novel acute inflammatory model. Inflam Res 54:412–414CrossRef D’Aiuto F, Parkar M, Tonetti MS (2005) Periodontal therapy: a novel acute inflammatory model. Inflam Res 54:412–414CrossRef
52.
go back to reference Mattila K, Vesanen M, Valtonen V, Nieminen M, Palosuo T, Rasi V, Asikainen S (2002) Effect of treating periodontitis on C-reactive protein levels: a pilot study. BMC Infect Dis 2:30CrossRefPubMedPubMedCentral Mattila K, Vesanen M, Valtonen V, Nieminen M, Palosuo T, Rasi V, Asikainen S (2002) Effect of treating periodontitis on C-reactive protein levels: a pilot study. BMC Infect Dis 2:30CrossRefPubMedPubMedCentral
Metadata
Title
Short-term changes on C-reactive protein (CRP) levels after non-surgical periodontal treatment in systemically healthy individuals
Authors
André Barbisan de Souza
Rogério T. P. Okawa
Cléverson O. Silva
Maurício G. Araújo
Publication date
01-01-2017
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 1/2017
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-016-1817-0

Other articles of this Issue 1/2017

Clinical Oral Investigations 1/2017 Go to the issue