The correlation between hemoglobin level and generalized moderate chronic periodontitis

Abstract EN

Background: As the periodontal tissues mount an immune inflammatory response to bacteria and their products, systemic challenge with these agents also induces a major vascular response.

Certain inflammatory cytokines, produced during periodontal inflammation, can depress erythropoietin production leading to the development of anemia.

(1) This study aimed to investigate the association between hemoglobin level and generalized moderate chronic periodontitis.

Materials and Methods : Data were collected from 60 systemically healthy male of an age ranged (30-60 years old)30 of them with generalized moderate chronic periodontitis (CAL = 3-4 mm at ≥ 30 % of sites) and 30 of them with healthy periodontium as control group.

Full mouth examinations (excluding third molars) were conducted for all patients.

Four sites were examined for each tooth (buccal, lingual, mesial and distal).

Plaque index (PI) (2), Gingival Index (GI) (3), bleeding on probing index (BOP) (4), Probing Pocket depths (PPD), and Clinical attachment level (CAL) were recorded using a marked periodontal probe (Williams probe) and measurement of hemoglobin (Hb) concentration in the blood by colorimetric cyanomethemoglobin method (22) Results : mean of hemoglobin level was (12.527) for the study group whiles its (14.72) for the control group, highly significant differences were apparent between the two groups regarding the hemoglobin level (P-value P < 0.01).

About the Correlation between the hemoglobin level and the periodontal parameters, the PLI, CAL scores were positively but non-significantly associated with the hemoglobin level.

(P> 0.05).Correlation coefficient (r) between PLI and hemoglobin level was (0.30).

For the CAL the correlation coefficient (r) was (0.159).Strong and significant correlation were found between BOP and the hemoglobin level (r = 0.343, P value = 0.049).

Conclusion : there is an association between hemoglobin levels and periodontal status.