Effect of compliance during periodontal maintenance therapy on c‐reactive protein levels: a 6‐year follow‐up

Costa, Fernando Oliveira; Esteves Lima, Rafael Paschoal; Cortelli, Sheila Cavalca; Costa, Adriana Moreira; Cortelli, José Roberto; Cota, Luís Otávio Miranda

doi:10.1111/jcpe.13407

Cited by 5Oral microbiology and periodontitis researchPeriodontal Regeneration and TreatmentsDental Health and Care Utilization

Effect of compliance during periodontal maintenance therapy on c‐reactive protein levels: a 6‐year follow‐up

Costa, Fernando Oliveira, Esteves Lima, Rafael Paschoal, Cortelli, Sheila Cavalca, Costa, Adriana Moreira, Cortelli, José Roberto, Cota, Luís Otávio Miranda·2021·Journal of Clinical Periodontology

DOI 10.1111/jcpe.13407

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Abstract

Aims: To longitudinally evaluate the effects of compliance during periodontal maintenance therapy (PMT) on C‐reactive protein (CRP) levels and its relation to periodontal status. Materials and Methods: A subsample comprising of 30 matched pairs was taken from a previous 6‐year longitudinal study under PMT. Pairs were composed of one regular (RC) and one irregular (IC) compliers, matched by age and sex. Periodontal parameters and plasma samples were collected at 3 times: T1[prior to active periodontal therapy (APT)], T2(after APT), and T3(after 6 years). CRP plasma levels were quantified using ELISA. Results: RC presented better clinical periodontal status, lower recurrence of periodontitis (sites with PD ≥4 mm and CAL ≥3 mm, together with the persistence and/or presence of BOP and/or suppuration, during any of the subsequent recall evaluations) and significant reductions in CRP levels over time [(T1: RC = 3.64 ± 2.13 and IC = 3.92 ± 2.02 mg/L) and (T3: RC = 2.12 ± 1.39 mg/L and IC = 3.71 ± 1.82 mg/L)]. Logistic regression analysis demonstrated that individuals with periodontitis recurrence presented 2.19 higher chances of presenting altered CRP levels (values ≥3 mg/L‐ T2 to T3) than those without periodontitis recurrence (95%CI:1.16–3.27; p = 0.017). Conclusions: Higher CRP plasma levels were associated with higher recurrence of periodontitis and worse clinical periodontal parameters among IC when compared to RC.

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Authors: Costa, F. O., Esteves Lima, R. P., Cortelli, S. C., Costa, A. M., Cortelli, J. R., & Cota, L. O. M.
Affiliations: Universidade Federal de Minas Gerais (BR)
School of Dentistry Federal University of Minas Gerais Belo Horizonte Brazil
Universidade de Taubaté (BR)
Centro Universitário Newton Paiva (BR)
Corresponding author: Costa, Fernando Oliveira
ORCID: Costa, Fernando Oliveira
Esteves Lima, Rafael Paschoal
Cortelli, Sheila Cavalca
Costa, Adriana Moreira
Cortelli, José Roberto
Cota, Luís Otávio Miranda
Venue: Journal of Clinical Periodontology
Publisher: Wiley
Published: 2020-12-23
Volume: 48
Issue: 3
Pages: 400-409
ISSN: 0303-6979 (ISSN-L)
1600-051X
DOI: 10.1111/jcpe.13407
OpenAlex: W3108652262
Cited by: 5
References: 53
Citations by year: 2025: 1 · 2024: 2 · 2021: 2
FWCI: 0.51
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal Of Clinical Periodontology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
Keywords: periodontal maintenance, medication adherence, C-reactive protein, periodontitis recurrence, periodontal health, systemic inflammation, periodontal parameters, longitudinal follow-up
MeSH terms: C-Reactive Protein, Follow-Up Studies, Humans, Longitudinal Studies, Periodontitis, Prospective Studies

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Effect of compliance during periodontal maintenance therapy on c‐reactive protein levels: a 6‐year follow‐up

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