Abstract
Periodontitis is a chronic inflammatory disease characterized by oral bacterial infection that can lead to tooth loss in adults. In the periodontal tissue, host cells produce reactive oxygen species (ROS) as the initial defense against bacterial pathogens. However, when periodontitis develops, ROS produced in the periodontal lesion diffuse into the bloodstream, which alters the oxidative/anti-oxidative balance (oxidative stress) in blood, and this may damage multiple organs. Thus, systemic increases in oxidative stress following periodontitis are detrimental to systemic health. Furthermore, studies have demonstrated that periodontal therapy decreases oxidative stress within the oral cavity. Therefore, it is possible that periodontal therapy offers beneficial effects on both periodontal and systemic health by decreasing oxidative stress. In this chapter, we summarize the effects of periodontal therapy on circulating oxidative stress levels. We also discuss the possibility of periodontal therapy decreasing the risk of systemic diseases in periodontitis patients.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Page RC, Engel LD, Narayanan AS, Clagett JA (1978) Chronic inflammatory gingival and periodontal disease. JAMA 11:545–550
Pihlstrom BL, Michalowicz BS, Johnson NW (2005) Periodontal disease. Lancet 366:1809–1820
Madianos PN, Bobetsis YA, Kinane DF (2005) Generation of inflammatory stimuli: how bacteria set up inflammatory responses in the gingiva. J Clin Periodontol 32:57–71
Komiya-Ito A, Ishihara K, Tomita S, Kato T, Yamada S (2010) Investigation of subgingival profile of periodontopathic bacteria using polymerase chain reaction. Bull Tokyo Dent Coll 51:139–144
Page RC, Kornman K (1997) The pathogenesis of human periodontitis: an introduction. Periodontol 2000 14:9–11
Hyslop PA, Hinshaw DB, Scraufstatter IU, Cochrane CG, Kunz S, Vosbeck K (2007) Hydrogen peroxide as a potent bacteriostatic antibiotic: implications for host defense. Free Radic Biol Med 19:31–37
Fialkow L, Wang Y, Downey GP (2007) Reactive oxygen and nitrogen species as signaling molecules regulating neutrophil function. Free Radic Biol Med 42:153–164
Halliwell B (1994) Free radicals, antioxidants and human disease: curiosity, cause or consequence. Lancet 344:721–724
Akalın FA, Baltacioğlu E, Alver A, Karabulu E (2007) Lipid peroxidation levels and total oxidant status in serum, saliva and gingival crevicular fluid in patients with chronic periodontitis. J Clin Periodontol 34:558–565
Chapple IL, Brock GR, Milward MR, Ling N, Matthews JB (2007) Compromised GCF total antioxidant capacity in periodontitis: cause or effect? J Clin Periodontol 34:103–110
Tsai CC, Chen HS, Chen SL, Ho YP, Ho KY, Wu YM, Hung CC (2005) Lipid peroxidation: a possible role in the induction and progression of chronic periodontitis. J Periodontal Res 40:378–384
Baltacıoğlu E, Akalın FA, Alver A, Değer O, Karabulut E (2007) Protein carbonyl levels in serum and gingival crevicular fluid in patients with chronic periodontitis. Arch Oral Biol 53:716–722
Sezer U, Ciçek Y, Canakçi CF (2012) Increased salivary levels of 8-hydroxydeoxyguanosine may be a marker for disease activity for periodontitis. Dis Markers 32:165–172
Tomofuji T, Azuma T, Kusano H, Sanbe T, Ekuni D, Tamaki N, Yamamoto T, Watanabe T (2006) Oxidative damage of periodontal tissue in the rat periodontitis model: effects of a high-cholesterol diet. FEBS Lett 580:3601–3604
Canakci CF, Cicek Y, Yildirim A, Sezer U, Canakci V (2009) Increased levels of 8-hydroxydeoxyguanosine and malondialdehyde and its relationship with antioxidant enzymes in saliva of periodontitis patients. Eur J Dent 3:100–106
Ekuni D, Tomofuji T, Tamaki N, Sanbe T, Azuma T, Yamanaka R, Yamamoto T, Watanabe T (2008) Mechanical stimulation of gingiva reduces plasma 8-OHdG level in rat periodontitis. Arch Oral Biol 53:324–329
Ekuni D, Firth JD, Nayer T, Tomofuji T, Sanbe T, Irie K, Yamamoto T, Oka T, Liu Z, Vielkind J, Putnins EE (2009) Lipopolysaccharide-induced epithelial monoamine oxidase mediates alveolar bone loss in a rat chronic wound model. Am J Pathol 175:1398–1409
Lohinai Z, Stachlewitz R, Virág L, Székely AD, Haskó G, Szabó C (2001) Evidence for reactive nitrogen species formation in the gingivomucosal tissue. J Dent Res 80:470–475
Ekuni D, Tomofuji T, Sanbe T, Irie K, Azuma T, Maruyama T, Tamaki N, Murakami J, Kokeguchi S, Yamamoto T (2009) Periodontitis-induced lipid peroxidation in rat descending aorta is involved in the initiation of atherosclerosis. J Periodontal Res 44:434–442
Tomofuji T, Ekuni D, Yamanaka R, Kusano H, Kusano H, Azuma T, Sanbe T, Tamaki N, Yamamoto T, Watanabe T, Miyauchi M, Takata T (2007) Chronic administration of lipopolysaccharide and proteases induces periodontal inflammation and hepatic steatosis in rats. J Periodontol 78:1999–2006
Sobaniec H, Sobaniec-Lotowska ME (2000) Morphological examinations of hard tissues of periodontium and evaluation of selected processes of lipid peroxidation in blood serum of rats in the course of experimental periodontitis. Med Sci Monit 6:875–881
Yamamoto T, Tomofuji T, Tamaki N, Ekuni D, Azuma T, Sanbe T (2010) Effects of topical application of lipopolysaccharide and proteases on hepatic injury induced by high-cholesterol diet in rats. J Periodontal Res 45:129–135
Tomofuji T, Ekuni D, Irie K, Azuma T, Tamaki N, Maruyama T, Yamamoto T, Watanabe T, Morita M (2011) Biomed Res 32:343–349
Herrera BS, Martins-Porto R, Campi P, Holzhausen M, Teixeira SA, Mendes GD, Costa SK, Gyurko R, Van Dyke TE, Spolidório LC, Muscará MN (2011) Local and cardiorenal effects of periodontitis in nitric oxide-deficient hypertensive rats. Arch Oral Biol 56:41–47
Guentsch A, Preshaw PM, Bremer-Streck S, Klinger G, Glockmann E, Sigusch BW (2008) Lipid peroxidation and antioxidant activity in saliva of periodontitis patients: effect of smoking and periodontal treatment. Clin Oral Investig 12:345–352
Grant MM, Brock GR, Matthews JB, Chapple IL (2010) Crevicular fluid glutathione levels in periodontitis and the effect of non-surgical therapy. J Clin Periodontol 37:17–23
Bastos AS, Graves DT, Loureiro AP, Rossa Júnior C, Abdalla DS, Faulin Tdo E, Olsen Câmara N, Andriankaja OM, Orrico SR (2011) Lipid peroxidation is associated with the severity of periodontal disease and local inflammatory markers in patients with type 2 diabetes. J Clin Endocrinol Metab 97:E1353–E1362
Tamaki N, Tomofuji T, Maruyama T, Ekuni D, Yamanaka R, Takeuchi N, Yamamoto T (2008) Relationship between periodontal condition and plasma reactive oxygen metabolites in patients in the maintenance phase of periodontal treatment. J Periodontol 79:2136–2142
Wei D, Zhang XL, Wang YZ, Yang CX, Chen G (2010) Lipid peroxidation levels, total oxidant status and superoxide dismutase in serum, saliva and gingival crevicular fluid in chronic periodontitis patients before and after periodontal therapy. Aust Dent J 55:70–78
D’Aiuto F, Nibali L, Parkar M, Patel K, Suvan J, Donos N (2010) Oxidative stress, systemic inflammation, and severe periodontitis. J Dent Res 89:1241–1246
Masi S, Salpea KD, Li K, Parkar M, Nibali L, Donos N, Patel K, Taddei S, Deanfield JE, D’Aiuto F, Humphries SE (2011) Oxidative stress, chronic inflammation, and telomere length in patients with periodontitis. Free Radic Biol Med 50:730–735
Tamaki N, Tomofuji T, Ekuni D, Yamanaka R, Morita M (2011) Periodontal treatment decreases plasma oxidized LDL level and oxidative stress. Clin Oral Investig 15:953–958
Patel SP, Rao NS, Pradeep AR (2012) Effect of nonsurgical periodontal therapy on crevicular fluid and serum glutathione peroxidase levels. Dis Markers 32:1–7
Esen C, Alkan BA, Kırnap M, Akgül O, Işıkoğlu S, Erel O (2012) The effects of chronic periodontitis and rheumatoid arthritis on serum and gingival crevicular fluid total antioxidant/oxidant status and oxidative stress index. J Periodontol 83:773–779
Konopka T, Król K, Kopeć W, Gerber H (2007) Total antioxidant status and 8-hydroxy-2′-deoxyguanosine levels in gingival and peripheral blood of periodontitis patients. Arch Immunol Ther Exp (Warsz) 55:417–422
Abou Sulaiman AE, Shehadeh RM (2010) Assessment of total antioxidant capacity and the use of vitamin C in the treatment of non-smokers with chronic periodontitis. J Periodontol 81:1547–1554
Žilinskas J, Kubilius R, Žekonis G, Žekonis J (2011) Total antioxidant capacity of venous blood, blood plasma, and serum of patients with periodontitis, and the effect of Traumeel S on these characteristics. Medicina (Kaunas) 47:193–199
Brock GR, Butterworth CJ, Matthews JB, Chapple IL (2004) Local and systemic total antioxidant capacity in periodontitis and health. J Clin Periodontol 31:515–521
Panjamurthy K, Manoharan S, Ramachandran CR (2005) Lipid peroxidation and antioxidant status in patients with periodontitis. Cell Mol Biol Lett 10:255–264
Takane M, Sugano N, Iwasaki H, Iwano Y, Shimizu N, Ito K (2002) New biomarker evidence of oxidative DNA damage in whole saliva from clinically healthy and periodontally diseased individuals. J Periodontol 73:551–554
Ongöz Dede F, Otan Özden F, Avcı B (2013) 8-OHdG levels in gingival crevicular fluid and saliva from patients with chronic periodontitis during initial periodontal treatment. J Periodontol 84:821–828
Chandra RV, Sandhya YP, Nagarajan S, Reddy BH, Naveen A, Murthy KR (2012) Efficacy of lycopene as a locally delivered gel in the treatment of chronic periodontitis: smokers vs nonsmokers. Quintessence Int 43:401–411
Kim SC, Kim OS, Kim OJ, Kim YJ, Chung HJ (2010) Antioxidant profile of whole saliva after scaling and root planing in periodontal disease. J Periodontal Implant Sci 40:164–171
Sonoki K, Nakashima S, Takata Y, Naito T, Fujisawa K, Ootsubo T, Wakisaka M, Iwase M, Iida M, Yokota M (2006) Decreased lipid peroxidation following periodontal therapy in type 2 diabetic patients. J Periodontol 77:1907–1913
Tamaki N, Tomofuji T, Ekuni D, Yamanaka R, Yamamoto T, Morita M (2009) Short-term effects of non-surgical periodontal treatment on plasma level of reactive oxygen metabolites in patients with chronic periodontitis. J Periodontol 80:901–906
Akpinar A, Toker H, Ozdemir H, Bostanci V, Aydin H (2013) The effects of non-surgical periodontal therapy on oxidant and anti-oxidant status in smokers with chronic periodontitis. Arch Oral Biol 58:717–723
Greenstein G (1984) The role of bleeding upon probing in the diagnosis of periodontal disease. A literature review. J Periodontol 55:684–688
Christgau M, Palitzsch KD, Schmalz G, Kreiner U, Frenzel S (1998) Healing response to non-surgical periodontal therapy in patients with diabetes mellitus: clinical, microbiological, and immunologic results. J Clin Periodontol 25:112–124
Matthews JB, Wright HJ, Roberts A, Ling-Mountford N, Cooper PR, Chapple IL (2007) Neutrophil hyper-responsiveness in periodontitis. J Dent Res 86:718–722
McCord JM (2000) The evolution of free radicals and oxidative stress. Am J Med 108:652–659
Rizzo MR, Barbieri M, Marfella R, Paolisso G (2012) Reduction of oxidative stress and inflammation by blunting daily acute glucose fluctuations in patients with type 2 diabetes: role of dipeptidyl peptidase-IV inhibition. Diabetes Care 35:2076–2082
Stadler K (2012) Oxidative stress in diabetes. Adv Exp Med Biol 771:272–287
Sánchez-Valle V, Chávez-Tapia NC, Uribe M, Méndez-Sánchez N (2012) Role of oxidative stress and molecular changes in liver fibrosis: a review. Curr Med Chem 19:4850–4860
Allen EM, Matthews JB, O’Halloran DJ, Griffiths HR, Chapple IL (2011) Oxidative and inflammatory status in type 2 diabetes patients with periodontitis. J Clin Periodontol 38:894–901
Tamaki N, Takaki A, Tomofuji T, Endo Y, Kasuyama K, Ekuni D, Yasunaka T, Yamamoto K, Morita M (2011) Stage of hepatocellular carcinoma is associated with periodontitis. J Clin Periodontol 38:1015–1020
Bullon P, Morillo JM, Ramirez-Tortosa MC, Quiles JL, Newman HN, Battino M (2009) Metabolic syndrome and periodontitis: is oxidative stress a common link? J Dent Res 88:503–518
Acknowledgments
This work was supported by Grants-in-Aid for Scientific Research (24593153) from the Ministry of Education, Culture, Sports, Science and Technology, Tokyo, Japan.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Tomofuji, T., Ekuni, D., Morita, M. (2014). Effects of Periodontal Therapy on Circulating Oxidative Stress. In: Ekuni, D., Battino, M., Tomofuji, T., Putnins, E. (eds) Studies on Periodontal Disease. Oxidative Stress in Applied Basic Research and Clinical Practice. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4614-9557-4_10
Download citation
DOI: https://doi.org/10.1007/978-1-4614-9557-4_10
Published:
Publisher Name: Humana Press, New York, NY
Print ISBN: 978-1-4614-9556-7
Online ISBN: 978-1-4614-9557-4
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)