Abstract
The inflammatory response, which has both genetic and environmental components, is a central mechanism linking oral and systemic diseases. We hypothesized that dental plaque accumulation over 21 days in the experimental gingivitis model would elicit systemic inflammatory responses [change in white blood cell (WBC) count and neutrophil activity], and that these responses would differ by gender/race. We recruited 156 healthy young adults, including black and white males and females. Plaque Index (PI), Gingival Index (GI), systemic WBC counts, and peripheral neutrophil oxidative activity were recorded. Overall, 128 participants completed the study. During the experimental phase, the correlation between PI and GI was 0.79. Total WBC and neutrophil counts did not change. Neutrophil activity increased in blacks but not whites, suggesting that there may be racial differences in the inflammatory response to dental plaque accumulation.
| Albert MA -2007-. Inflammatory biomarkers, race/ethnicity and cardiovascular disease. Nutr Rev 65-12 Pt 2-:234–238. Google Scholar, Crossref | |
| Beck JD, Offenbacher S -2005-. Systemic effects of periodontitis: epidemiology of periodontal disease and cardiovascular disease. J Periodontol 76 -11 Suppl-:2089S–2100S. Google Scholar, Crossref, Medline | |
| Cooper GS, Stroehla BC -2003-. The epidemiology of autoimmune diseases. Autoimmun Rev 2:119–125. Google Scholar, Crossref, Medline | |
| Deinzer R, Weik U, Kolb-Bachofen V, Herforth A -2007-. Comparison of experimental gingivitis with persistent gingivitis: differences in clinical parameters and cytokine concentrations. J Periodontal Res 42: 318–324. Google Scholar, Crossref, Medline | |
| Di Filippo C, Rossi F, D’Amico M -2007-. Targeting polymorphonuclear leukocytes in acute myocardial infarction. ScientificWorld Journal 7:121–134. Google Scholar | |
| Hansen PR -1995-. Role of neutrophils in myocardial ischemia and reperfusion. Circulation 91:1872–1885. Google Scholar, Crossref, Medline, ISI | |
| Hill HR, Warwick WJ, Dettloff J, Quie PG -1974-. Neutrophil granulocyte function in patients with pulmonary infection. J Pediatr 84:55–58. Google Scholar, Crossref, Medline | |
| Holm-Pedersen P, Löe H -1967-.Flow of gingival exudate as related to menstruation and pregnancy. J Periodontal Res 2:13–20. Google Scholar, Medline | |
| Kowolik MJ, Dowsett SA, Rodriguez J, De La Rosa RM, Eckert GJ -2001-. Systemic neutrophil response resulting from dental plaque accumulation. J Periodontol 72:146–151. Google Scholar, Crossref, Medline | |
| Lentsch AB, Ward PA -2000-. Regulation of inflammatory vascular damage. J Pathol 190:343–348. Google Scholar, Crossref, Medline | |
| Lin D, Moss K, Beck JD, Hefti A, Offenbacher S -2007-. Persistently high levels of periodontal pathogens associated with preterm pregnancy outcome. J Periodontol 78:833–841. Google Scholar, Crossref, Medline | |
| Löe H, Silness J -1963-. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 21:533–551. Google Scholar, Crossref, Medline | |
| Löe H, Theilade E, Jensen SB -1965-. Experimental gingivitis in man. J Periodontol 36:177–187. Google Scholar, Crossref, Medline, ISI | |
| Loos BG, Craandijk J, Hoek FL, Wertheimvan Dillen PM, van der Velden U -2000-. Elevation of systemic markers related to cardiovascular diseases in the peripheral blood of periodontitis patients. J Periodontol 71:1528–1534. Google Scholar, Crossref, Medline, ISI | |
| Matthews JB, Wright HJ, Roberts A, Cooper PR, Chapple IL -2007-. Hyperactivity and reactivity of peripheral blood neutrophils in chronic periodontitis. Clin Exp Immunol 147:255–264. Google Scholar, Medline, ISI | |
| Preshaw PM, Knutsen MA, Mariotti A -2001-. Experimental gingivitis in women using oral contraceptives. J Dent Res 80:2011–2015. Google Scholar, SAGE Journals | |
| Roberts GJ -1999-. Dentists are innocent! “Everyday” bacteremia is the real culprit: a review and assessment of the evidence that dental surgical procedures are a principal cause of bacterial endocarditis in children. Pediatr Cardiol 20:317–325. Google Scholar, Crossref, Medline | |
| Sabroe I, Prince LR, Jones EC, Horsburgh MJ, Foster SJ, Vogel SN, et al. -2003-. Selective roles for Toll-like receptor -TLR-2 and TLR4 in the regulation of neutrophil activation and life span. J Immunol 170: 5268–5275. Google Scholar, Crossref, Medline | |
| Siddiqi M, Garcia ZC, Stein DS, Denny TN, Spolarics Z -2001-. Relationship between oxidative burst activity and CD11b expression in neutrophils and monocytes from healthy individuals: effects of race and gender. Cytometry 46:243–246. Google Scholar, Crossref, Medline | |
| Silness J, Löe H -1964-. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 22:121–135. Google Scholar, Crossref, Medline | |
| Wittkowski H, Sturrock A, van Zoelen MA, Viemann D, van der Poll T, Hoidal JR, et al. -2007-. Neutrophil-derived S100A12 in acute lung injury and respiratory distress syndrome. Crit Care Med 35: 1369–1375. Google Scholar, Crossref, Medline |

