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Objectives This study aimed to evaluate the association between salivary 8-hydroxydeoxyguanosine (8- OHdG) and periodontitis among community-dwelling Korean adults. Methods A total of 211 adults (80 men and 131 women) were cross-sectionally surveyed from the Sunchang Longevity Cohort. Periodontitis was defined as having at least 30% of teeth with proximal attachment loss ≥5 mm. The salivary 8- OHdG level was categorized into tertiles: low (<0.916 ng/ml), medium (0.916 to <2.675 ng/ml) and high (≥2.675 ng/ml). Sociodemographic, habitual and systemic health-related factors were controlled for. Logistic regression analysis was performed for the outcome of severe periodontitis. Analysis of covariance in general linear model was performed for the outcome of 8- OHdG. Results The high 8- OHdG level showed a significant association with periodontitis. The odds ratio (95% confidence interval) was 2.40 (1.05-5.51), and it was highlighted by adding the interaction term with drinking and smoking. The adjusted mean log-transformed value of 8- OHdG was significantly higher in the severe periodontitis group (1.40 ng/ml) than in the control group (1.02 ng/ml) ( ancova, P = 0.028). Conclusions 8- OHdG was associated with periodontitis. Thus, salivary 8- OHdG could be a useful marker for periodontitis. [ABSTRACT FROM AUTHOR]

Objectives To investigate the association between periodontitis and cognitive impairment in elderly Koreans. Design Cross-sectional study with age- and sex-matched case-control selection. Setting The Yangpyeong cardiovascular cohort ( YCC), a part of the Korean Genome Epidemiologic Study (Ko GES), Yangpyeong, South Korea. Participants Individuals with cognitive impairment (n = 65) and cognitively normal controls (n = 124) aged 60 and older from the YCC. Measurements Alveolar bone loss was assessed on dental panoramic radiographs to categorize the cumulative history of periodontitis ( HOP) into three groups: normal, moderate periodontitis, severe periodontitis. The Mini-Mental State Examination ( MMSE) was used to categorize participants as cognitively normal or cognitively impaired. Age- and sex-matched conditional logistic regression models were used for analysis. Confounders considered in the analysis were age, sex, drinking, smoking, exercise, total cholesterol, total protein, body mass index, fasting plasma glucose, intima-media thickness, hypertension medication, and depression. Results Participants with HOP were more likely to have cognitive impairment than those without (odds ratio = 2.14, 95% confidence interval = 1.04-4.41). The interaction effect of smoking and exercise on periodontitis highlighted the link. Conclusion Periodontitis was independently associated with cognitive impairment after controlling for various confounders. Further longitudinal research is needed to determine whether periodontitis plays a role in cognitive decline in older adults. [ABSTRACT FROM AUTHOR]

Background Metabolic syndrome (MetS) may be associated with periodontitis. This study aimed to investigate whether the existence of periodontitis and MetS is cross-sectionally associated with matrix metalloproteinase ( MMP) in gingival crevicular fluid ( GCF) among community Koreans. Materials and Methods Medical and periodontal parameters were evaluated by physicians and dentists in 314 subjects (199 healthy, 58 only periodontitis, 34 only MetS and 23 both). The community periodontal index was used to assess periodontitis. MMP-8, 9, 13 were determined by enzyme-linked immunosorbent assay. Age, gender, monthly household income, smoking and drinking were interviewed as confounders. Analysis of covariance ( ANCOVA) was applied. Gender-stratified analyses were applied. Results After controlling for various confounders, MMP-8, MMP-9 and MMP-13 in GCF were significantly associated with periodontitis in both genders and MMP-9, MMP-13 were associated with MetS in women. MMP-8, MMP-9 and MMP-13 showed association with periodontitis-MetS coexistence non-synergistically in both genders. MMP-9 was synergistically associated with periodontitis-MetS coexistence in women. Conclusion Our results suggest that MMP-8, MMP-9, MMP-13 in GCF were independently related to coexistence of periodontitis and MetS. MMP-9 and MMP-13 could be an appropriate common indicator of periodontitis and MetS in women. Further studies might guarantee that MMPs in GCF could screen periodontitis and MetS. [ABSTRACT FROM AUTHOR]