Journal of Indian Society of Periodontology

ORIGINAL ARTICLE
Year
: 2013  |  Volume : 17  |  Issue : 3  |  Page : 324--329

Effect of surgical and non-surgical periodontal debridement on vascular thrombotic markers in hypertensives


Muhammad M Al Bush1, Khattab K Razan2, Al Dieri M Raed3 
1 Department of Human Resources Rehabilitation and Training, Police Medical Services Administration, Damascus, Syria
2 Department of Periodontology, University of Damascus, Damascus, Syria
3 Department of Haemostasis and Thrombosis, Cardiovascular Research Institute Maastricht Institute, Maastricht University, Maastricht, The Netherlands

Correspondence Address:
Muhammad M Al Bush
Department of Rehabilitation, Police Medical Services Administration, P. O. Box 6146, Damascus
Syria

Background: Periodontal debridement has an impact on the vascular thrombotic markers in healthy individuals. This study aimed to investigate changes in several vascular thrombotic markers after surgical and non-surgical periodontal debridement in hypertensives with periodontitis. Materials and Methods: 40 hypertensives, 27 males and 13 females, 37-68 year old, mean 51.2 years, with moderate to severe periodontitis, were divided into two groups, (n = 20 for each); the first received comprehensive one session non-surgical periodontal debridement, (pockets 4-6 mm), while the second received comprehensive supragingival scaling with surgical debridement at one quadrant, (Pockets > 6 mm). Periodontal parameters included; plaque index (PI), gingival inflammation (GI), bleeding on probing (BOP), pocket probing depth (PPD). Vascular thrombotic tests included; platelets count (Plt), fibrinogen (Fib), Von Willebrand factor antigen activity (vWF:Ag), and D-dimers (DD). Results: PI, GI, BOP, PPD, decreased significantly (P = 0.001) after 6 weeks of periodontal debridement in both groups, while BOP and PPD remained higher in the surgical one (P < 0.05). Thrombotic vascular markers changes through the three-time intervals were significant in each group (P = 0.001), and time-group interception effect was significant for vWF:Ag (P = 0.005), while no significant differences between groups after treatment (P > 0.05). Conclusion: Periodontal debridement, surgical and non-surgical, improved the periodontal status in hypertensives. Periodontal treatment activated the coagulation system in hypertensives and recessed later while the treatment modality did not affect the degree of activation.


How to cite this article:
Al Bush MM, Razan KK, Raed AM. Effect of surgical and non-surgical periodontal debridement on vascular thrombotic markers in hypertensives.J Indian Soc Periodontol 2013;17:324-329


How to cite this URL:
Al Bush MM, Razan KK, Raed AM. Effect of surgical and non-surgical periodontal debridement on vascular thrombotic markers in hypertensives. J Indian Soc Periodontol [serial online] 2013 [cited 2021 May 17 ];17:324-329
Available from: https://www.jisponline.com/article.asp?issn=0972-124X;year=2013;volume=17;issue=3;spage=324;epage=329;aulast=Al;type=0