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VOLUME 18 , ISSUE 10 ( October, 2017 ) > List of Articles

RESEARCH ARTICLE

Gingival Crevicular Fluid Turnover Markers in Premenopausal vs Postmenopausal Women receiving Orthodontic Treatment

Anusha Bitra, B Jhansi Rani, Anuj S Parihar, Gopinath P Vynath, Shekhar Grover

Citation Information : Bitra A, Rani BJ, Parihar AS, Vynath GP, Grover S. Gingival Crevicular Fluid Turnover Markers in Premenopausal vs Postmenopausal Women receiving Orthodontic Treatment. J Contemp Dent Pract 2017; 18 (10):933-936.

DOI: 10.5005/jp-journals-10024-2152

Published Online: 01-10-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Orthodontic treatment is one of the commonly used dental treatments. Orthodontic forces act on the bone by modulating the biomolecules, chiefly the osteoprotegerin (OPG), osteopontin (OPN), receptor activator of nuclear factor kappa-B (RANK), and RANK ligand (RANKL) (OPG ligand). Hormonal changes are known to cause marked alteration in the levels of these biomolecules. Hence, we planned this study to evaluate the response of bone biomarkers in the gingival crevicular fluid (GCF) in postmenopausal women undergoing fixed orthodontic therapy.

Materials and methods

This study included assessment of 50 subjects who underwent orthodontic treatment from June 2012 to July 2016. All the patients were divided into two study groups with 25 patients in each group: premenopausal group and postmenopausal group. Similar orthodontic wires were used for controlling the forces applied in subjects of both the study groups and their GCF levels of RANKL, and OPN was assessed at baseline and 24 hours after the activation of orthodontic forces. All the results were compiled, assessed, and analyzed by Statistical Package for the Social Sciences software version 16.0. Chi-square test, Student's t-test, and Mann–Whitney U test were used for the assessment of the level of significance.

Results

The mean values of RANKL and OPN in the premenopausal and postmenopausal groups were found to be 241.52 and 317.15 pg/µL respectively. The mean values of RANKL at baseline in the premenopausal and postmenopausal groups were found to be 7.15 and 3.84 pg/µL respectively. Nonsignificant results were obtained while comparing mean OPN and RANKL level alteration in between the two study groups.

Conclusion

The mean alterations in the GCF levels of bone biomarkers are similar for both premenopausal and postmenopausal women.

Clinical significance

For women with either premenopausal or postmenopausal status, orthodontic treatment appears to be equally safer.

How to cite this article

Bitra A, Rani BJ, Agarkar SS, Parihar AS, Vynath GP, Grover S. Gingival Crevicular Fluid Turnover Markers in Premenopausal vs Postmenopausal Women receiving Orthodontic Treatment. J Contemp Dent Pract 2017;18(10):933-936.


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