PMID- 33850400 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220422 IS - 0976-237X (Print) IS - 0976-2361 (Electronic) IS - 0976-2361 (Linking) VI - 11 IP - 4 DP - 2020 Oct-Dec TI - Comparative Evaluation of Serum Tumor Necrosis Factor alpha in Health and Chronic Periodontitis: A Case-Control Study. PG - 342-349 LID - 10.4103/ccd.ccd_97_18 [doi] AB - BACKGROUND: Tumor necrosis factor-alpha (TNF-alpha), a " major inflammatory cytokine," not only plays an important role in periodontal destruction but also is extremely toxic to the host. Till date, there are not many studies comparing the levels of TNF-alpha in serum and its relationship to periodontal disease. AIM: Our study aimed to compare the serum TNF-alpha among the two study groups, namely, healthy controls and chronic periodontitis patients and establish a correlation between serum TNF-alpha and various clinical parameters. Hence, an attempt is made to estimate the level of TNF-alpha in serum, its relationship to periodontal disease and to explore the possibility of using the level of TNF-alpha in serum as a biochemical " marker" of periodontal disease. MATERIALS AND METHODS: Forty individuals participated in the study and were grouped into two subgroups. Group A - 20 systemically and periodontally healthy controls. Group B - twenty patients with generalized chronic periodontitis. The serum samples were assayed for TNF-alpha levels by enzyme-linked immunosorbent assay method. RESULTS: The mean serum TNF-alpha cytokines for Group B Generalized chronic periodontitis (GCP) was 2.977 +/- 1.011, and Group A (healthy) was 0.867 +/- 0.865. The range of serum TNF-alpha was from (0.867 to 2.977). Serum TNF-alpha cytokines had highly significant correlation with all clinical parameters (plaque index, probing pocket depth, clinical attachment loss, and gingival index) among all study participants (P = 0.001). CONCLUSION: These observations suggest a positive association between periodontal disease and increased levels of TNF-alpha in serum. It can be concluded that there is a prospect of using the estimation of TNF-alpha in serum as a "marker" of periodontal disease in future. However, it remains a possibility that the absence or low levels of TNF-alpha in serum might indicate a stable lesion and elevated levels might indicate an active site but only longitudinal studies taking into account, the disease "activity" and "inactivity" could suggest the possibility of using TNF-alpha in serum as an "Indicator" of periodontal disease. CI - Copyright: (c) 2020 Contemporary Clinical Dentistry. FAU - Jain, Prince AU - Jain P AD - Consultant Periodontist and Implantologist, Vidisha, India. FAU - Ved, Aditi AU - Ved A AD - Dental Surgeon, Dental Planet Clinic, Vidisha, India. FAU - Dubey, Rajat AU - Dubey R AD - Department of Dentistry, Government Hospital, Ratlam, India. FAU - Singh, Neha AU - Singh N AD - Consultant Periodontist, Bhopal, India. FAU - Parihar, Anuj Singh AU - Parihar AS AD - People's Dental Academy, Bhopal Madhya Pradesh, India. FAU - Maytreyee, Rochira AU - Maytreyee R AD - Dental Surgeon, Apollo Hospital, New Delhi, India. LA - eng PT - Journal Article DEP - 20201220 PL - India TA - Contemp Clin Dent JT - Contemporary clinical dentistry JID - 101552967 PMC - PMC8035841 OTO - NOTNLM OT - Generalized chronic periodontitis OT - Inflammation OT - Tumor necrosis factor alpha COIS- There are no conflicts of interest. EDAT- 2021/04/15 06:00 MHDA- 2021/04/15 06:01 PMCR- 2020/10/01 CRDT- 2021/04/14 06:31 PHST- 2018/02/16 00:00 [received] PHST- 2020/04/08 00:00 [accepted] PHST- 2021/04/14 06:31 [entrez] PHST- 2021/04/15 06:00 [pubmed] PHST- 2021/04/15 06:01 [medline] PHST- 2020/10/01 00:00 [pmc-release] AID - CCD-11-342 [pii] AID - 10.4103/ccd.ccd_97_18 [doi] PST - ppublish SO - Contemp Clin Dent. 2020 Oct-Dec;11(4):342-349. doi: 10.4103/ccd.ccd_97_18. Epub 2020 Dec 20.