Saudi Journal of Oral and Dental Research (SJODR)
Volume-3 | Issue-10 | 295-302
Original Research Article
Correlation of Clinical Attachment Level (CAL) and C - Reactive Protein (CRP) Levels in Smoker and Nonsmoker Patients with Chronic Generalized Periodontitis
Dr. Anuj Singh Parihar, Dr. Sumit Narang
Published : Oct. 30, 2018
Abstract
Periodontal disease, caused mainly by bacteria, is characterized by
inflammation and destruction of the attachment apparatus of the teeth. Periodontitis is a
multi-factorial disease with microbial dental plaque as the initiator of periodontal
disease. Studies indicate that the periodontal lesion is not strictly a localized process but
may lead to systemic alterations in the immune function. The present study intends to
evaluate the correlation of clinical attachment level and C-reactive protein levels in
smoker and non-smoker patients with chronic generalized periodontitis. A total of fifty
patients were included in the study, and they were divided into two group. Group A
consisting of 25 patients who are smokers and they are having chronic generalized
periodontitis, while Group B consist of 25 patients who are nonsmokers and having
chronic generalized periodontitis. In the study clinical parameters we checked were Oral
hygiene index – Simplified (OHI-S), Gingival Index (GI), Probing pocket depth (PPD)
and Clinical Attachment level (CAL). Furthermore, CRP was evaluated as well between
Group-A (Smokers with chronic generalized periodontitis) and Group-B (Nonsmokers
with chronic generalized periodontitis). The results showed higher OHI – S, PPD, CAL
and CRP levels in Group - A (Smokers having chronic generalized periodontitis) than
Group - B (Nonsmokers having chronic generalized periodontitis). GI score was higher
in Group - B as compared to Group - A. Increased levels of clinical attachment level
(CAL) were seen in smokers suffering from chronic periodontitis. Significantly an
increased level of C - reactive protein (CRP) was seen in smokers suffering from
chronic periodontitis. Correlation between Clinical attachment level (CAL) and Creactive protein levels (CRP) was very strongly positive and significant. Suggesting, as
value of CAL increases, CRP also increases.