Effects of non-surgical periodontal therapy on inflammatory markers of psoriasis: A randomized controlled trial

J Clin Periodontol. 2020 Feb;47(2):193-201. doi: 10.1111/jcpe.13205. Epub 2019 Nov 26.

Abstract

Aim: The purpose of this randomized controlled clinical study was to evaluate the effect of non-surgical mechanical periodontal therapy on the inflammatory status and severity of psoriasis in subjects with psoriasis.

Material and methods: The study population consisted of 92 periodontitis patients with psoriasis vulgaris suffering from an untreated periodontal disease. Two randomized groups were formed from these patients: immediate periodontal therapy (test group, n = 46) and delayed periodontal therapy (control group, n = 46). Periodontal clinical measures, on salivary interleukin 2, interleukin 6 and secretory immunoglobulin A levels and the Psoriasis Area and Severity Index (PASI) scores were evaluated at baseline and on the 8th week in control and test groups.

Results: Eight weeks after completion of non-surgical periodontal therapy (test group) or initial examination (control group), a significant decrease was observed in interleukin 2, interleukin 6 level and in PASI score, whereas a significant increase was observed in secretory immunoglobulin A levels in the test group (p < .05).

Conclusion: Within the limits of this study, the results suggest that effective periodontal therapy improves the psoriasis condition in patients afflicted by both diseases.

Keywords: immunoglobulin A; interleukin-2; interleukin-6; periodontal diseases; psoriasis vulgaris.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Biomarkers
  • Double-Blind Method
  • Humans
  • Interleukin-6
  • Periodontitis*
  • Psoriasis / complications*
  • Psoriasis / therapy*
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Biomarkers
  • Interleukin-6