POTENTIAL ROLE OF OSTEOCALCIN AND OSTEOPROTEGRIN IN DETERMINING THE CONNECTION BETWEEN RHEUMATOID ARTHRITIS AND PERIODONTITIS: PERSPECTIVE CASE STUDY FROM LOCAL POPULATION OF PUNJAB, PAKISTAN
DOI:
https://doi.org/10.33279/jkcd.v10i01.298Keywords:
Osteocalcin, Osteoprotegerin, Rheumatoid Arthritis, PeriodontitisAbstract
Objective: The aim of this study was to determine the association between Rheumatoid Arthritis and Periodontitis with the help of biomarkers Osteocalcin and Osteoprotegerin.
Materials and Methods: One hundred and twenty subjects were enrolled using consecutive nonprobability sampling for four groups, i.e., controls, clinically diagnosed cases of Rheumatoid Arthritis and Periodontitis, and both after informed consent (attached in the end). Serum Osteocalcin and Osteoprotegerin were measured along with Anti-CCP antibodies and clinical measures of severity of Periodontitis with the help of bleeding on probing (BOP), clinical attachment loss (CAL) and periodontal pocket depth (PPD). ANOVA and post hoc analysis were used to determine the difference of mean in different groups using SPSS 21.
Results: Mean Osteocalcin and Osteoprotegerin were equally distributed among all four groups, although showing trends of increase and decrease in mean plots, respectively (using ANOVA, p value= 0.711, 0.15, respectively). Anti-CCP antibodies, mean CAL, mean BOP, mean PPD, and age were significantly different in four groups (p-value < 0.05 for all). Gender and RA factor were homogenous in all groups (p-value > 0.05 for both), i.e., there was the same number of males and females in each group, and the Rheumatoid factor was equally distributed in patients of all four groups. This proves the fact that the RA factor is just a sensitive test and not a specific test for the diagnosis of Rheumatoid Arthritis.
Conclusion: It is concluded that at the current sample size of 120 subjects, i.e., 30 controls and 30 patients each in with either Rheumatoid Arthritis or Periodontitis or both, there is no difference in mean Osteocalcin and Osteoprotegerin levels.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Marryam Riaz, Zartashia Arooj, Muhammad Sumair Farooq, Sohaib Shujaat, Ayesha Fahim, Varda Jalil

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.




