Assessment of some salivary biochemical parameters in cigarette smokers with chronic periodontitis

Background: Cigarette smoking is an important risk factor that has a clear strong association with the prevalence and severity of chronic periodontitis (CP). Salivary biochemical parameters may be affected by both smoking and CP together. Materials and methods: Eighty systematically healthy male patients were included in this study. They were grouped based on their periodontal and smoking status. Unstimulated whole saliva (UWS) was collected from all subject. Salivary flow rate (FR) was measured during sample collection. Parameters such as salivary pH, total protein (TP), albumin (Alb), total fucose (TF), protein bound fucose (PBF) and C-reactive protein (CRP) were estimated. Results: Salivary flow rate was not altered regarding to smoking status or periodontal health status. Salivary pH was lower in smokers comparing to non- smokers, while salivary pH was not affected by periodontal health status. TF, TP and Alb were higher in CP and PBF was lower in CP comparing to healthy control, while these parameters concentrations did not affect by smoking status except for Alb (smokers with CP had lower Alb concentration comparing to non-smokers with CP). CRP was higher in smokers comparing to non- smokers, while its value was not affected by periodontal health status. Both smoking and chronic periodontitis together affect some salivary biochemical parameters, thus the concentrations of these parameters could be used as indicators for periodontal disease progression and severity in smoker with CP. Both smoking and periodontal health status together should be taken in consideration when salivary composition is studied