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Natural Sciences, Stomotology, 2026

ASSESSMENT OF SALIVARY NEUTROPHIL ELASTASE LEVELS IN WOMEN WITH PCOS AND PERIODONTITIS

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Submitted: 2026-04-10
CC BY-NC 4.0 This work is licensed under Creative Commons Attribution–NonCommercial International License (CC BY-NC 4.0).

Abstract

Background: One well-known hormonal disease, polycystic ovarian syndrome (PCOS), is linked to an elevated risk
of periodontal inflammation. Whether or not (PCOS) is present, periodontitis, a chronic inflammatory illness of the
gums.
Aim of study: Comparing salivary levels of neutrophil elastatse (NE) in healthy controls and patients with
polycystic ovarian syndrome who have periodontitis is the primary goal of this investigation.
Methodology: From January to July, 2022, the study was conducted. There were 85 participants in the current
study, ranging in age from (20-40) years. The participants in this study were divided into four groups: those without
periodontitis (n=10), those with periodontitis and (PCOS) (n=25), and those with both conditions (n=25).
Results: Periodontitis group had the highest median plaque index (PI), followed by mixed group, PCOS group, and
finally groupings (p< 0.001). Compared to the periodontitis and combination groups, the control and PCOS groups
exhibited considerably decreased bleeding on probing median level (p<0.001). However, compared to the
periodontitis and mixed groups, the PCOS group had a much lower level (p<0.001). In contrast to combined group,
the periodontitis group had a considerably lower median level of PPD (p<0.001). The median levels of NE were
found to be dropping in the following order: periodontitis, control, mixed, and PCOS groups, according to Intragroup comparison.
Conclusion: Those with polycystic ovary syndrome (PCOS) are more likely to experience periodontal inflammation
and tissue damage than those without PCOS. Reducing neutrophil elastase production is one mechanism by which
anti-inflammatory drugs may alleviate periodontal inflammation

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