Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 194–200
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ASSESSMENT OF SALIVARY NEUTROPHIL ELASTASE LEVELS IN WOMEN WITH PCOS AND PERIODONTITIS

Received: 2026-04-10 · Published: 2025-12-07

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Originally published in Bulletin of Stomatology and Maxillofacial Surgery, 2025.

Original title
ASSESSMENT OF SALIVARY NEUTROPHIL ELASTASE LEVELS IN WOMEN WITH PCOS AND PERIODONTITIS
Author
Asmaa Mohammed Muhna
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-12-07
Licence
Creative Commons Attribution-NonCommercial 4.0 International

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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