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Java project on periodontal diseases: periodontal bone loss in relation to environmental and systemic conditions

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Abstract
Objective : To assess in a population deprived from regular dental care the relationship between alveolar bone loss (ABL) and environmental/systemic conditions. Material & Methods : The study population consisted of subjects from the Purbasari tea estate on West Java, Indonesia. A full set of dental radiographs was obtained of each subject and amount of ABL was assessed. In addition, the following parameters were evaluated: plasma vitamin C, vitamin D-3, HbA1c and CRP, the haptoglobin phenotype, presence of putative periodontopathic bacteria and viruses, dietary habits, smoking and anthropometrics. Results : In this population 45% showed vitamin C depletion/deficiency, 82% had vitamin D-3 insufficiency/deficiency, 70% were in a pre-diabetic state, 6% had untreated diabetes, 21% had elevated CRP values ranging from 3.1 to 16.1mg/l. Results of the regression analysis, including all above mentioned parameters, showed four significant predictors, explaining 19.8% of the variance of ABL. Number of Porphyromonas gingivalis cells and CRP values showed a positive relationship with ABL, whereas BMI and number of guava fruit servings were negatively related. Conclusion : Results confirm previous findings that elevated levels of P.gingivalis may be indicative for periodontitis progression. A new finding is that guava fruit consumption may play a protective role in periodontitis in a malnourished population.
Keywords
haptoglobin, BMI, HbA1c, METAANALYSIS, ASSOCIATION, HAPTOGLOBIN, RISK, DIETARY VITAMIN-C, INDONESIAN ADOLESCENTS, SERUM CONCENTRATIONS, GLYCEMIC INDEX, periodontitis, periodontal pathogens, bone loss, CRP, PLASMA, INFLAMMATION, untreated disease, viruses, vitamin C, vitamin D

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Chicago
Amaliya, A, Marja L Laine, Joris Delanghe, Bruno G Loos, Arjen J Van Wijk, and Ubele Van der Velden. 2015. “Java Project on Periodontal Diseases: Periodontal Bone Loss in Relation to Environmental and Systemic Conditions.” Journal of Clinical Periodontology 42 (4): 325–332.
APA
Amaliya, A., Laine, M. L., Delanghe, J., Loos, B. G., Van Wijk, A. J., & Van der Velden, U. (2015). Java project on periodontal diseases: periodontal bone loss in relation to environmental and systemic conditions. JOURNAL OF CLINICAL PERIODONTOLOGY, 42(4), 325–332.
Vancouver
1.
Amaliya A, Laine ML, Delanghe J, Loos BG, Van Wijk AJ, Van der Velden U. Java project on periodontal diseases: periodontal bone loss in relation to environmental and systemic conditions. JOURNAL OF CLINICAL PERIODONTOLOGY. 2015;42(4):325–32.
MLA
Amaliya, A, Marja L Laine, Joris Delanghe, et al. “Java Project on Periodontal Diseases: Periodontal Bone Loss in Relation to Environmental and Systemic Conditions.” JOURNAL OF CLINICAL PERIODONTOLOGY 42.4 (2015): 325–332. Print.
@article{6836337,
  abstract     = {Objective : To assess in a population deprived from regular dental care the relationship between alveolar bone loss (ABL) and environmental/systemic conditions. 
Material \& Methods : The study population consisted of subjects from the Purbasari tea estate on West Java, Indonesia. A full set of dental radiographs was obtained of each subject and amount of ABL was assessed. In addition, the following parameters were evaluated: plasma vitamin C, vitamin D-3, HbA1c and CRP, the haptoglobin phenotype, presence of putative periodontopathic bacteria and viruses, dietary habits, smoking and anthropometrics. 
Results : In this population 45\% showed vitamin C depletion/deficiency, 82\% had vitamin D-3 insufficiency/deficiency, 70\% were in a pre-diabetic state, 6\% had untreated diabetes, 21\% had elevated CRP values ranging from 3.1 to 16.1mg/l. Results of the regression analysis, including all above mentioned parameters, showed four significant predictors, explaining 19.8\% of the variance of ABL. Number of Porphyromonas gingivalis cells and CRP values showed a positive relationship with ABL, whereas BMI and number of guava fruit servings were negatively related. 
Conclusion : Results confirm previous findings that elevated levels of P.gingivalis may be indicative for periodontitis progression. A new finding is that guava fruit consumption may play a protective role in periodontitis in a malnourished population.},
  author       = {Amaliya, A and Laine, Marja L and Delanghe, Joris and Loos, Bruno G and Van Wijk, Arjen J and Van der Velden, Ubele},
  issn         = {0303-6979},
  journal      = {JOURNAL OF CLINICAL PERIODONTOLOGY},
  keyword      = {haptoglobin,BMI,HbA1c,METAANALYSIS,ASSOCIATION,HAPTOGLOBIN,RISK,DIETARY VITAMIN-C,INDONESIAN ADOLESCENTS,SERUM CONCENTRATIONS,GLYCEMIC INDEX,periodontitis,periodontal pathogens,bone loss,CRP,PLASMA,INFLAMMATION,untreated disease,viruses,vitamin C,vitamin D},
  language     = {eng},
  number       = {4},
  pages        = {325--332},
  title        = {Java project on periodontal diseases: periodontal bone loss in relation to environmental and systemic conditions},
  url          = {http://dx.doi.org/10.1111/jcpe.12381},
  volume       = {42},
  year         = {2015},
}

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