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Unveiling the Link between Prostatitis and Periodontitis.

Ramanarayana Boyapati1, Chakrapani Swarna1, Narasimhaswamy Devulapalli1

  • 1Department of Periodontics, Sibar Institute of Dental Sciences, Guntur, Andhra Pradesh, India.

Contemporary Clinical Dentistry
|November 28, 2019
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Summary

This study found a link between prostate-specific antigen (PSA) levels and periodontal disease severity. Higher PSA levels correlate with moderate-to-severe periodontitis and prostatitis, suggesting a pathological connection.

Keywords:
Periodontitisprostate carcinomaprostate-specific antigen levelsprostatitis

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Area of Science:

  • Urology
  • Periodontology
  • Biomarkers

Background:

  • Prostate-specific antigen (PSA) is a key marker for prostatic diseases.
  • Elevated PSA levels (≥4 ng/ml) often indicate prostate inflammation or malignancy.
  • This study investigates the relationship between periodontitis severity and prostatitis via PSA levels.

Purpose of the Study:

  • To analyze the interlink between periodontitis severity and prostatitis.
  • To assess prostate-specific antigen (PSA) levels in relation to periodontal clinical parameters.

Main Methods:

  • 100 chronic prostatitis patients with periodontal disease were grouped based on prostatitis severity and clinical attachment level (CAL).
  • Periodontal parameters including CAL, probing pocket depth (PD), bleeding on probing, plaque index (PI), and gingival index (GI) were recorded.
  • PSA levels were measured and correlated with periodontal parameters.

Main Results:

  • A significant positive correlation was observed between PSA and CAL scores (r=0.5549, P<0.05) and PSA and PD scores (r=0.5315, P<0.05).
  • PSA also showed a positive correlation with PI (r=0.3231, P<0.05) and GI (r=0.3567, P<0.05).
  • These findings indicate mutual dependence between PSA levels and periodontal health indicators.

Conclusions:

  • Patients with moderate-to-severe prostatitis and periodontitis exhibited higher PSA levels.
  • Periodontal parameters were significantly worse in patients with moderate-to-severe prostatitis.
  • A pathological link is suggested between periodontitis and prostatitis.