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Sättlin, Susanna
Publications (3 of 3) Show all publications
Widén, C., Holmer, H., Sättlin, S., Renvert, S., Lernmark, Å. & Persson, R. G. (2020). Periodontal conditions, retinopathy, and serum markers in individuals with type 1 diabetes. Journal of Periodontology, 91(11), 1436-1443
Open this publication in new window or tab >>Periodontal conditions, retinopathy, and serum markers in individuals with type 1 diabetes
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2020 (English)In: Journal of Periodontology, ISSN 0022-3492, E-ISSN 1943-3670, Vol. 91, no 11, p. 1436-1443Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The prevalence of diabetes is high and increasing. Periodontitis has been identified as a risk factor in both type 1 and 2 diabetes. The study purpose was to assess periodontal conditions, retinopathy, and serum glutamic acid decarboxylase antibody (GADA) titers in relation to retinopathy in individuals with Type 1 Diabetes (T1D).

METHODS: The study is a case series. Adult individuals with a diagnosis of T1D (n = 85) monitored ≥five years were recruited from an endocrinology clinic. Peripheral venous blood samples were analyzed including assessments of serum HbA1c levels and GADA titers. Medical and periodontal conditions were examined, and the data assessed. Independent t-tests, binary and multivariate analyses, chi square and odds ratios were employed.

RESULTS: Gingivitis was found in 68.2%, periodontitis in 21.2%, and retinopathy in 64.7%, GADA (≥35 U/ml) in 54.1%, and serum HbA1c > 48 mmol/mol in 94.3% of the individuals. The unadjusted odds ratio for periodontitis to differentiate a diagnosis of retinopathy was 7.3 (95%CI 1.6, 4.4, p <0.01). Multivariate analyses identified the following dependent factors to differentiate retinopathy; age, T1D duration, gingivitis, periodontitis at p < 0.001, gender, and serum GADA at P < 0.01, and by the number of remaining teeth at P < 0.05.

CONCLUSION: Retinopathy as a complication to T1D is linked to the duration of diabetes, age of the individual and with increasing severity to periodontitis. Periodontal intervention studies are warranted. This article is protected by copyright. All rights reserved.

Keywords
Periodontal-systemic disease interactions, diabetes immunology, periodontitis
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-20629 (URN)10.1002/JPER.19-0641 (DOI)32484239 (PubMedID)
Available from: 2020-06-03 Created: 2020-06-03 Last updated: 2021-01-14Bibliographically approved
Widén, C., Erovic Ademovski, S., Karlgren-Andersson, P., Sättlin, S. & Wallin Bengtsson, V. (2017). Hälsoklinik på Tandhygienistprogrammet. Högskolepedagogisk debatt (2), 29-34
Open this publication in new window or tab >>Hälsoklinik på Tandhygienistprogrammet
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2017 (Swedish)In: Högskolepedagogisk debatt, ISSN 2000-9216, no 2, p. 29-34Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Kristianstad: Kristianstad University Press, 2017
National Category
Pedagogy
Identifiers
urn:nbn:se:hkr:diva-17708 (URN)
Available from: 2017-12-18 Created: 2017-12-18 Last updated: 2017-12-18Bibliographically approved
Widén, C., Holmer, H., Coleman, M., Tudor, M., Ohlsson, O., Sättlin, S., . . . Persson, G. R. (2016). Systemic inflammatory impact of periodontitis on acute coronary syndrome. Journal of Clinical Periodontology, 43(9), 713-719
Open this publication in new window or tab >>Systemic inflammatory impact of periodontitis on acute coronary syndrome
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2016 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 43, no 9, p. 713-719Article in journal (Refereed) Published
Abstract [en]

AIM: A causative relationship between acute coronary syndrome (ACS) and periodontitis has yet to be defined. The aim of this study was to assess differences in levels of serum cytokines between individuals with or without ACS or periodontal comorbidity.

MATERIAL AND METHODS: In a case-control study, individuals with ACS (78 individuals, 10.3% females) and matching healthy controls (78 individuals, 28.2% females) were included. Medical and dental examinations were performed to diagnose ACS and periodontitis. Serum levels of cytokines were assessed using Luminex technology.

RESULTS: A diagnosis of periodontitis in the ACS and control group was diagnosed in 52.6% and 12.8% of the individuals, respectively. The unadjusted odds-ratio that individuals with ACS also had periodontitis was 7.5 (95% CI: 3.4, 16.8, p<0.001). Independent of periodontal conditions, individuals with ACS had significantly higher serum levels of IL8 (mean: 44.3 and 40.0 pg/ml) and vascular endothelial growth factor (VEGF) (mean: 82.3 and 55.3 pg/ml) than control individuals. A diagnosis of periodontitis made no difference in serum cytokine expressions.

CONCLUSION: Elevated serum levels of VEGF were associated with ACS. Serum cytokine expression in individuals with ACS is unrelated to periodontal conditions. This article is protected by copyright. All rights reserved.

Keywords
VEGF; cardiovascular disease; cytokines; hs-CRP; human; oral disease; serum
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-15324 (URN)10.1111/jcpe.12540 (DOI)000381034300001 ()26935585 (PubMedID)
Available from: 2016-03-08 Created: 2016-03-08 Last updated: 2017-11-30Bibliographically approved
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