Issue: Vojnosanit Pregl 2022; Vol.79 (No. 5)

Oxidative/antioxidative effects of colloidal silver ions and chlorhexidine in saliva and gingival fluid of periodontal patients

Authors:
Vladan Kovačević, Dragana Daković, Ivana Stevanović

Download full articele PDF

Background/Aim. Chronic periodontitis is an inflammatory disease. Oxidative stress is an important factor in periodonti-tis progress, hence examining the antioxidative properties of antiseptics, such as chlorhexidine (CHX) and silver ions solution (SSI), is a beneficial biomarker in estimating the recovery of tissue impairment during periodontal disease treatment. Methods. This clinical trial was conducted on the control group referred to healthy volunteers and individuals with periodontal disease, divided into two subgroups: before and after applying antiseptic treatments (CHX or SSI). Measurements of oxidative/antioxidative parameters were addressed to determine thiobarbituric acid products (TBARS) concentration and total superoxide dismutase (tSOD) activity in saliva and gingival crevicular fluid (GCF) of periodontal patients. Results. TBARS concentration was increased in saliva before the CHX treatment compared to the periodontal group after the CHX treatment, as well as before both CHX and SSI antiseptic treatment in CGF, compared to controls and periodontal groups after the treatment. Patients before SSI treatment had increased tSOD activity in saliva compared to the control group treated with SSI, as well as compared to patients after the SSI treatment. Additionally, tSOD activity was increased in GCF in patients with periodontitis before antiseptic treat-ment (CHX, SSI) compared to the control or the group of patients after the appropriate treatment. Conclusion. Our re-sults revealed elevated lipid peroxidation in CGF, which reflected the promotion of oxidative stress during periodontal inflammation. The study suggests that antiseptics with anti-oxidant properties may reduce tissue damage initiated by peri-odontal disease. Moreover, the determination of oxida-tive/antioxidative parameters can be important for diagnosing, monitoring, and prognosis of the clinical state of periodontal patients.