Inflammatory parameters in gingival crevicular fluid and saliva of patients with celiac disease: a comparative analysis


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SABANCI A., KIRMIZIGÜL Ö. A., ÖZGEN N., Sabancı H. İ., Koç A., Dişli F., ...More

Clinical Oral Investigations, vol.29, no.11, 2025 (SCI-Expanded, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 11
  • Publication Date: 2025
  • Doi Number: 10.1007/s00784-025-06622-9
  • Journal Name: Clinical Oral Investigations
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE, MEDLINE
  • Keywords: Calcium, Caspase 1, Celiac disease, Gingival inflammation, Tumor necrosis factor-alpha
  • Inonu University Affiliated: Yes

Abstract

Objective: Celiac disease (CD) is an immune-mediated chronic enteropathy that causes chronic inflammation and has been found to cause oral health problems. The aim of this study was to compare the levels of the inflammatory markers calcium (Ca), caspase-1 and tumor necrosis factor-alpha (TNF-α) in the gingival crevicular fluid (GCF) and saliva of patients with and without celiac disease. Methods: A total of 60 participants were divided into two groups: patients with celiac disease on a gluten diet (C) (n = 30) and systemically healthy controls (H) (n = 30). Full-mouth periodontal measurements, including the gingival index (GI), plaque index (PI), bleeding on probing (BOP), and probing depth (PD), were recorded for all participants. Saliva and GCF samples were collected for analysis of the levels of TNF-α, Ca, and caspase-1 via enzyme-linked immunosorbent assay (ELISA). Results: Salivary and GCF Ca, caspase-1, and TNF-α levels were not different between the two groups (p > 0.05). Conclusions: Oral inflammatory profiles of celiac disease patients on a gluten-free diet show similarities with systemically healthy individuals.