Periodontal status and serum biomarker levels in HFE haemochromatosis patients. A case-series study

Vincent Meuric (1) , Fabrice Lainé (2) , Emile Boyer (1) , Sandrine Le Gall-David (3) , Emmanuel Oger (2) , Denis Bourgeois (2) , Philippe Bouchard (4) , Edouard Bardou-Jacquet (3) , Valérie Turmel (2) , Martine Bonnaure-Mallet (1) , Yves Deugnier (2)

1 Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Ponchaillou]
2 CIC - Centre d'Investigation Clinique [Rennes]
3 NuMeCan - Nutrition, Métabolismes et Cancer
4 EA 2496 - Pathologies, Imagerie et Biothérapies oro-faciales

Aim: To investigate the association between periodontal status and serum biomarkers in patients with HFE haemochromatosis.Material and Methods: This clinical case series included 84 HFE-C282Y homozygous patients. Periodontal evaluation was performed using clinical attachment level, probing depth, gingival bleeding index, visible plaque index and gingival index. Serum markers of iron metabolism were collected from medical records. The relationship between serum biomarkers of iron burden and the severity of periodontitis was investigated.Results: The study population consisted of 47 men and 37 women, routinely treated in the Unit of Hepatology, University Hospital, Rennes. All patients presented with periodontitis (mild: n = 1, moderate: n = 37 and severe: n = 46). There was a positive association between transferrin saturation >45% and the severity of periodontitis (adjusted odds ratio = 5.49, p =.002).Conclusion: Severe periodontitis is associated with the severity of iron burden in patients with HFE-related hereditary haemochromatosis. Dental examination should be included in the initial assessment of all these patients. © 2017 John Wiley and Sons A/S. Published by John Wiley and Sons Ltd

Mots clés: periodontitis; iron burden; haemochromatosis; transferrin saturation

Domaines: Endocrinologie et métabolisme

Vincent Meuric, Fabrice Lainé, Emile Boyer, Sandrine Le Gall-David, Emmanuel Oger, et al.. Periodontal status and serum biomarker levels in HFE haemochromatosis patients. A case-series study. Journal of Clinical Periodontology, 2017, 44 (9), pp.892-897. ⟨10.1111/jcpe.12760⟩. ⟨hal-01614700⟩