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It remains unclear whether serum antibody titer against  Porphyromonas gingivalis  ( Pg ) and inflammatory components lead to periodontal deterioration in each gender, as periodontal and systemic status is influenced by gender. The present study investigates the gender-specific probable effects of titer against  Pg  and inflammatory markers on periodontal health status in a longitudinal study. A retrospective study design was used. At two time points over an 8-year period (in 2003 and 2011), 411 individuals (295 males with a mean age of 57.6 ± 11.2 years and 116 females with a mean age of 59.2 ± 10.3 years) were surveyed. Periodontal status, serum antibody titer against  Pg , and high-sensitive C-reactive protein (hsCRP) were evaluated. Poisson regression analyses revealed that the elevated titer against  Pg  and hsCRP significantly predicted the persistence of periodontal disease 8 years later in females with periodontal disease in 2003. Elevated hsCRP was significantly associated with the incidence of periodontal disease 8 years later in females who were periodontally healthy in 2003. Males had a weaker association among titer against  Pg , inflammatory markers, and periodontal disease. These findings suggest that immune response to  Pg  infection in addition to inflammatory components affects periodontal deterioration in females.

Gender-Specific Associations of Serum Antibody toPorphyromonas gingivalisand Inflammatory Markers