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Saliva has been discussed as an important biological material for
the purpose of introducing new diagnostic tests. The important
enzymes associated with cell injury and cell death are aspartate
and alanine aminotransferase (AST, ALT), lactate dehydrogenase
(LDH), and alkaline phosphatase (ALP). Changes in the activity of
these enzymes reflect metabolic changes in the gingiva and
periodontium in inflammation. In the present study, there was a
significant difference in the levels of salivary enzymes in
patients of either group and a significant decrease in these levels
was found after nonsurgical therapy in the study group. This
implies that the detection of these enzymes may be a reliable
predictor of periodontal tissue destruction and a measure of the
response to nonsurgical periodontal therapy.
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