The present study was designed to determine in a cross-sectional study
whether there was any relationship between the levels of lactoferrin
in gingival crevicular fluid and clinical periodontal parameters. Crev
icular fluid was collected from individual sites using standardized fi
lter paper strips (clinically healthy sites, N=23; periodontitis sites
, n=66) and evaluated for lactoferrin by enzyme-linked immunosorbent a
ssay. The data showed that: (1) the total amounts of lactoferrin were
0.003-0.021 ng (30 second sample) (average 0.009+/-0.005 ng) in a clin
ically healthy periodontium group and 0.016-3.847 ng (30 second sample
) (average 0.575+/-0.069 ng) in adult periodontitis patients (statisti
cally significantly higher in adult periodontitis patients); and (2) t
he total amounts of lactoferrin were significantly correlated with cli
nical parameters, especially a strong positive correlation with gingiv
al crevicular fluid volume (r=0.85, p<0.01) and with probing depth (r=
0.71, p<0.01). These results indicated that quantification of lactofer
rin in gingival crevicular fluid may be a more sensitive indicator of
periodontal pathology than traditional clinical indices.