Association of NLRP3 (rs4612666) polymorphism in gingival crevicular fluid with symptomatic irreversible pulpitis and asymptomatic apical periodontitis

Objectives: This study investigated the association between the NLRP3 rs4612666 single-nucleotide polymorphism (SNP) and the clinical presentation of symptomatic irreversible pulpitis (SIP) and asymptomatic apical periodontitis (AAP) using gingival crevicular fluid (GCF) samples from a North Indian population. Methods: In this observational case-control study, 48 participants were divided into three groups (n = 16 each): SIP, AAP, and healthy controls. GCF samples were collected for DNA extraction, followed by genotyping of the NLRP3 rs4612666 SNP using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). Genotypic and allelic frequencies were compared across groups, and Hardy-Weinberg equilibrium (HWE) was assessed. Results: The heterozygous TC genotype predominated in both the SIP (62.5 %) and AAP (68.8 %) groups, whereas the control group exclusively exhibited the TT genotype. The CC genotype was absent in all groups. The C allele was more frequent in AAP (43.8 %) than in SIP (18.8 %). Genotypic and allelic distributions differed significantly between the disease groups and controls (p < 0.001). Deviation from HWE in the AAP group (p = 0.0361) suggests potential genetic susceptibility to chronic inflammation. Conclusion: These findings suggest an association between the C allele of the NLRP3 rs4612666 SNP and increased inflammatory response in endodontic disease. Genetic screening may aid in early risk assessment and support personalized treatment planning. Clinical relevance: Identifying NLRP3 rs4612666 polymorphism in patients may help predict susceptibility to chronic pulpal and periapical inflammation. This genetic insight can aid in risk-based diagnosis and guide personalized endodontic treatment planning.