PERI-IMPLANT VERSUS PERIODONTAL WOUND HEALING
Identifieur interne : 004755 ( Ncbi/Checkpoint ); précédent : 004754; suivant : 004756PERI-IMPLANT VERSUS PERIODONTAL WOUND HEALING
Auteurs : Pinar Emecen-Huja ; Tim D. Eubank ; Vladimir Shapiro ; Vedat Yildiz ; Dimitris N. Tatakis ; Binnaz LeblebiciogluSource :
- Journal of clinical periodontology [ 0303-6979 ] ; 2013.
Abstract
Peri-implant gingival healing following one-stage implant placement was investigated and compared to periodontal healing.
Healing at surgical sites (implant (I) and adjacent teeth (T+)) was compared to non-operated tooth (T-) in non-smokers receiving one-stage implant. Periodontal Indices (PI, GI) were recorded at surgery and up to 12 weeks postoperatively. Peri-implant (PICF) and gingival crevicular (GCF) fluids were analyzed for cytokines, collagenases and inhibitors. Data was analyzed by linear mixed model regression analysis and repeated measures ANOVA.
40 patients (22 female; 21-74 yrs old) completed the study. Surgical site GI, increased at week 1, decreased significantly during early healing (weeks 1-3; p=0.0003) and continually decreased during late healing (weeks 6-12) for I (p<0.01). PICF volume decreased 3-fold by week 12 (p=0.0003). IL-6, IL-8, MIP-1β, and TIMP-1 levels significantly increased at surgical sites at week one, significantly decreasing thereafter (P<0.016). Week one IL-6, IL-8 and MIP-1β levels were ~3-fold higher, and TIMP-1 levels 63% higher, at I compared to T+ (p=0.001).
Peri-implant gingival healing, as determined by crevicular fluid molecular composition, differs from periodontal healing. The observed differences suggest that peri-implant tissues, compared to periodontal tissues, represent a higher pro-inflammatory state.
Url:
DOI: 10.1111/jcpe.12127
PubMed: 23772674
PubMed Central: 3725126
Affiliations:
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<affiliation><nlm:aff id="A1"> Division of Periodontology, College of Dentistry, The Ohio State University</nlm:aff>
<wicri:noCountry code="subfield">The Ohio State University</wicri:noCountry>
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<wicri:noCountry code="subfield">The Ohio State University</wicri:noCountry>
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<author><name sortKey="Shapiro, Vladimir" sort="Shapiro, Vladimir" uniqKey="Shapiro V" first="Vladimir" last="Shapiro">Vladimir Shapiro</name>
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<author><name sortKey="Tatakis, Dimitris N" sort="Tatakis, Dimitris N" uniqKey="Tatakis D" first="Dimitris N." last="Tatakis">Dimitris N. Tatakis</name>
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<author><name sortKey="Eubank, Tim D" sort="Eubank, Tim D" uniqKey="Eubank T" first="Tim D." last="Eubank">Tim D. Eubank</name>
<affiliation><nlm:aff id="A2"> Department of Internal Medicine, College of Medicine, The Ohio State University</nlm:aff>
<wicri:noCountry code="subfield">The Ohio State University</wicri:noCountry>
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<author><name sortKey="Shapiro, Vladimir" sort="Shapiro, Vladimir" uniqKey="Shapiro V" first="Vladimir" last="Shapiro">Vladimir Shapiro</name>
<affiliation><nlm:aff id="A1"> Division of Periodontology, College of Dentistry, The Ohio State University</nlm:aff>
<wicri:noCountry code="subfield">The Ohio State University</wicri:noCountry>
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<author><name sortKey="Yildiz, Vedat" sort="Yildiz, Vedat" uniqKey="Yildiz V" first="Vedat" last="Yildiz">Vedat Yildiz</name>
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<wicri:noCountry code="subfield">The Ohio State University</wicri:noCountry>
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<author><name sortKey="Tatakis, Dimitris N" sort="Tatakis, Dimitris N" uniqKey="Tatakis D" first="Dimitris N." last="Tatakis">Dimitris N. Tatakis</name>
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<author><name sortKey="Leblebicioglu, Binnaz" sort="Leblebicioglu, Binnaz" uniqKey="Leblebicioglu B" first="Binnaz" last="Leblebicioglu">Binnaz Leblebicioglu</name>
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<series><title level="j">Journal of clinical periodontology</title>
<idno type="ISSN">0303-6979</idno>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Aim</title>
<p id="P3">Peri-implant gingival healing following one-stage implant placement was investigated and compared to periodontal healing.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P4">Healing at surgical sites (implant (I) and adjacent teeth (T+)) was compared to non-operated tooth (T-) in non-smokers receiving one-stage implant. Periodontal Indices (PI, GI) were recorded at surgery and up to 12 weeks postoperatively. Peri-implant (PICF) and gingival crevicular (GCF) fluids were analyzed for cytokines, collagenases and inhibitors. Data was analyzed by linear mixed model regression analysis and repeated measures ANOVA.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P5">40 patients (22 female; 21-74 yrs old) completed the study. Surgical site GI, increased at week 1, decreased significantly during early healing (weeks 1-3; p=0.0003) and continually decreased during late healing (weeks 6-12) for I (p<0.01). PICF volume decreased 3-fold by week 12 (p=0.0003). IL-6, IL-8, MIP-1β, and TIMP-1 levels significantly increased at surgical sites at week one, significantly decreasing thereafter (P<0.016). Week one IL-6, IL-8 and MIP-1β levels were ~3-fold higher, and TIMP-1 levels 63% higher, at I compared to T+ (p=0.001).</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P6">Peri-implant gingival healing, as determined by crevicular fluid molecular composition, differs from periodontal healing. The observed differences suggest that peri-implant tissues, compared to periodontal tissues, represent a higher pro-inflammatory state.</p>
</sec>
</div>
</front>
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<tree><noCountry><name sortKey="Emecen Huja, Pinar" sort="Emecen Huja, Pinar" uniqKey="Emecen Huja P" first="Pinar" last="Emecen-Huja">Pinar Emecen-Huja</name>
<name sortKey="Eubank, Tim D" sort="Eubank, Tim D" uniqKey="Eubank T" first="Tim D." last="Eubank">Tim D. Eubank</name>
<name sortKey="Leblebicioglu, Binnaz" sort="Leblebicioglu, Binnaz" uniqKey="Leblebicioglu B" first="Binnaz" last="Leblebicioglu">Binnaz Leblebicioglu</name>
<name sortKey="Shapiro, Vladimir" sort="Shapiro, Vladimir" uniqKey="Shapiro V" first="Vladimir" last="Shapiro">Vladimir Shapiro</name>
<name sortKey="Tatakis, Dimitris N" sort="Tatakis, Dimitris N" uniqKey="Tatakis D" first="Dimitris N." last="Tatakis">Dimitris N. Tatakis</name>
<name sortKey="Yildiz, Vedat" sort="Yildiz, Vedat" uniqKey="Yildiz V" first="Vedat" last="Yildiz">Vedat Yildiz</name>
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