Serveur d'exploration sur le patient édenté

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Crevicular fluid enzymes from endosseous dental implants and natural teeth.

Identifieur interne : 004065 ( PubMed/Curation ); précédent : 004064; suivant : 004066

Crevicular fluid enzymes from endosseous dental implants and natural teeth.

Auteurs : S M Boutros [États-Unis] ; B S Michalowicz ; Q T Smith ; D M Aeppli

Source :

RBID : pubmed:8752553

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English descriptors

Abstract

Several neutrophil-derived enzymes that are present in the gingival crevicular fluid have been evaluated for use as risk markers for periodontal disease progression. However, very little information is available about the presence of these enzymes in peri-implant tissues. The purpose of this cross-sectional study was to compare levels of enzymes in gingival crevicular fluid between natural teeth and endosseous dental implants and between well-integrated and failing implants. Scores of plaque and gingivitis were recorded for 68 integrated implants, five failing implants, and 34 natural teeth in 12 completely edentulous and 18 partially edentulous subjects. Samples of gingival crevicular fluid were obtained from these sites using filter paper strips and were assayed for levels of neutral protease, neutrophil elastase, myeloperoxidase, and beta-glucuronidase. Neutral protease levels were higher (P = .066) at moderately to severely inflamed implant sites (Gingival Index of 2, 3) compared to mildly or noninflamed sites (Gingival Index of = 0, 1). Despite the small number (n = 5) of failing implants evaluated in this study, levels of neutrophil elastase, myeloperoxidase, and beta-glucuronidase were significantly higher (P < or = .001) around failing implants compared to successful implants. Neutral protease levels were also elevated around failing implants, but the difference was not statistically significant. Results of this study indicate that neutrophil elastase, myeloperoxidase, and beta-glucuronidase levels in GCF appear to be good candidates for study as risk markers of implant failure.

PubMed: 8752553

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pubmed:8752553

Le document en format XML

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<term>Dental Implantation, Endosseous</term>
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<term>Dental Plaque (pathology)</term>
<term>Endopeptidases (analysis)</term>
<term>Female</term>
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<term>Gingivitis (pathology)</term>
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<term>Humans</term>
<term>Jaw, Edentulous (enzymology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Jaw, Edentulous, Partially (enzymology)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Leukocyte Elastase</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Pancreatic Elastase (analysis)</term>
<term>Periodontitis (enzymology)</term>
<term>Peroxidase (analysis)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Dent</term>
<term>Défaillance de prothèse</term>
<term>Endopeptidases (analyse)</term>
<term>Exsudat gingival (enzymologie)</term>
<term>Femelle</term>
<term>Gingivite (anatomopathologie)</term>
<term>Gingivite (enzymologie)</term>
<term>Glucuronidase (analyse)</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Leukocyte elastase</term>
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<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (enzymologie)</term>
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<term>Glucuronidase</term>
<term>Marqueurs biologiques</term>
<term>Myeloperoxidase</term>
<term>Pancreatic elastase</term>
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<term>Gingivite</term>
<term>Plaque dentaire</term>
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<term>Exsudat gingival</term>
<term>Gingivite</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Parodontite</term>
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<term>Jaw, Edentulous, Partially</term>
<term>Periodontitis</term>
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<term>Gingivitis</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cross-Sectional Studies</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Humans</term>
<term>Leukocyte Elastase</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Prosthesis Failure</term>
<term>Tooth</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Dent</term>
<term>Défaillance de prothèse</term>
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<term>Leukocyte elastase</term>
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<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<div type="abstract" xml:lang="en">Several neutrophil-derived enzymes that are present in the gingival crevicular fluid have been evaluated for use as risk markers for periodontal disease progression. However, very little information is available about the presence of these enzymes in peri-implant tissues. The purpose of this cross-sectional study was to compare levels of enzymes in gingival crevicular fluid between natural teeth and endosseous dental implants and between well-integrated and failing implants. Scores of plaque and gingivitis were recorded for 68 integrated implants, five failing implants, and 34 natural teeth in 12 completely edentulous and 18 partially edentulous subjects. Samples of gingival crevicular fluid were obtained from these sites using filter paper strips and were assayed for levels of neutral protease, neutrophil elastase, myeloperoxidase, and beta-glucuronidase. Neutral protease levels were higher (P = .066) at moderately to severely inflamed implant sites (Gingival Index of 2, 3) compared to mildly or noninflamed sites (Gingival Index of = 0, 1). Despite the small number (n = 5) of failing implants evaluated in this study, levels of neutrophil elastase, myeloperoxidase, and beta-glucuronidase were significantly higher (P < or = .001) around failing implants compared to successful implants. Neutral protease levels were also elevated around failing implants, but the difference was not statistically significant. Results of this study indicate that neutrophil elastase, myeloperoxidase, and beta-glucuronidase levels in GCF appear to be good candidates for study as risk markers of implant failure.</div>
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<AbstractText>Several neutrophil-derived enzymes that are present in the gingival crevicular fluid have been evaluated for use as risk markers for periodontal disease progression. However, very little information is available about the presence of these enzymes in peri-implant tissues. The purpose of this cross-sectional study was to compare levels of enzymes in gingival crevicular fluid between natural teeth and endosseous dental implants and between well-integrated and failing implants. Scores of plaque and gingivitis were recorded for 68 integrated implants, five failing implants, and 34 natural teeth in 12 completely edentulous and 18 partially edentulous subjects. Samples of gingival crevicular fluid were obtained from these sites using filter paper strips and were assayed for levels of neutral protease, neutrophil elastase, myeloperoxidase, and beta-glucuronidase. Neutral protease levels were higher (P = .066) at moderately to severely inflamed implant sites (Gingival Index of 2, 3) compared to mildly or noninflamed sites (Gingival Index of = 0, 1). Despite the small number (n = 5) of failing implants evaluated in this study, levels of neutrophil elastase, myeloperoxidase, and beta-glucuronidase were significantly higher (P < or = .001) around failing implants compared to successful implants. Neutral protease levels were also elevated around failing implants, but the difference was not statistically significant. Results of this study indicate that neutrophil elastase, myeloperoxidase, and beta-glucuronidase levels in GCF appear to be good candidates for study as risk markers of implant failure.</AbstractText>
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