Peri-implantitis
Conditions
Keywords
peri-implantitis, smoking, macrophage
Brief summary
Peri-implantitis is a chronic inflammatory disease characterized by plaque-associated inflammation of the peri-implant mucosa and progressive loss of supporting bone around dental implants, which may ultimately lead to implant failure if left untreated. It has been demonstrated that cellular and molecular responses of the host immune defense system play a critical role in the pathogenesis of peri-implantitis. Macrophages are key cells in the host immune response and are generally classified into two phenotypes: pro-inflammatory (M1) and anti-inflammatory (M2). While M1 macrophages are actively involved in the early defense response, a shift toward the M2 phenotype is required for the resolution of inflammation and tissue repair. Smoking has been shown to adversely affect macrophage polarization and function, thereby exacerbating inflammatory responses. Therefore, in the present study, levels of soluable CD163 (sCD163), B cell activating factor (BAFF), tumor necrosis factor-like weak inducer of apoptosis (TWEAK), a proliferation-inducing ligand (APRIL), interferon-gamma (IFN-γ), interleukin-10 (IL-10), interleukin-34 (IL-34), interleukin-35 (IL-35), and arginase activity (ornithine levels) will be evaluated in peri-implant health and peri-implantitis patients with varying disease severity and different smoking statuses. In addition, a comprehensive proteomic analysis will be performed to investigate the relationships among peri-implantitis severity, smoking, and macrophage polarization-related molecules. Baseline periodontal and peri-implant parameters will be recorded for all participants. In the peri-implant health group, tissue samples will be collected during exposure surgery performed for submerged implants, after which participants will be enrolled in supportive peri-implant care. Participants diagnosed with peri-implantitis will receive non-surgical therapy, during which tissue samples will be collected. Periodontal and peri-implant parameters will be reassessed for all participants at baseline, and at 6 and 12 weeks. Healthy peri-implant samples will be collected from submerged implants during exposure surgery. Peri-implantitis samples (probable pocket depth ≥ 6 mm with bleeding on probing) will be obtained during non-surgical therapy using a single stroke along the pocket wall.
Interventions
None listed
Sponsors
Biruni University
University of Turku
The Scientific and Technological Research Council of Turkey
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Individuals who is suitable for the peri-implantitis diagnosis according to the classifications of periodontal and peri-implant diseases and conditions established in 2017. * Individuals with at least one bone-level dental implant and scheduled to undergo exposure surgery.
Exclusion criteria
* prior peri-implantitis surgery * being diagnosed with autoimmune disease, genetic disorders, bone metabolism disorders, poorly controlled systemic diseases (such as diabetes or hypertension) * pregnancy or lactation * having a history of oral malignancy, chemotherapy or radiotherapy * use of anti-inflammatory drugs within 2 weeks, antibiotics within 3 months, * need for prophylactic antibiotics * contraindications for dental/surgical procedures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of interleukin-34 (IL-34) Levels | Baseline | IL-34 levels in tissue samples collected from the participants will be evaluated using Bio-Plex multiplex kits. The results of the biochemical analyses will be reported as pg/ng. |
| Evaluation of tumor necrosis factor-like weak inducer of apoptosis (TWEAK) levels | Baseline | TWEAK levels in tissue samples collected from the participants will be evaluated using Bio-Plex multiplex kits. The results of the biochemical analyses will be reported as pg/ng. |
| Evaluotion of interleukin-10 (IL-10) levels | Baseline | IL-10 levels in tissue samples collected from the participants will be evaluated using Bio-Plex multiplex kits. The results of the biochemical analyses will be reported as pg/ng. |
| Evaluation of arginase activity | Baseline | Arginase activity in tissue samples collected from the participants will be evaluated using Chinard's method by determined ornithine levels. The results of the biochemical analyses will be reported as pg/ng. |
| Evaluation of interleukin-35 (IL-35) levels | Baseline | IL-35 levels in tissue samples collected from the participants will be evaluated using Bio-Plex multiplex kits. The results of the biochemical analyses will be reported as pg/ng. |
| Evaluation of soluable CD163 (sCD163) levels | Baseline | sCD163 levels in tissue samples collected from the participants will be evaluated using Bio-Plex multiplex kits. The results of the biochemical analyses will be reported as pg/ng. |
| Evaluation of a proliferation-inducing ligand (APRIL) levels | Baseline | APRIL levels in tissue samples collected from the participants will be evaluated using Bio-Plex multiplex kits. The results of the biochemical analyses will be reported as pg/ng. |
| Evaluation of B-cell activating factor (BAFF) levels | Baseline | BAFF levels in tissue samples collected from the participants will be evaluated using Bio-Plex multiplex kits. The results of the biochemical analyses will be reported as pg/ng. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Probable pocket depth (PPD) | Baseline and 6th week. | Probable pocket depth wiil be measured using a periodontal probe |
| Bleeding on probing (BoP) | Baseline and 6th week. | The presence of visible bleeding following periodontal probing will be assessed by visual inspection (+/-). The total bleeding score will be expressed as a percentage. |
| Plaque index | Baseline and 6th week. | The presence of visible plaque will be evaluated with a periodontal probe (+/-). The total plaque score will be expressed as a percentage. |
Countries
Turkey (Türkiye)
Contacts
STUDY_CHAIRBurcu Karaduman, PhD
Biruni University
STUDY_CHAIRUlvi K Gursoy, PhD
University of Turku
STUDY_CHAIRMustafa Yilmaz, PhD
Istanbul University
PRINCIPAL_INVESTIGATORAyse Kaban
Biruni University
Outcome results
None listed