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Bone resorbing activity and cytokine levels in gingival crevicular fluid before and after treatment of periodontal disease.
- Source :
-
Journal of clinical periodontology [J Clin Periodontol] 2004 Jun; Vol. 31 (6), pp. 475-82. - Publication Year :
- 2004
-
Abstract
- Background: The aim of the present study was to investigate bone resorption activity (BRA), interleukin-1 alpha (IL-1 alpha), IL-1 beta and interleukin-1 receptor antagonist (IL-1ra) in gingival crevicular fluid (GCF) in sites with no signs of periodontal disease and in sites with horizontal or angular loss of periodontal bone. These assessments were performed before and after periodontal treatment.<br />Methods: GCFs were collected from 10 individuals with filter strips from two healthy sites and four sites with deep pathological periodontal pockets, two of which showed horizontal bone loss and two with angular bone loss. All diseased pockets were treated with flap surgery and systemic Doxyferm. Twelve months later GCF was collected again and treatment outcome evaluated. BRA in GCFs was assessed in a bone organ culture system by following the release of (45)Ca from neonatal mouse calvariae. The amounts of IL-1 alpha, IL-1 beta and IL-1ra in GCFs were quantified by enzyme-linked immunosorbent assay (ELISA).<br />Results: Treatment resulted in reduction of pocket depths with 3.5+/-0.5 mm in sites with angular bone loss and 2.8+/-0.3 mm in sites with horizontal bone loss. Initially, BRA, IL-1 alpha, IL-1 beta and IL-1ra were significantly higher in GCFs from diseased sites compared with healthy sites. No differences in BRA and cytokine levels were seen between GCFs from pockets with horizontal and angular bone losses. The levels of IL-1 alpha, IL-1 beta and IL-1ra were significantly reduced after treatment of diseased pockets. Pocket depths were significantly correlated to BRA only in pre-treatment sites with angular bone loss. BRA was correlated to Il-1 alpha, IL-1 beta, but not to IL-1ra, in diseased sites with angular bone loss, before and after treatment. The reductions of BRA in the individual sites, seen after treatment, were not correlated to the reductions of Il-1 alpha, IL-1 beta or IL-1ra.<br />Conclusions: These data show that BRA and cytokine levels are increased in GCFs from sites with periodontal disease and that periodontal treatment results in reduction of the cytokines. Our findings further indicate that IL-1 alpha and IL-1 beta play important roles for the BRA present in GCFs, but that other factors also contribute to this activity.
- Subjects :
- Aged
Alveolar Bone Loss immunology
Alveolar Bone Loss therapy
Animals
Anti-Bacterial Agents therapeutic use
Calcium Radioisotopes
Doxycycline therapeutic use
Female
Follow-Up Studies
Gingival Crevicular Fluid chemistry
Humans
Interleukin 1 Receptor Antagonist Protein
Male
Mice
Middle Aged
Organ Culture Techniques
Periodontal Diseases therapy
Periodontal Pocket immunology
Periodontal Pocket therapy
Skull metabolism
Surgical Flaps
Treatment Outcome
Cytokines analysis
Gingival Crevicular Fluid immunology
Interleukin-1 analysis
Periodontal Diseases immunology
Receptors, Interleukin-1 antagonists & inhibitors
Sialoglycoproteins analysis
Subjects
Details
- Language :
- English
- ISSN :
- 0303-6979
- Volume :
- 31
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of clinical periodontology
- Publication Type :
- Academic Journal
- Accession number :
- 15142219
- Full Text :
- https://doi.org/10.1111/j.1600-051X.2004.00504.x