Biomarker Expression of Peri-Implantitis Lesions before and after Treatment: A Systematic Review

The need to predict, diagnose and treat peri-implant diseases has never been greater. We present a systematic review of the literature on the changes in the expression of biomarkers in peri-implant crevicular fluid (PICF) before and after treatment of peri-implantitis. Bacterial composition, clinica...

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Veröffentlicht in:International journal of environmental research and public health 2022-10, Vol.19 (21), p.14085
Hauptverfasser: Moaven, Haniyeh, Giacaman, Annesi, Beltrán, Víctor, Sam, Ye Han, Betancur, Daniel, Mainas, Giuseppe, Tarjomani, Seyed Ali, Donos, Nikolaos, Sousa, Vanessa
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container_issue 21
container_start_page 14085
container_title International journal of environmental research and public health
container_volume 19
creator Moaven, Haniyeh
Giacaman, Annesi
Beltrán, Víctor
Sam, Ye Han
Betancur, Daniel
Mainas, Giuseppe
Tarjomani, Seyed Ali
Donos, Nikolaos
Sousa, Vanessa
description The need to predict, diagnose and treat peri-implant diseases has never been greater. We present a systematic review of the literature on the changes in the expression of biomarkers in peri-implant crevicular fluid (PICF) before and after treatment of peri-implantitis. Bacterial composition, clinical and radiographic parameters, and systemic biomarkers before and after treatment are reported as secondary outcomes. A total of 17 studies were included. Treatment groups were non-surgical treatment or surgical treatment, either alone or with adjunctive therapy. Our findings show that non-surgical treatment alone does not influence biomarker levels or clinical outcomes. Both adjunctive photodynamic therapy and local minocycline application resulted in a reduction of interleukin (IL)-1β and IL-10 twelve months after treatment. Non-surgical treatments with adjunctive use of lasers or antimicrobials were more effective at improving the clinical outcomes in the short-term only. Access flap debridement led to matrix metalloproteinase (MMP)-8 and tumour necrosis factor-α reduction twelve months post-surgery. Surgical debridement with adjunctive antimicrobials achieved a decrease in MMP-8 at three months. Adjunctive use of Emdogain (EMD) was associated with a reduction in 40 PICF proteins compared to access flap surgery alone. Surgical interventions were more effective at reducing probing pocket depth and bleeding on probing both in the short- and long-term. Surgical treatment in combination with EMD was found to be more effective in resolving inflammation up to twelve months.
doi_str_mv 10.3390/ijerph192114085
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subjects Anti-Infective Agents - therapeutic use
Antimicrobial agents
Biomarkers
Chemokines
Clinical trials
Cytokines
Debridement
Dental implants
Disease
Health services
Humans
Inflammation
Interleukin 10
Lasers
Ligands
Literature reviews
Matrix metalloproteinase
Matrix metalloproteinases
Metalloproteinase
Minocycline
Mucositis
Neutrophil collagenase
Patients
Peri-Implantitis - therapy
Photodynamic therapy
Prostheses
Surgery
Systematic Review
Tumor necrosis factor-α
Tumors
title Biomarker Expression of Peri-Implantitis Lesions before and after Treatment: A Systematic Review
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