Peng Ming-yong, Zhao Li, Zhang Qing, Hu Chang-hong
Department of Prosthodontics, Affiliated Stomatology Hospital, Chongqing Medical University, Chongqing 400015, USA.
Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2011 Dec;27(12):1346-8.
To explore the influence of two kinds of crown margin designs on MMP-8 and TIMP-1 levels in gingival crevicular fluid(GCF).
16 cases of patients who needed full crowns were divided randomly into two groups: subgingival group and gingival crest group. The GCF were taken before tooth preparation, one month, three months and six months after crown placement. The levels of MMP-8 and TIMP-1 in GCF were determined by ELISA.
The levels of MMP-8 and TIMP-1 in GCF before tooth preparation made as baseline. The level of MMP-8 at one month after crown placement in subgingival group was higher than the baseline ( P <0. 05) and contiue increasing at three months after crown placement. The level of MMP-8 at six months after crown placement in subgingival group decreased, but it was higher than the baseline(P<0.05). In gingival crest group, atfer inserting crowns, the levels of MMP-8 and TIMP-1 was no signifieantly change. In two gourps, atfer inserting crowns, the levels of MMP-8 and TIMP-1 signifieantly increased. The level of MMP-8 in subgingival group was higher than that in gingival crest group at all times and the level of TIMP-1 in subgingival group was lower than that in gingival crest group.
Gingival crest crown margin design is more fvourable to the effect of MMP-8 and TIMP-1 in maintaining the health and the regular remodeling of the periodontium.