Erdemir Ebru Olgun, Hendek Meltem Karsiyaka, Keceli H Gencay, Apan Teoman Z
Department of Periodontology, Faculty of Dentistry, Kirikkale University, Merkez, Kirikkale, Turkiye.
Department of Periodontology, Faculty of Dentistry, Hacettepe University, Sıhhiye, Ankara, Turkiye.
Eur J Dent. 2015 Jan-Mar;9(1):60-65. doi: 10.4103/1305-7456.149644.
The aim of this study is to evaluate the influence of regenerative periodontal therapy on clinical parameters and interleukin-8 (IL-8), IL-17 and soluble intercellular adhesion molecule-1 (sICAM-1) levels in gingival crevicular fluid (GCF) of subjects with chronic periodontitis (CP).
Fifteen patients received demineralized freeze-dried bone allograft (DFDBA) surgically to the site of infrabony defect. Clinical periodontal indices were recorded, and GCF samples were collected at baseline and at the 6(th) and the 9(th) month after the surgery.
Except plaque index, all clinical parameters improved following surgery (P < 0.05). The volume of GCF diminished from baseline to follow-up periods (P < 0.05). However, no effect was observed on the total amount of IL-8, IL-17 and sICAM-1 in GCF.
DFDBA improved clinical outcome in CP subjects and was effective on decreasing the volume of GCF, but no effect was determined on IL-8, IL-17 and sICAM-1. Findings did not indicate a direct relationship between biochemical parameters and periodontal healing after demineralized freeze-dried bone grafting.
本研究旨在评估再生性牙周治疗对慢性牙周炎(CP)患者临床参数以及龈沟液(GCF)中白细胞介素-8(IL-8)、IL-17和可溶性细胞间黏附分子-1(sICAM-1)水平的影响。
15例患者接受手术,在骨下袋缺损部位植入脱矿冻干骨同种异体移植物(DFDBA)。记录临床牙周指数,并在基线、术后第6个月和第9个月采集GCF样本。
除菌斑指数外,术后所有临床参数均有改善(P<0.05)。从基线期到随访期,GCF体积减小(P<0.05)。然而,未观察到GCF中IL-8、IL-17和sICAM-1总量的变化。
DFDBA改善了CP患者的临床结局,对减少GCF体积有效,但对IL-8、IL-17和sICAM-1无影响。研究结果未表明脱矿冻干骨移植后生化参数与牙周愈合之间存在直接关系。