The use of endosseous dental implants (DI) has become a successful treatment alternative. However, providing periimplant tissue health and achieving a natural esthetic look are important topics in this treatment. The aim of the present study was to evaluate periodontal and esthetic parameters around DI and natural teeth (NT) and also to analyze myeloperoxidase (MPO) levels in gingival crevicular fluid (GCF) and peri-implant sulcus fluid (PISF).
Materials and methods
Twenty DI supported fixed prosthesis and contralateral 20 NT were enrolled to the present study. Clinical periodontal parameters (probing depth, clinical attachment level, gingival bleeding time index and gingival index) were recorded and GCF/PISF samples were obtained from mesial (mesiobuccal and mesiolingual) and distal (distobuccal and distolingual) sites of DI and NT. MPO levels were spectrophotometrically determined. Additionally clinical photographs were obtained and esthetical evaluations were performed by using Jemt papilla index. The parameters belong to DI and NT were compared and correlations were evaluated using statistical analysis.
Results
A total of 40 samples were evaluated. No statistically significant differences were detected between groups in all periodontal parameters and MPO levels from mesial and distal sites. Jemt papilla index scores were slightly higher in NT however, this difference was not statistically significant (p > 0.05). Total PES score were similiar in DI and NT groups. Significant correlations were detected between MPO and gingival index values as expected.
Clinical significance
Dental implants are satisfactory treatments, they provide patient esthetic natural looking, phonetic and masticatory functions.
How to cite this article
Güncü GN, Büyüktepe G, AÕkin SB, KlllnH K, Tümer C, Tözüm TF. Inpatient Evaluation of Periodontal Esthetic and Inflammatory Parameters around Dental Implants and Natural Teeth. J Contemp Dent Pract 2013;14(1):90-95.
Longitudinal studies of implant systems. Periodontol 2000 1998;17:125-31.
Interventions for replacing missing teeth: Treatment of perimplantitis. Cochrane Database Syst Rev 2006;3:CD004970.
Implant therapy in partially edentulous, periodontally compromised patients: A review. J Clin Periodontol 2005;32(5):506-11.
Long-term evaluation of nonsubmerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res 1997;8(3):161-72.
The longterm efficacy of currently used dental implants: A review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1(1):11-25.
Clinical parameters for the evaluation of dental implants. Periodontol 2000 1994;4:81-86.
A review on peri-implant crevicular fluid assays potential in monitoring and predicting peri-implant tissue responses. J Int Acad Periodontol 2002;4(2):49-59.
Myeloperoxidase as a measure of polymorphonuclear leukocyte response in inflammatory status around immediately and delayed loaded dental implants: A randomized controlled clinical trial. Clin Implant Dent Relat Res 2008;10(1):30-39.
Analysis of thte possible impact of inflammation severity and early and delayed loading on nitric oxide metabolism around dental implants. Int J Oral Maxillofac Implants 2005;20(4):547-56.
Analysis of gingival crevicular fluid intracytoplasmic enzyme activity in patients with adult periodontitis and rapidly progressive periodontitis. A longitudinal study model with periodontal treatment. J Periodontol 1998;69(10):1155-63.
Crevicular fluid enzymes from endosseous dental implants and natural teeth. Int J Oral Maxillofac Implants 1996;11(3):322-30.
Correlation of peri-implant health and myeloperoxidase levels: A cross-sectional clinical study. Clin Oral Implants Res 2004;15(5):546-52.
Gingival crevicular fluid levels of calprotectin and myeloperoxidase during therapy for generalized aggressive periodontitis. J Periodontal Res 2006;41(2):132-39.
Osteocalcin, deoxypyridinoline and interleukin-1beta in peri-implant crevicular fluid of patients with peri-implantitis. Clin Oral Implants Res 2002;13(6):637-43.
A 12-month evaluation of nitrite oxide metabolism around immediate and conventionally loaded dental implants. Implant Dent 2009;18(1):27-37.
Proinflammatory cytokines (IL-1beta and TNF-alpha) and chemokines (IL-8 and MIP-1alpha) as markers of peri-implant tissue condition. Int J Oral Maxillofac Surg 2010;39(5):478-85.
Matrix metalloproteinases: contribution to pathogenesis, diagnosis and treatment of periodontal inflammation. Ann Med 2006;38(5):306-21.
Correlation of peri-implant health and aspartate aminotransferase levels: A cross-sectional clinical study. Int J Oral Maxillofac Implants 2000;15(4):500-04.
Crevicular fluid myeloperoxidase at healthy, gingivitis and periodontitis sites. J Clin Periodontol 1989;16(1):17-20.
Myeloperoxidase activity in peripheral blood, neutrophil crevicular fluid and whole saliva of patients with periodontal disease. J Nihon Univ Sch Dent 1993;35(4):235-40.
The importance of data presentation regarding gingival crevicular fluid myeloperoxidase and elastase-like activity in periodontal disease and health status. J Periodontol 2000;71(3):460-67.
Esthetic index for anterior maxillary implant-supported restorations. J Periodontol 2010;81(1):34-42.
Implant plastic surgery: A review and rationale. J Oral Implantol 2004;30(4):240-54.
Consensus statements and recommended clinical procedures regarding esthetics in implant dentistry. Int J Oral Maxillofac Implants 2004;19(Suppl):73-74.
Periodontal disease in pregnancy. I. prevalence and severity. Acta Odontol Scand 1963;21:533-51.
The gingival bleeding time index. J Periodontol 1981;52(5):260-62.
Regeneration of gingival papillae after single-implant treatment. Int J Periodontics Restorative Dent 1997;17(4):326-33.
Evaluation of soft tissue around single-tooth implant crowns: The pink esthetic score. Clin Oral Implants Res 2005;16(6):639-44.
Correlation between sulcus fluid rate and clinical and histological inflammation of the marginal gingiva. Helv Odontol Acta 1970;14(1):21-26.
Methodological considerations in the assessment of gingival crevicular fluid volume. J Clin Periodontol 2000;27(7):481-88.
Assay method for myeloperoxidase in human polymorphonuclear leukocytes. Anal Biochem 1983;132(2):345-52.
Evaluation of soft-tissue alteration around implant-supported single-tooth restoration in the anterior maxilla: The pink esthetic score. Clin Oral Implants Res 2008;19(6):560-64.
Soft and hard tissue assessment of immediate implant placement: A case series. Clin Oral Implants Res 2007;18(2):237-43.
Presence of leukocytes in crevices of healthy and chronically inflamed gingivae. J Periodontal Res 1970;5(1):42-47.
The investigation of glutathione peroxidase, lactoferrin, myeloperoxidase and interleukin-1beta in gingival crevicular fluid: Implications for oxidative stress in human periodontal diseases. J Periodontal Res 2004;39(5):287-93.
The topography of the vascular systems in the periodontal and peri-implant tissues in the dog. J Clin Periodontol 1994;21(3):189-93.
The soft tissue barrier at implants and teeth. Clin Oral Implants Res 1991;2(2):81-90.
