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Cited by 380

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Reversibility of experimental peri‐implant mucositis compared with experimental gingivitis in humans

Salvi, Giovanni E., Aglietta, Marco, Eick, Sigrun, Sculean, Anton, Lang, Niklaus P., Ramseier, Christoph A.·2012·Clinical Oral Implants Research

Abstract

Objective: To monitor clinical, microbiological and host‐derived alterations occurring around teeth and titanium implants during the development of experimental gingivitis/mucositis and their respective healing sequence in humans. Material and methods: Fifteen subjects with healthy or treated periodontal conditions and restored with dental implants underwent an experimental 3‐week period of undisturbed plaque accumulation in the mandible. Subsequently, a 3‐week period with optimal plaque control was instituted. At Days 0, 7, 14, 21, 28, 35 and 42, the presence/absence of plaque deposits around teeth and implants was assessed, (plaque index [PlI]) and the gingival/mucosal conditions were evaluated (gingival index[GI]). Subgingival/submucosal plaque samples and gingival/mucosal crevicular fluid (CF) samples were collected from two pre‐determined sites around each experimental unit. CF samples were analyzed for matrix‐metalloproteinase‐8 (MMP‐8) and interleukin‐1beta (IL‐1β). Microbial samples were analyzed using DNA–DNA hybridization for 40 species. Results: During 3 weeks of plaque accumulation, the median PlI and GI increased significantly at implants and teeth. Implant sites yielded a greater increase in the median GI compared with tooth sites. Over the 6‐week experimental period, the CF levels of MMP‐8 were statistically significantly higher at implants compared with teeth (P<0.05). The CF IL‐1β levels did not differ statistically significantly between teeth and implants (P>0.05). No differences in the total DNA counts between implant and tooth sites were found at any time points. No differences in the detection frequency were found for putative periodontal pathogens between implant and tooth sites. Conclusion: Peri‐implant soft tissues developed a stronger inflammatory response to experimental plaque accumulation when compared with that of their gingival counterparts. Experimental gingivitis and peri‐implant mucositis were reversible at the biomarker level. Clinically, however, 3 weeks of resumed plaque control did not yield pre‐experimental levels of gingival and peri‐implant mucosal health indicating that longer healing periods are needed. To cite this article: Salvi GE, Aglietta M, Eick S, Sculean A, Lang NP & Ramseier CA. Reversibility of experimental peri‐implant mucositis compared with experimental gingivitis in humans. Clin. Oral Impl. Res. 23, 2012; 182–190. doi: 10.1111/j.1600‐0501.2011.02220.x

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Metadata

Authors
Salvi, G. E., Aglietta, M., Eick, S., Sculean, A., Lang, N. P., & Ramseier, C. A.
Venue
Clinical Oral Implants Research
Publisher
Wiley
Published
2011-08-02
Volume
23
Issue
2
Pages
182-190
ISSN
  • 0905-7161 (ISSN-L)
  • 1600-0501
OpenAlex
W2154592680
Cited by
380
References
3
FWCI
12.35
Type
journal article
Language
en
Open access
closed

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Salvi, G. E., Aglietta, M., Eick, S., Sculean, A., Lang, N. P., & Ramseier, C. A. (2012). Reversibility of experimental peri‐implant mucositis compared with experimental gingivitis in humans. Clinical Oral Implants Research. https://doi.org/10.1111/j.1600-0501.2011.02220.x

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