Literature DB >> 33205510

Treatment of localized aggressive periodontitis alters local host immunoinflammatory profiles: A long-term evaluation.

Luciana S Branco-de-Almeida1,2, Yenisel Cruz-Almeida3, Yandy Gonzalez-Marrero1, Rachad Kudsi4, Izabel C V de Oliveira2, Bogdan Dolia1, Hong Huang1, Ikramuddin Aukhil1, Peter Harrison1,5, Luciana M Shaddox1,4.   

Abstract

AIM: To evaluate the local immunoinflammatory profiles in localized aggressive periodontitis patients (LAP) before and after periodontal treatment and maintenance.
METHODS: Sixty-six African-Americans with LAP (7-21 years old) were included. After periodontal examination, all patients received periodontal treatment with mechanical debridement plus systemic amoxicillin/metronidazole for 7 days. Gingival crevicular fluid was collected from diseased and healthy sites at baseline and 3, 6, 12, and 24 months following treatment. Levels of 16 inflammatory/bone resorption markers were determined using Milliplex® . Univariate and correlation analyses were performed among all parameters/biomarkers. Discriminant analyses (DA) evaluated profile differences between LAP diseased and healthy sites at each time point as compared to the baseline.
RESULTS: Reductions in the clinical parameters (except for visible plaque) were observed at all time points compared to the baseline. Levels of IL-12p70, IL-2, IL-6, MIP-1α, RANKL, and OPG were reduced after treatment, and several cytokines/chemokines were correlated with clinical parameters reductions. DA showed that differences in the immunoinflammatory profiles between LAP diseased and healthy sites decreased after periodontal treatment compared to the baseline.
CONCLUSIONS: Periodontal treatment modified the local immunoinflammatory profile of LAP sites in the long term, as suggested by changes in biomarkers from baseline, along with clinical stability of the disease. (Clinicaltrials.gov number, NCT01330719).
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Entities:  

Keywords:  aggressive periodontitis; gingival crevicular fluid; inflammation; long-term effects; therapy

Mesh:

Substances:

Year:  2020        PMID: 33205510      PMCID: PMC7825363          DOI: 10.1111/jcpe.13404

Source DB:  PubMed          Journal:  J Clin Periodontol        ISSN: 0303-6979            Impact factor:   8.728


  29 in total

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Review 4.  Host modulation therapy with anti-inflammatory agents.

Authors:  Philip M Preshaw
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5.  Local and Plasma Biomarker Profiles in Localized Aggressive Periodontitis.

Authors:  L S Branco-de-Almeida; Y Cruz-Almeida; Y Gonzalez-Marrero; H Huang; I Aukhil; P Harrison; S M Wallet; L M Shaddox
Journal:  JDR Clin Trans Res       Date:  2017-04-14

6.  Evaluation of RANK/RANKL/OPG gene polymorphisms in aggressive periodontitis.

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Review 7.  Systemic antibiotics in the treatment of aggressive periodontitis. A systematic review and a Bayesian Network meta-analysis.

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8.  A systematic review of biomarkers of gingival crevicular fluid: Their predictive role in diagnosis of periodontal disease status.

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Review 9.  Gingival crevicular fluid as a source of biomarkers for periodontitis.

Authors:  Silvana P Barros; Ray Williams; Steven Offenbacher; Thiago Morelli
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Review 10.  Staging and grading of periodontitis: Framework and proposal of a new classification and case definition.

Authors:  Maurizio S Tonetti; Henry Greenwell; Kenneth S Kornman
Journal:  J Periodontol       Date:  2018-06       Impact factor: 6.993

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