Background: The present study was based on the null hypothesis that there is no difference in clinicoradiographic parameters and whole salivary alpha amylase (AA) and mucin-4 levels before and after non-surgical mechanical debridement (NSMD) of patients with peri-implant mucositis (PM). The aim was to assess whole salivary AA and mucin-4 levels before and after treatment of PM.
Methods: Patients with PM (Group-1) and individuals without peri-implant diseases (Group-2) were included. Demographic data was collected and peri-implant modified plaque and bleeding indices (mPI and mBI, respectively), probing depth (PD) and crestal bone loss were measured at baseline. Levels of AA and mucin-4 were assessed in unstimulated whole saliva samples. All patients underwent full-mouth non-surgical periodontal therapy (NSPT) and NSMD; and clinical parameters and salivary biomarkers were re-assessed after 3 months. Level of significance was set at P < 0.01.
Results: Twenty-six and 32 individuals were included in groups 1 and 2, respectively. None of the participants had periodontitis. At baseline clinical periodontal parameters (PI [P < 0.001], GI [P < 0.001], clinical AL [P < 0.001] and PD [P < 0.001]) were significantly high in Group-1 than Group-2. At 3-month follow-up, there was a statistically significant reduction in clinical periodontal and peri-implant parameters (PI [P < 0.01], GI [P < 0.01], and PD [P < 0.01]) in Group-1 compared with their baseline values. At baseline, salivary AA levels were significantly high in Group-1 than Group-2 (P < 0.01). At 3-month follow-up, there was no significant difference in whole salivary AA levels among patients in groups 1 and 2.
Conclusions: The AA and mucin-4 levels are potential biomarkers for evaluation of peri-implant diseases including PM. Mechanical instrumentation continues to be the most predictable treatment option for the management of peri-implant diseases.
Papaspyridakos P, De Souza A, Vazouras K, Gholami H, Pagni S, Weber HP. Survival rates of short dental implants (≤6 mm) compared with implants longer than 6 mm in posterior jaw areas: a meta-analysis. Clin Oral Implants Res. 2018;29(Suppl 16):8–20. doi: 10.1111/clr.13289. - DOI - PubMed
Beschnidt SM, Cacaci C, Dedeoglu K, et al. Implant success and survival rates in daily dental practice: 5-year results of a non-interventional study using CAMLOG SCREW-LINE implants with or without platform-switching abutments. Int J Implant Dent. 2018;4(1):33. doi: 10.1186/s40729-018-0145-3. - DOI - PMC - PubMed
Caton JG, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implant diseases and conditions—introduction and key changes from the 1999 classification. J Clin Periodontol. 2018;45(Suppl 20):S1–S8. doi: 10.1111/jcpe.12935. - DOI - PubMed
Papapanou PN, Sanz M, Buduneli N, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89(Suppl 1):S173–S182. doi: 10.1002/jper.17-0721. - DOI - PubMed
Hamdy AA, Ebrahem MA. The effect of interleukin-1 allele 2 genotype (IL-1a(-889) and IL-1b(+3954)) on the individual’s susceptibility to peri-implantitis: case-control study. J Oral Implantol. 2011;37(3):325–334. doi: 10.1563/aaid-joi-d-09-00117.1. - DOI - PubMed
Javed F, Al-Hezaimi K, Salameh Z, Almas K, Romanos GE. Proinflammatory cytokines in the crevicular fluid of patients with peri-implantitis. Cytokine. 2011;53(1):8–12. doi: 10.1016/j.cyto.2010.08.013. - DOI - PubMed
Akram Z, Al-Aali KA, Alrabiah M, et al. Current weight of evidence of viruses associated with peri-implantitis and peri-implant health: a systematic review and meta-analysis. Rev Med Virol. 2019;29(3):e2042. doi: 10.1002/rmv.2042. - DOI - PubMed
Binshabaib M, ALHarthi SS, Salehpoor D, Michelogiannakis D, Javed F. Contribution of herpesviruses in the progression of periodontal and peri-implant diseases in systemically healthy individuals. Rev Med Virol. 2018;28(5):e1996. doi: 10.1002/rmv.1996. - DOI - PubMed
Preethanath RS, AlNahas NW, Bin Huraib SM, et al. Microbiome of dental implants and its clinical aspect. Microb Pathog. 2017;106:20–24. doi: 10.1016/j.micpath.2017.02.009. - DOI - PubMed
Do TA, Le HS, Shen YW, Huang HL, Fuh LJ. Risk factors related to late failure of dental implant-a systematic review of recent studies. Int J Environ Res Public Health. 2020 doi: 10.3390/ijerph17113931. - DOI - PMC - PubMed
Kullar AS, Miller CS. Are there contraindications for placing dental implants? Dent Clin North Am. 2019;63(3):345–362. doi: 10.1016/j.cden.2019.02.004. - DOI - PubMed
Kawamoto D, Amado PPL, Albuquerque-Souza E, et al. Chemokines and cytokines profile in whole saliva of patients with periodontitis. Cytokine. 2020;135:155197. doi: 10.1016/j.cyto.2020.155197. - DOI - PubMed
Kim JY, Kim HN. Changes in inflammatory cytokines in saliva after non-surgical periodontal therapy: a systematic review and meta-analysis. Int J Environ Res Public Health. 2020 doi: 10.3390/ijerph18010194. - DOI - PMC - PubMed
Fonseca FJ, Moraes Junior M, Lourenço EJ, TelesDde M, Figueredo CM. Cytokines expression in saliva and peri-implant crevicular fluid of patients with peri-implant disease. Clin Oral Implants Res. 2014;25(2):e68–72. doi: 10.1111/clr.12052. - DOI - PubMed
Lira-Junior R, Teixeira MKS, Lourenço EJV, Telles DM, Figueredo CM, Boström EA. CSF-1 and IL-34 levels in peri-implant crevicular fluid and saliva from patients having peri-implant diseases. Clin Oral Investig. 2020;24(1):309–315. doi: 10.1007/s00784-019-02935-8. - DOI - PubMed
Abduljabbar T, Al-Sahaly F, Kellesarian SV, et al. Comparison of peri-implant clinical and radiographic inflammatory parameters and whole salivary destructive inflammatory cytokine profile among obese and non-obese men. Cytokine. 2016;88:51–56. doi: 10.1016/j.cyto.2016.08.017. - DOI - PubMed
Acquier AB, Pita AK, Busch L, Sánchez GA. Comparison of salivary levels of mucin and amylase and their relation with clinical parameters obtained from patients with aggressive and chronic periodontal disease. J Appl Oral Sci. 2015;23(3):288–294. doi: 10.1590/1678-775720140458. - DOI - PMC - PubMed
Granger DA, Kivlighan KT, El-Sheikh M, Gordis EB, Stroud LR. Salivary alpha-amylase in biobehavioral research: recent developments and applications. Ann N Y Acad Sci. 2007;1098:122–144. doi: 10.1196/annals.1384.008. - DOI - PubMed
Gonçalves Lda R, Soares MR, Nogueira FC, et al. Comparative proteomic analysis of whole saliva from chronic periodontitis patients. J Proteomics. 2010;73(7):1334–1341. doi: 10.1016/j.jprot.2010.02.018. - DOI - PubMed
Haririan H, Bertl K, Laky M, et al. Salivary and serum chromogranin A and α-amylase in periodontal health and disease. J Periodontol. 2012;83(10):1314–1321. doi: 10.1902/jop.2012.110604. - DOI - PubMed
Lundmark A, Johannsen G, Eriksson K, et al. Mucin 4 and matrix metalloproteinase 7 as novel salivary biomarkers for periodontitis. J Clin Periodontol. 2017;44(3):247–254. doi: 10.1111/jcpe.12670. - DOI - PMC - PubMed
Tabak LA. Structure and function of human salivary mucins. Crit Rev Oral Biol Med. 1990;1(4):229–234. doi: 10.1177/10454411900010040201. - DOI - PubMed
Liu B, Lague JR, Nunes DP, et al. Expression of membrane-associated mucins MUC1 and MUC4 in major human salivary glands. J Histochem Cytochem. 2002;50(6):811–820. doi: 10.1177/002215540205000607. - DOI - PubMed
Sabbagh A, Nakata H, Abdou A, Kasugai S, Kuroda S. Fluctuation of salivary alpha-amylase activity levels and vital signs during dental implant surgery. Int J Implant Dent. 2021;7(1):58. doi: 10.1186/s40729-021-00339-6. - DOI - PMC - PubMed
Wagner TP, Pires PR, Rios FS, et al. Surgical and non-surgical debridement for the treatment of peri-implantitis: a two-center 12-month randomized trial. Clin Oral Investig. 2021;25(10):5723–5733. doi: 10.1007/s00784-021-03874-z. - DOI - PubMed
Barootchi S, Ravidà A, Tavelli L, Wang HL. Nonsurgical treatment for peri-implant mucositis: a systematic review and meta-analysis. Int J Oral Implantol (Berl) 2020;13(2):123–139. - PubMed
Alqutub MN, Alhumaidan AA, Alali Y, et al. Comparison of the postoperative anti-inflammatory efficacy of chlorhexidine, saline rinses and herbal mouthwashes after mechanical debridement in patients with peri-implant mucositis: a randomized controlled trial. Int J Dent Hyg. 2022 doi: 10.1111/idh.12582. - DOI - PubMed
Renvert S, Persson GR, Pirih FQ, Camargo PM. Peri-implant health, peri-implant mucositis, and peri-implantitis: case definitions and diagnostic considerations. J Periodontol. 2018;89(Suppl 1):S304–S312. doi: 10.1002/jper.17-0588. - DOI - PubMed
Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand. 1964;22:121–135. doi: 10.3109/00016356408993968. - DOI - PubMed
Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand. 1963;21:533–551. doi: 10.3109/00016356309011240. - DOI - PubMed
Armitage GC, Svanberg GK, Loe H. Microscopic evaluation of clinical measurements of connective tissue attachment levels. J Clin Periodontol. 1977;4(3):173–190. doi: 10.1111/j.1600-051X.1977.tb02271.x. - DOI - PubMed
Genco RJ, Grossi SG, Ho A, Nishimura F, Murayama Y. A proposed model linking inflammation to obesity, diabetes, and periodontal infections. J Periodontol. 2005;76(11 Suppl):2075–2084. doi: 10.1902/jop.2005.76.11-S.2075. - DOI - PubMed
Mombelli A, van Oosten MA, Schurch E, Jr, Land NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol. 1987;2(4):145–151. doi: 10.1111/j.1399-302x.1987.tb00298.x. - DOI - PubMed
Renvert S, Persson GR, Pirih FQ, Camargo PM. Peri-implant health, peri-implant mucositis, and peri-implantitis: case definitions and diagnostic considerations. J Clin Periodontol. 2018;45(Suppl 20):S278–S285. doi: 10.1111/jcpe.12956. - DOI - PubMed
Ali D, Qasem SS, Baskaradoss JK. Periodontal clinicoradiographic status and whole saliva soluble urokinase plasminogen activation receptor and tumor necrosis factor alpha levels in type-2 diabetic and non-diabetic individuals. Oral Health Prev Dent. 2021;19(1):481–488. doi: 10.3290/j.ohpd.b2082019. - DOI - PubMed
Updegrave WJ. The paralleling extension-cone technique in intraoral dental radiography. Oral Surg Oral Med Oral Pathol. 1951;4(10):1250–1261. doi: 10.1016/0030-4220(51)90084-9. - DOI - PubMed
Khocht A, Janal M, Harasty L, Chang KM. Comparison of direct digital and conventional intraoral radiographs in detecting alveolar bone loss. J Am Dent Assoc. 2003;134(11):1468–1475. doi: 10.14219/jada.archive.2003.0076. - DOI - PubMed
Javed F, Näsström K, Benchimol D, Altamash M, Klinge B, Engström PE. Comparison of periodontal and socioeconomic status between subjects with type 2 diabetes mellitus and non-diabetic controls. J Periodontol. 2007;78(11):2112–2119. doi: 10.1902/jop.2007.070186. - DOI - PubMed
Alahmari F, Javed F, Ahmed ZU, Romanos GE, Al-Kheraif AA. Soft tissue status and crestal bone loss around conventionally-loaded dental implants placed in cigarette- and waterpipe (narghile) smokers: 8-years’ follow-up results. Clin Implant Dent Relat Res. 2019;21(5):873–878. doi: 10.1111/cid.12746. - DOI - PubMed
Abduljabbar T, Vohra F, Ullah A, Alhamoudi N, Khan J, Javed F. Relationship between self-rated pain and peri-implant clinical, radiographic and whole salivary inflammatory markers among patients with and without peri-implantitis. Clin Implant Dent Relat Res. 2019;21(6):1218–1224. doi: 10.1111/cid.12866. - DOI - PubMed
Javed F, Al-Kheraif AA, Al Amri MD, et al. Periodontal parameters and whole salivary cytokine profiles among habitual gutka chewers and non-chewers. J Periodontol. 2015;86(5):689–695. doi: 10.1902/jop.2015.140556. - DOI - PubMed
Altay MA, Tozoğlu S, Yıldırımyan N, Özarslan MM. Is history of periodontitis a risk factor for peri-implant disease? A pilot study. Int J Oral Maxillofac Implants. 2018;33(1):152–160. doi: 10.11607/jomi.5781. - DOI - PubMed
Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A. Periodontitis, implant loss and peri-implantitis. A meta-analysis. Clin Oral Implants Res. 2015;26(4):e8–e16. doi: 10.1111/clr.12319. - DOI - PubMed
Ackermann KL, Barth T, Cacaci C, Kistler S, Schlee M, Stiller M. Clinical and patient-reported outcome of implant restorations with internal conical connection in daily dental practices: prospective observational multicenter trial with up to 7-year follow-up. Int J Implant Dent. 2020;6(1):14. doi: 10.1186/s40729-020-00211-z. - DOI - PMC - PubMed
Cacaci C, Ackermann KL, Barth T, Kistler S, Stiller M, Schlee M. A non-interventional multicenter study to document the implants success and survival rates in daily dental practices of the CONELOG screw-line implant. Clin Oral Investig. 2019;23(6):2609–2616. doi: 10.1007/s00784-018-2646-0. - DOI - PubMed
Javed F, Rahman I, Romanos GE. Tobacco-product usage as a risk factor for dental implants. Periodontol 2000. 2019;81(1):48–56. doi: 10.1111/prd.12282. - DOI - PubMed
Javed F, Romanos GE. Chronic hyperglycemia as a risk factor in implant therapy. Periodontol 2000. 2019;81(1):57–63. doi: 10.1111/prd.12283. - DOI - PubMed
Schwarz F, Derks J, Monje A, Wang HL. Peri-implantitis. J Clin Periodontol. 2018;45(Suppl 20):S246–S266. doi: 10.1111/jcpe.12954. - DOI - PubMed