Effect of anatomical location (mandible vs maxilla) of dental implants on the BMP-2, BMP-7, sRANKL and OPG levels in periimplant crevicular fluid during osseointegration. A pilot study

Yıl 2019, Cilt: 6 Sayı: 3, 261 - 270, 17.12.2019

Mehmet Sağlam Doğan Dolanmaz , Emrah Koçak Burcu Poyraz Özgür İnan , Niyazi Dündar Sema Hakkı

https://doi.org/10.15311/selcukdentj.450292

Öz

Background:The aim of this study was to investigate
levels of bone morphogenetic protein-2 (BMP-2), BMP-7, soluble receptor
activator of nuclear factor-kB ligand (sRANKL) and osteoprotegerin (OPG) in the
peri-implant crevicular fluid (PICF) of  implants placed in both maxilla and mandible
during the osseointegration period.

Methods:Thirty-three patients (17 females and 16
males; mean age 47.03±11.23 years) were included in this study. A total of 33
implants were placed in both of maxilla (Group 1/n=18) and mandible (group
2/n=15). Peri-implant
crevicular fluid (PICF) samples, modified plaque index (MPI), gingival index
(GI) and probing depth (PD) measurements were obtained at 1 and 3 months after
surgery. PICF levels of BMP-2/-7, sRANKL and OPG were analyzed by ELISA.

Results:No complications were observed during
the healing period. No significant differences were observed in the PICF
levels of sRANKL, OPG, BMP-2 and BMP-7 and evaluated clinical parameters between
groups at any time point (p>0.05). While PICF volume of group 2 was greater
than group 1 at first month, PICF volume of group 1 was greater than group 2 at
3 months (p<0.05). There was a positive correlation between sRANKL
levels and PICF volume (p<0.05) and a strong correlation between BMP-2 and
BMP-7 (p<0.01).

Conclusions:The results of this pilot study didn’t
show any significant difference in PICF levels of BMP-2, BMP-7, sRANKL, and OPG
in terms of anatomic location of dental implants. Further well-designed studies should be carried
out to evaluate the relationship between bone related biomarkers and anatomic
location of dental implants.

Anahtar Kelimeler

Bone morphogenetic proteins, dental implant, osteoprotegerin, receptor activator of nuclear factor-kappa B

Dental implantların anatomik lokasyonlarının (mandibula ile maxilla) osseointegrasyon süresince peri-implant oluğu sıvısındaki BMP-2, BMP-7, sRANKL ve OPG seviyeleri üzerine herhangi bir etkisi yoktur. Pilot bir çalışma

Öz

Amaç: Bu çalışmanın amacı, hem maksilla hemde
mandibulaya yerleştirilen implantların periimplant oluğu sıvısında
osseointegrasyon süresi boyunca kemik morfogenetik protein-2 (BMP-2), BMP-7,
çözünür reseptör aktivatör nükleer faktör kappa B ligandı (sRANKL)  ve osteoprotegrin (OPG) seviyelerinin
araştırılmasıdır.

Gereç ve Yöntemler:Bu çalışmada 33 hasta (17 bayan ve 16
erkek; ortalama yaş 47.03±11.23) yer almıştır. Hem maxillaya (Grup 1/n=18)
hemde mandibulaya (Grup 2/n=15) olmak üzere toplam 33 implant
yerleştirilmiştir. Peri-implant oluğu sıvısı (PIS) örnekleri, modifiye plak
indeksi (MPI), gingival indeks (GI) ve sondlama cep derinliği (SCD)
ölçümleri cerrahiden sonra 1. ve 3. ayda alındı. BMP-2/-7, sRANKL ve OPG PIS
seviyeleri ELIZA ile incelendi.

Bulgular:İyileşme süresince herhangi bir
komplikasyon gözlenmedi.Gruplar arasında sRANKL, OPG, BMP-2 ve BMP-7 PIS
seviyeleri ve incelenen klinik parametreler açısından herhangi bir zaman
periyodunda anlamlı fark gözlenmedi (p>0.05). PIS hacmi 1. ayda grup 2 de
grup 1’e göre fazla iken, 3. ayda PIS hacmi grup 1 de grup 2’ye göre fazlaydı
(p<0.05). PIS hacmi ile sRANKL arasında pozitif (p<0.05) ve BMP-2 ile
BMP-7 arasında güçlü pozitif korelasyon (p<0.01) mevcuttu. 

Sonuçlar:Bu pilot çalışmanın sonuçları, dental
implantların anatomik lokasyonları açısından BMP-2, BMP-7, sRANKL, ve OPG PIS
seviyelerinde anlamlı bir fark gösterememiştir. Kemik ile ilişkili
biyobelirteçler ve dental implantların anatomic lokasyonu arasındaki ilişkinin
değerlendirilmesi için iyi dizayn edilmiş çalışmalar yapılmalıdır.

Anahtar Kelimeler

Kemik morfogenetik proteinleri, dental implant, osteoprotegrin, reseptör aktivatör nükleer kappa B ligand

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