Peri-Implantitis Clinical Trial
Official title:
Assessment of Efficacy of Calprotectin and Cross-linked N-telopeptides of Type I Collagen Levels in Crevicular Fluid as a Biomarker in Patients With Peri-implantitis: A Clinical Study
The study aims to assess the efficacy of Calprotectin and cross-linked N-telopeptides of type I collagen levels in crevicular fluid as a biomarker in patients with peri-implantitis.
Ethical approval will be obtained from the ethical committee of the Riyadh Elm University and
written consent will be obtained from all the patients after explaining in detail the entire
research protocol.
Inclusion criteria for the present study:
- 10 patients who underwent dental implant procedure five to ten years ago; among these- 5
patients will be with healthy peri-implant status and 5 patients with presence of
peri-implant diseases
- Patients of comparable age and gender distribution- Patients within the age group of 25
to 45 years; and 3 males and 2 females in peri-implant diseases group and 3 males and 2
females in healthy peri-implant status group
- Patients with negative history of any systemic illness, metabolic disease.
- Patients with negative history of antibiotic therapy in past ninety days.
After collecting the PICF and GCF, examination of probing depth (PD), bleeding on probing
(BOP) and gingival index (GI) will be done.Modified Löe and Silness criteria will be used for
evaluating the GI score.Using modification of criteria described by Schei et al, bone loss
rate of alveolar bone will be analyzed on radiographic assessment. Periodontal sites with PD
of equal to or more than 3mm with GI score of equal to or more than 1mm and presence or
absence of BOP, will be categorized as peri-implant disease sites. Periodontal sites with PD
of less than 3mm with GI score of 0 and absence of BOP will be categorized as healthy implant
sites. Sterile paper strips will be used for collecting PICF samples, followed by PICF sample
preparation using modified criteria described previously in the literature. Isolation of the
PICF sampling sites will be done using cotton roles. This will be followed by removal of
supra-gingival plaques and gentle air drying. Insertion of the periopaper will be done into
the peri-implant crevice and will be kept there for thirty seconds. Periotron will be used
for measuring the volume of PICF. Further, all the samples will be sent to laboratory where
ELISA technique will be used for measuring the calprotectin
;
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