Neutrophil elastase activity and concentrations of interleukin 1-beta in crevicular fluid after immediate replacement and immediate loading of implants.
Our objective was to calculate the amounts of neutrophil elastase and interleukin-1beta (IL-1) in the crevicular fluid of dental implants that were placed and restored immediately after extraction of teeth. The crevicular fluid of 11 patients was obtained before the teeth were extracted and during the early (days 1-10) and late (day 10 onwards) follow-up periods. Samples were analysed by kinetic assay for neutrophil elastase and by immunoassay of IL-1. The absolute values remained unchanged during the early (p=0.15; p=0.2) and late (p=0.4; p=0.5) follow-up periods. Paired analysis showed that the absolute values in the periodontal crevicular fluid were similar compared with the corresponding samples obtained during the early (p=0.5; p=0.3) and the late (p=0.6; p=0.2) follow-up periods. These findings suggest that placement of implants according to the immediate loading protocol, although it is an invasive procedure, does not provoke an inflammatory reaction.
Gruber
Reinhard
R
Department of Oral Surgery, Medical University of Vienna, Austria. reinhard.gruber@meduniwien.ac.at
Nadir
Jihan
J
Haas
Robert
R
D003442:Crowns; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003794:Dental Restoration, Temporary; D005260:Female; D005500:Follow-Up Studies; D005883:Gingival Crevicular Fluid / Q000737:chemistry*; D006801:Humans; D053583:Interleukin-1beta / Q000032:analysis*; D019272:Leukocyte Elastase / Q000032:analysis*; D008297:Male; D014081:Tooth Extraction; D020390:Tooth Socket / Q000601:surgery
D015921:Dental Implants; D053583:Interleukin-1beta; D019272:Leukocyte Elastase