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

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).

journal_name

J Clin Periodontol

authors

Branco-de-Almeida LS,Cruz-Almeida Y,Gonzalez-Marrero Y,Kudsi R,de Oliveira ICV,Dolia B,Huang H,Aukhil I,Harrison P,Shaddox LM

doi

10.1111/jcpe.13404

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

237-248

issue

2

eissn

0303-6979

issn

1600-051X

journal_volume

48

pub_type

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