Peri-Implant Surgical Treatment Downregulates the Expression of sTREM-1 and MMP-8 in Patients with Peri-Implantitis: A Prospective Study

Int J Environ Res Public Health. 2022 Mar 18;19(6):3627. doi: 10.3390/ijerph19063627.

Abstract

sTREM-1 and its ligand PGLYRP1 play an essential role in the inflammatory process around teeth and implants. In this study, we aimed to evaluate the impact of peri-implant treatment on the salivary levels of the sTREM-1/PGLYRP-1/MMP-8 axis after 3 months. A total of 42 participants (with a mean age of 61 years old ± 7.3) were enrolled in this longitudinal study, 24 having peri-implant mucositis (MU) and 18 having peri-implantitis (PI). Clinical peri-implant parameters, such as probing pocket depth (PPD), % of plaque, and bleeding on probing (BOP), and the whole unstimulated saliva samples were evaluated at baseline and 3 months after treatment. The MU group received nonsurgical peri-implant treatment, while the PI group received open-flap procedures. The levels of sTREM-1, PGLYRP-1, MMP-8, and TIMP-1 were analyzed using enzyme-linked immunosorbent assays. BOP, plaque levels, and PPD significantly reduced after treatment in both groups. A significant decrease in the salivary levels of sTREM-1, MMP-8, and TIMP-1 in the PI group and PGLYRP1 and TIMP-1 in the MU group were observed. Salivary levels of sTREM-1 were significantly reduced in patients with PI but not with MU. Additionally, peri-implant treatment had a significantly higher impact on MMP-8 reduction in patients with PI than in those with MU.

Keywords: MMP-8; PGLYRP-1; peri-implant mucositis; peri-implant treatment; peri-implantitis; sTREM-1.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Humans
  • Longitudinal Studies
  • Matrix Metalloproteinase 8* / genetics
  • Middle Aged
  • Peri-Implantitis* / metabolism
  • Peri-Implantitis* / surgery
  • Prospective Studies
  • Tissue Inhibitor of Metalloproteinase-1 / genetics
  • Triggering Receptor Expressed on Myeloid Cells-1* / genetics

Substances

  • TIMP1 protein, human
  • TREM1 protein, human
  • Tissue Inhibitor of Metalloproteinase-1
  • Triggering Receptor Expressed on Myeloid Cells-1
  • MMP8 protein, human
  • Matrix Metalloproteinase 8