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Tissue Alterations in Aggressive and Chronic Periodontitis

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Σύνδεση εγγραφή
Ο σύνδεσμος αποθηκεύεται στο πρόχειρο
ΚατάστασηΟλοκληρώθηκε το
Χορηγοί
Tokat Gaziosmanpasa University

Λέξεις-κλειδιά

Αφηρημένη

Present study intended to compare diseased and healthy sites in chronic and aggressive periodontitis with healthy individuals. The investigators suggest that even unaffected healthy sites of both chronic and aggressive periodontitis patients exhibit subclinical inflammation and tissue destruction with decreased fibroblast cell counts and increased inflammatory cell counts. Investigators also suggest that a possible mechanism which might play a role in the disease progression might occur via a disbalance between matrix metalloproteinases and their inhibitors, and increased hypoxia in diseased sites.

Περιγραφή

Periodontal disease disrupts soft tissue metabolism in the gingiva through a decrease in the production of collagen, the quality, and quantity of the connective tissue. The etiology and pathogenesis of chronic periodontitis are mostly revealed however, there are many dark points in the etiopathogenesis of aggressive periodontitis. The existence of periodontal destruction at even one tooth in the mouth increases the risk of further periodontal destruction. However, the incidence of progression of the disease to the unaffected teeth was not demonstrated. Yet, the progression of the disease from diseased sites to healthy sites is likely to occur but no evidence is present comparing healthy and diseased sites of chronic and aggressive periodontitis. Present study aimed to evaluate the histological changes in both diseased and healthy sites in both localized aggressive periodontitis (LAgP) and chronic periodontitis (CP) patients by determining fibroblast and inflammatory cell counts in histologic slides and immunohistochemical staining of enzymes and hypoxia markers in order to better understand the dimensions of this demolition in periodontal disease.

Ημερομηνίες

Τελευταία επαλήθευση: 07/31/2018
Πρώτα υποβλήθηκε: 08/06/2018
Υποβλήθηκε εκτιμώμενη εγγραφή: 08/06/2018
Δημοσιεύτηκε για πρώτη φορά: 08/09/2018
Υποβλήθηκε τελευταία ενημέρωση: 08/08/2018
Δημοσιεύτηκε η τελευταία ενημέρωση: 08/12/2018
Ημερομηνία έναρξης της πραγματικής μελέτης: 01/31/2017
Εκτιμώμενη κύρια ημερομηνία ολοκλήρωσης: 01/31/2018
Εκτιμώμενη ημερομηνία ολοκλήρωσης μελέτης: 05/31/2018

Κατάσταση ή ασθένεια

Localized Aggressive Periodontitis
Chronic Periodontitis

Φάση

-

Ομάδες βραχιόνων

ΜπράτσοΠαρέμβαση / θεραπεία
Healthy individuals
Gingival biopsies of healthy individuals who had no systemic or oral disease or condition.
Unaffected sites of CP
Chronic periodontitis patients had teeth affected from destruction and some teeth were unaffected. Gingival biopsies of chronic periodontitis patients were taken from sites which were not affected by periodontal destruction.
Affected sites of CP
Chronic periodontitis patients had teeth affected from destruction and some teeth were unaffected. Gingival biopsies of chronic periodontitis patients were taken from sites which were affected by periodontal destruction.
Unaffected sites of LAgP
Like chronic periodontitis, aggressive periodontitis patients had also teeth affected by destruction and some teeth were unaffected. Gingival biopsies of aggressive periodontitis patients were taken from sites which were not affected by the periodontal destruction.
Affected sites of LAgP
Like chronic periodontitis, aggressive periodontitis patients had also teeth affected by destruction and some teeth were unaffected. Gingival biopsies of aggressive periodontitis patients were taken from sites which were affected by the periodontal destruction.

Κριτήρια καταλληλότητας

Επιλέξιμες ηλικίες για μελέτη 30 Years Προς την 30 Years
Φύλα επιλέξιμα για μελέτηAll
Μέθοδος δειγματοληψίαςProbability Sample
Δέχεται υγιείς εθελοντέςΝαί
Κριτήρια

Inclusion Criteria:

Age range from 30 to 45, the existence of at least 20 functioning teeth, no history of smoking, systemical health, no antibiotic use within 6 months, no periodontal therapy within 6 months, no pregnancy or lactation, no drug use, in addition; For healthy individuals, the existence of oral health

- For localized aggressive periodontitis, the existence of the disease at least for 5 years, the presence of both healthy and diseased sites in the same patient.

- For chronic periodontitis, the existence of the disease at least for 5 years, the presence of both healthy and diseased sites in the same patient.

Exclusion Criteria:

- Patients younger than 30 older than 45 years old, the absence of occlusion, drug use, pregnancy/lactation, smoking, previous antibiotic use, previous periodontal therapy, the existence of any systemical disease.

Αποτέλεσμα

Πρωτεύοντα αποτελέσματα

1. Fibroblast and total inflammatory cell counts [Biopsies were obtained a day after initial examinations, histological analysis were performed 2 weeks after.]

Fibroblast and total inflammatory cell counts in the groups were determined in a standardized 1000 micrometer square area with histomorphometric evaluation.

Δευτερεύοντα αποτελέσματα

1. Immunohistochemical staining [Biopsies were obtained a day after initial examinations, histological analysis were performed 2 weeks after]

Expressions of matrix metalloproteinase 8 and tissue inhibitor, hypoxia inducible factor-1alpha and vascular endothelial growth factor were evaluated in histological slides.

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