Assessment of salivary alpha amylase and mucin-4 before and after non-surgical treatment of peri-implant mucositis

Abstract Background The present study was based on the null hypothesis that there is no difference in clinicoradiographic parameters and whole salivary alpha amylase (AA) and mucin-4 levels before and after non-surgical mechanical debridement (NSMD) of patients with peri-implant mucositis (PM). The...

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Main Authors: Hajer A. Aldulaijan, Abeer S. Al-Zawawi, Marwa Y. Shaheen, Dena Ali, Darshan Devang Divakar, Amani M. Basudan
Format: Article
Language:English
Published: SpringerOpen 2022-07-01
Series:International Journal of Implant Dentistry
Subjects:
Online Access:https://doi.org/10.1186/s40729-022-00429-z
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author Hajer A. Aldulaijan
Abeer S. Al-Zawawi
Marwa Y. Shaheen
Dena Ali
Darshan Devang Divakar
Amani M. Basudan
author_facet Hajer A. Aldulaijan
Abeer S. Al-Zawawi
Marwa Y. Shaheen
Dena Ali
Darshan Devang Divakar
Amani M. Basudan
author_sort Hajer A. Aldulaijan
collection DOAJ
description Abstract Background The present study was based on the null hypothesis that there is no difference in clinicoradiographic parameters and whole salivary alpha amylase (AA) and mucin-4 levels before and after non-surgical mechanical debridement (NSMD) of patients with peri-implant mucositis (PM). The aim was to assess whole salivary AA and mucin-4 levels before and after treatment of PM. Methods Patients with PM (Group-1) and individuals without peri-implant diseases (Group-2) were included. Demographic data was collected and peri-implant modified plaque and bleeding indices (mPI and mBI, respectively), probing depth (PD) and crestal bone loss were measured at baseline. Levels of AA and mucin-4 were assessed in unstimulated whole saliva samples. All patients underwent full-mouth non-surgical periodontal therapy (NSPT) and NSMD; and clinical parameters and salivary biomarkers were re-assessed after 3 months. Level of significance was set at P < 0.01. Results Twenty-six and 32 individuals were included in groups 1 and 2, respectively. None of the participants had periodontitis. At baseline clinical periodontal parameters (PI [P < 0.001], GI [P < 0.001], clinical AL [P < 0.001] and PD [P < 0.001]) were significantly high in Group-1 than Group-2. At 3-month follow-up, there was a statistically significant reduction in clinical periodontal and peri-implant parameters (PI [P < 0.01], GI [P < 0.01], and PD [P < 0.01]) in Group-1 compared with their baseline values. At baseline, salivary AA levels were significantly high in Group-1 than Group-2 (P < 0.01). At 3-month follow-up, there was no significant difference in whole salivary AA levels among patients in groups 1 and 2. Conclusions The AA and mucin-4 levels are potential biomarkers for evaluation of peri-implant diseases including PM. Mechanical instrumentation continues to be the most predictable treatment option for the management of peri-implant diseases.
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spelling doaj.art-ed3d962d4ca54763b94a7fd306b7ba0b2022-12-22T03:01:08ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342022-07-01811910.1186/s40729-022-00429-zAssessment of salivary alpha amylase and mucin-4 before and after non-surgical treatment of peri-implant mucositisHajer A. Aldulaijan0Abeer S. Al-Zawawi1Marwa Y. Shaheen2Dena Ali3Darshan Devang Divakar4Amani M. Basudan5Department of Periodontics and Community Dentistry, College of Dentistry, King Saud UniversityDepartment of Periodontics and Community Dentistry, College of Dentistry, King Saud UniversityDepartment of Periodontics and Community Dentistry, College of Dentistry, King Saud UniversityDepartment of General Dental Practice, Kuwait UniversityDepartment of Oral Medicine and Radiology, Sharavathi Dental College and HospitalDepartment of Periodontics and Community Dentistry, College of Dentistry, King Saud UniversityAbstract Background The present study was based on the null hypothesis that there is no difference in clinicoradiographic parameters and whole salivary alpha amylase (AA) and mucin-4 levels before and after non-surgical mechanical debridement (NSMD) of patients with peri-implant mucositis (PM). The aim was to assess whole salivary AA and mucin-4 levels before and after treatment of PM. Methods Patients with PM (Group-1) and individuals without peri-implant diseases (Group-2) were included. Demographic data was collected and peri-implant modified plaque and bleeding indices (mPI and mBI, respectively), probing depth (PD) and crestal bone loss were measured at baseline. Levels of AA and mucin-4 were assessed in unstimulated whole saliva samples. All patients underwent full-mouth non-surgical periodontal therapy (NSPT) and NSMD; and clinical parameters and salivary biomarkers were re-assessed after 3 months. Level of significance was set at P < 0.01. Results Twenty-six and 32 individuals were included in groups 1 and 2, respectively. None of the participants had periodontitis. At baseline clinical periodontal parameters (PI [P < 0.001], GI [P < 0.001], clinical AL [P < 0.001] and PD [P < 0.001]) were significantly high in Group-1 than Group-2. At 3-month follow-up, there was a statistically significant reduction in clinical periodontal and peri-implant parameters (PI [P < 0.01], GI [P < 0.01], and PD [P < 0.01]) in Group-1 compared with their baseline values. At baseline, salivary AA levels were significantly high in Group-1 than Group-2 (P < 0.01). At 3-month follow-up, there was no significant difference in whole salivary AA levels among patients in groups 1 and 2. Conclusions The AA and mucin-4 levels are potential biomarkers for evaluation of peri-implant diseases including PM. Mechanical instrumentation continues to be the most predictable treatment option for the management of peri-implant diseases.https://doi.org/10.1186/s40729-022-00429-zAlpha amylaseDental implantMechanical debridementMucin-4Peri-implant mucositisWhole saliva
spellingShingle Hajer A. Aldulaijan
Abeer S. Al-Zawawi
Marwa Y. Shaheen
Dena Ali
Darshan Devang Divakar
Amani M. Basudan
Assessment of salivary alpha amylase and mucin-4 before and after non-surgical treatment of peri-implant mucositis
International Journal of Implant Dentistry
Alpha amylase
Dental implant
Mechanical debridement
Mucin-4
Peri-implant mucositis
Whole saliva
title Assessment of salivary alpha amylase and mucin-4 before and after non-surgical treatment of peri-implant mucositis
title_full Assessment of salivary alpha amylase and mucin-4 before and after non-surgical treatment of peri-implant mucositis
title_fullStr Assessment of salivary alpha amylase and mucin-4 before and after non-surgical treatment of peri-implant mucositis
title_full_unstemmed Assessment of salivary alpha amylase and mucin-4 before and after non-surgical treatment of peri-implant mucositis
title_short Assessment of salivary alpha amylase and mucin-4 before and after non-surgical treatment of peri-implant mucositis
title_sort assessment of salivary alpha amylase and mucin 4 before and after non surgical treatment of peri implant mucositis
topic Alpha amylase
Dental implant
Mechanical debridement
Mucin-4
Peri-implant mucositis
Whole saliva
url https://doi.org/10.1186/s40729-022-00429-z
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