Substantiation of a panel of biomarkers for predicting and evaluating the effectiveness of dental implantation based on modern views on the pathophysiological molecular and cellular mechanisms of peri-implantitis
- Authors: Polyakova A.A.1, Sokolovich N.A.2, Vasiliev А.G.3
-
Affiliations:
- Saint Petersburg Medical and Social Institute
- Saint Petersburg State University
- Saint Petersburg State Pediatric Medical University
- Issue: Vol 15, No 6 (2024)
- Pages: 73-82
- Section: Reviews
- URL: https://journals.eco-vector.com/pediatr/article/view/678150
- DOI: https://doi.org/10.17816/PED15673-82
- ID: 678150
Cite item
Abstract
One of the important tasks of modern dentistry is to find indicators that would allow predicting the development of complications of dental implantation. However, there is currently no generally accepted set of biomarkers and assessment scales for early diagnosis of the risk of complications and monitoring of osseointegration processes. Accordingly, the possibility of early prevention and treatment in an adequate time frame is reduced to prevent the development of implant rejection. To improve the forecasting and evaluation of the effectiveness of dental implantation based on the molecular profile of patients an analytical review of publications over the past decade devoted to the use of biomarkers for predicting and evaluating the effectiveness of dental implantation was conducted. The tissue response to an implant in peri-implantitis is a complex pathophysiological process that involves the interaction between the implant, surrounding tissues, and the body’s immune system. Based on the analysis of literature data, a panel of biomarkers has been substantiated that can be used to predict complications after dental implantation and assess the severity of peri-implantitis from the perspective of modern views on the pathophysiological molecular and cellular mechanisms of peri-implantitis: α-tubulin, β-tubulin, cyclooxygenase-1,2,3, vascular endothelial growth factor and its receptor, melatonin and its receptors, nerve cell nuclear protein, nitric oxide, vascular cell adhesion molecule-1, neuron-specific enolase, claudine-1 and E-cadherin. The use of this panel of molecular markers will improve the accuracy of predictions, individualize treatment approaches, and ensure the long-term stability of implants.
Keywords
Full Text

About the authors
Anastasia A. Polyakova
Saint Petersburg Medical and Social Institute
Author for correspondence.
Email: aapol13@yandex.ru
ORCID iD: 0000-0002-2808-3018
SPIN-code: 1344-4546
Assistant at the Department of Vocational Education and Pre-University Training
Russian Federation, Saint PetersburgNatalia A. Sokolovich
Saint Petersburg State University
Email: lun_nat@mail.ru
ORCID iD: 0000-0003-4545-2994
SPIN-code: 1017-8210
MD, Dr. Sci. (Medicine), Professor of the Department of Dentistry
Russian Federation, Saint PetersburgАndrey G. Vasiliev
Saint Petersburg State Pediatric Medical University
Email: avas7@mail.ru
ORCID iD: 0000-0002-8539-7128
SPIN-code: 1985-4025
MD, Dr. Sci. (Medicine), Professor, Head of Pathophysiology Department
Russian Federation, Saint PetersburgReferences
- Arutiunov SD, Tsarev VN, Ippolitov EV, et al. Biofilm formation on temporary dentures: correlation of primary adhesion, coaggregation and colonization. Stomatology. 2012;91(5–1):5–10. EDN: PUAFWR
- Gusel’nikova VV, Korzhevskiy DE. Neun as a neuronal nuclear antigen and neuron differentiation marker. Acta Naturae. 2015;7(2):46–52. EDN: TVLZZN
- Ivina AA, Babichenko II, Rabinovich OF, Togonidze AA. Ki-67 and Claudin-1 expression in hyperplasia, oral squamous inthraepithelial neoplasia and oral squamous cell carcinoma. Stomatology. 2014;93(1):3133. EDN: RWIGBZ
- Kostina IN, Yakov AYu, Kostin AO. Peri-implant mucositis and peri-implantitis: epidemiology, current understanding of clinic and diagnostics. Dental implantology and surgery. 2020;(3/4):50–57. EDN: ZAYHCM (In Russ.)
- Kulakov AA, Kogan EA, Brailovskaya TV, et al. Morphological and molecular-biological features of inflammatory and regeneratory processes in peridont tissues with periimplantitis and periodontitis. Doklady Biochemistry and Biophysics. 2020;492(1):300–304. doi: 10.31857/S2686738920030154 EDN: AWIDLC
- Kulakov AA, Kogan EA, Nikolenko VN, et al. Clinical-morphological and immunohistochemical study of tissues during periimplantit and periodontitis. Medical news of North Caucasus. 2019;14(4): 653–659. doi: 10.14300/mnnc.2019.14162 EDN: SWGGOB
- Labis VV, Bazikyan EA, Volkov AV, et al. The role of immune mechanisms and oral microflora in the pathogenesis of periimplantites. Bulletin of the Orenburg Scientific Center of the Ural Branch of the Russian Academy of Sciences. 2019;(3):9. doi: 10.24411/2304-9081-2019-13018 EDN: IBZOCU
- Maiborodin IV, Shevela AA, Toder MS, Shevela AI. The features of interaction between dental implants and organism tissues and the modern methods of creation of antibacterial covering on implant surfaces. Russian journal of stomatology. 2017;10(4):32–41. doi: 10.17116/rosstomat201710432-40 EDN: YPXJMQ
- Patent RU No. 2804384 C1/28.09.2023. Polyakova AA, Lunev AA, Sokolovich NA, Polyakova VO. Method of predicting the results of dental implantation in young people with diabetes mellitus. (In Russ.)
- Polyakova AA, Medvedev DS, Kozlov KL, et al. Signaling molecules as biomarkers for predicting implant survival in people of different ages. Advances in gerontology. 2022;35(4):466–471. doi: 10.34922/AE.2022.35.4.002 EDN: FDOBYS
- Polyakova AA, Medvedev DS, Polyakova VO. Pathophysiologic mechanisms of dental implants adhesion in elderly patients. Advances in gerontology. 2022;35(4):625. EDN: VXTGBB (In Russ.)
- Rybalko AS. Pathophysiologic substantiation of the prognosis of the outcome of dental implantation on the basis of the assessment of the cytologic status of adjacent tissues [dissertation abstract]. Moscow; 2023. 24 p. EDN: EZCLED (In Russ.)
- Tuneva NA, Bogacheva NV. Comparative evaluation of microbial contamination in and periodontitis and periimplantitis. Review. Bulletin of Perm University. Biology. 2021;(2):101–109. doi: 10.17072/1994-9952-2021-2-101-109 EDN: ATQQXT
- Albrektsson T, Donos N, Working Group 1. Implant survival and complications. The third EAO consensus conference 2012. Clin Oral Implants Res. 2012;23(S6):63–65. doi: 10.1111/j.1600-0501.2012.02557.x
- Albrektsson T, Isidor F. Consensus report: Implant therapy. In: Proceedings of the 1st European workshop on periodontology; Switzerland, Warth-Weiningen, 1–4 Feb 1993.
- Alves CH, Russi KL, Rocha NC, et al. Host-microbiome interactions regarding peri-implantitis and dental implant loss. J Transl Med. 2022;20:425. doi: 10.1186/s12967-022-03636-9
- Aras H, Cağlayan F, Güncü GN, et al. Effect of systemically administered naproxen sodium on clinical parameters and myeloperoxidase and elastase-like activity levels in gingival crevicular fluid. J Periodontol. 2007;78(5):868–873. doi: 10.1902/jop.2007.060412
- Arthur A, Rychkov G, Shi S, et al. Adult human dental pulp stem cells differentiate toward functionally active neurons under appropriate environmental cues. Stem Cells. 2008;26(7):1787–1795. doi: 10.1634/stemcells.2007-0979
- Avinash K, Malaippan S, Dooraiswamy JN. Methods of isolation and characterization of stem cells from different regions of oral cavity using markers: a systematic review. Int J Stem Cells. 2017;10:12–20. doi: 10.15283/ijsc17010
- Berglundh T, Armitage G, Araujo MG, et al. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 world workshop on the classification of periodontal and peri-implant diseases and conditions. J Clin Periodontol. 2018;45(S20):S286–S291. doi: 10.1111/jcpe.129579
- Costa FO, Takenaka-Martinez S, Cota LO, et al. Peri-implant disease in subjects with and without preventive maintenance: a 5-year follow-up. J Clin Periodontol. 2012;39(2):173–181. doi: 10.1111/j.1600-051X.2011.01819.x
- Derks J, Ichioka Y, Dionigi C, et al. Prevention and management of periimplant mucositis and peri-implantitis: A systematic review of outcome measures used in clinical studies in the last 10 years. J Clin Periodontol. 2023;50(S25):55–66. doi: 10.1111/jcpe.13608
- Desai JP, Nair RU. Oral health factors related to rapid oral health deterioration among older adults: a narrative review. J Clin Med. 2023;12(9):3202. doi: 10.3390/jcm12093202
- Diaz P, Gonzalo E, Villagra LJG, et al. What is the prevalence of peri-implantitis? A systematic review and meta-analysis. BMC Oral Health. 2022;22(1):449. doi: 10.1186/s12903-022-02493-8
- Gomez-Sosa JF, Caviedes-Bucheli J, Díaz Barrera LE. Gene expression of vascular endothelial growth factor a and its receptors in dental pulp of immature and mature teeth. Eur Endod J. 2021;6(3):259–263. doi: 10.14744/eej.2021.86580
- Hatori A, Fujii Y, Kawase-Koga Y, et al. VCAM-1 and GFPT-2: Predictive markers of osteoblast differentiation in human dental pulp stem cells. Bone. 2023;166:116575. doi: 10.1016/j.bone.2022.116575
- Heitz-Mayfield LJ, Aaboe M, Araujo M, et al. Group 4 ITI Consensus Report: Risks and biologic complications associated with implant dentistry. Clin Oral Implant Res. 2018;29(S16):351–358. doi: 10.1111/clr.13307
- Heitz-Mayfield LJA. Peri-implant diseases: diagnosis and risk indicators. J Clin Periodontol. 2008;35(S8):292–304. doi: 10.1111/j.1600-051X.2008.01275.x
- Hernndez M, Vernal R, Sorsa T, et al. The role of immuno-inflammatory response in the pathogenesis of chronic periodontitis and development of chair-side point of care diagnostics. In: Buduneli N, editor. Pathogenesis treat periodontitis. InTech; 2012. doi: 10.5772/32658
- Hong DGK, Oh J-h. Recent advances in dental implants. Maxillofac Plast Reconstr Surg. 2017;39:33. doi: 10.1186/s40902-017-0132-2
- Jepsen S, Berglundh T, Genco R, et al. Primary prevention of periimplantitis: Managing peri-implant mucositis. J Clin Periodontol. 2015;42(S16):S152–S157. doi: 10.1111/jcpe.12369
- Katafuchi M, Weinstein BF, Leroux BG, et al. Restoration contour is a risk indicator for peri-implantitis: a cross-sectional radiographic analysis. J Clin Periodontol. 2018;45(2):225–232. doi: 10.1111/jcpe.12829
- Krennmair G, Seemann R, Piehslinger E. Dental implants in patients with rheumatoid arthritis: clinical outcome and peri-implant findings. J Clin Periodontol. 2010;37(10):928–936. doi: 10.1111/j.1600-051X.2010.01606.x
- Kyrkanides S, Trochesset D, Cordero-Ricardo M, Brouxhon SM. Conditional ablation of E-cadherin in the oral epithelium progeny results in tooth anomalies. Clin Exp Dent Res. 2022;8(5):1185–1191. doi: 10.1002/cre2.612
- Lahteenmaki H, Umeizudike KA, Heikkinen AM, et al. aMMP-8 point-of-care/chairside oral fluid technology as a rapid, non-invasive tool for periodontitis and peri-implantitis screening in a medical care setting. Diagnostics. 2020;10(8):562. doi: 10.3390/diagnostics10080562
- Liu M, Wang Y, Zhang S, Wei Q, Li X. Success factors of additive manufactured root analogue implants. ACS Biomater Sci Eng. 2022;8(2):360–378. doi: 10.1021/acsbiomaterials.1c01079
- Loos BG, Van Dyke TE. The role of inflammation and genetics in periodontal disease. Periodontology. 2000;83(1):26–39. doi: 10.1111/prd.12297
- Marcello-Machado RM, Faot F, Schuster AJ, et al. Mapping of inflammatory biomarkers in the peri-implant crevicular fluid before and after the occlusal loading of narrow diameter implants. Clin Oral Invest. 2020;24:1311–1320. doi: 10.1007/s00784-019-03010-y
- Martins BR, Pinto TS, da Costa Fernandes CJ, et al. PI3K/AKT signaling drives titanium-induced angiogenic stimulus. J Mater Sci: Mater Med. 2021;32:18. doi: 10.1007/s10856-020-06473-8
- Mesa F, Aguilar M, Galindo-Moreno P, et al. Cyclooxygenase-2 expression in gingival biopsies from periodontal patients is correlated with connective tissue loss. J Periodontol. 2012;83(12): 1538–1545. doi: 10.1902/jop.2012.110561
- Raines AL, Berger MB, Patel N, et al. VEGF-A regulates angiogenesis during osseointegration of Ti implants via paracrine/autocrine regulation of osteoblast response to hierarchical microstructure of the surface. J Biomed Mater Res A. 2019;107(2):423–433. doi: 10.1002/jbm.a.36559
- Renvert S, Persson GR, Pirih FQ, Camargo PM. Peri-implant health, peri-implant mucositis, and peri-implantitis: Case definitions and diagnostic considerations. J Clin Periodontol. 2018;45(S20): S278–S285. doi: 10.1111/jcpe.12956
- Renvert S, Persson GR, Pirih FQ, Camargo PM. Peri-implant health, peri-implant mucositis, and peri-implantitis: Case definitions and diagnostic considerations. J Periodontol. 2018;89(S1): S304–S312. doi: 10.1002/JPER.17-0588
- Rinke S, Nordlohne M, Leha A, et al. Risk indicators for mucositis and peri-implantitis: Results from a practice-based cross-sectional study. J Periodontal Implant Sci. 2020;50(3):183–196. doi: 10.5051/jpis.2020.50.3.18391
- Roccuzzo A, Imber JC, Salvi GE, Roccuzzo M. Peri-implantitis as the consequence of errors in implant therapy. Periodontol 2000. 2023;92(1):350–361. doi: 10.1111/prd.12482
- Swarup S, Sabharwal P, Meena MK, et al. Calprotectin and N-telopeptide of type I collagen (NTx) as gingival crevicular fluid (GCF) biomarker in peri-implantitis patients. Cureus. 2022;14(8):e28430. doi: 10.7759/cureus.28430
- Taskan MM, Gevrek F. PPAR-γ, RXR, VDR, and COX-2 Expressions in gingival tissue samples of healthy individuals, periodontitis and peri-implantitis patients. Niger J Clin Pract. 2020;23(1):46–53. doi: 10.4103/njcp.njcp_349_19
- Wu J, Liu Y, Cao Q, et al. Growth factors enhanced angiogenesis and osteogenesis on polydopamine coated titanium surface for bone regeneration. Mater Des. 2020;196:109162. doi: 10.1016/j.matdes.2020.109162
- Yang Y-Q, Tan Y-Y, Wong R, et al. The role of vascular endothelial growth factor in ossification. Int J Oral Sci. 2012;4(2):64–68. doi: 10.1038/ijos.2012.33
- Zhang L, Li X, Yan H, Huang L. Salivary matrix metalloproteinase (MMP)-8 as a biomarker for periodontitis: a PRISMA-compliant systematic review and meta-analysis. Medicine (Baltimore). 2018;97(3):e9642. doi: 10.1097/MD.0000000000009642
Supplementary files
