Analysis of IL-1β, CXCL8, and TNF Levels in the Crevicular Fluid of Patients With Periodontitis or Healthy Implants
Abstract Purpose: The evaluation of periodontal and peri-implant tissue condition is mainly based on clinical examination and imaging diagnostics. Some data implies that an examination of cytokine level in peri-implant sulcular fluid (PISF) might prove useful when evaluating the condition of peri-implant tissues and monitoring the development of peri-implant inflammation, including both mucositis and peri-implantitis. Thus, in this paper, it has been decided to assess the level of TNF, CXCL8, and IL-1β in PISF collected from patients with no clinical symptoms of mucositis or peri-implantitis and compare them with cytokine concentration in gingival crevicular fluid (GCF) acquired from patients with healthy periodontium and those with varying severity of periodontitis. Materials and Methods: A total of 189 subjects were included in the study, and GCF/PISF samples were checked for TNF, CXCL8, and IL-1β levels using an ELISA test.Results: We documented that the IL-1β level, in PISF in patients with implants, was significantly lower than in GCF in patients with mild, moderate, or severe periodontitis. We also revealed that their CXCL8 level in PISF was considerably lower than in patients with moderate periodontitis. However, the TNF level in PISF in patients with implants was markedly higher compared to subjects with healthy periodontium or patients with mild periodontitis. Conclusion: Our observation might imply that the monitoring of TNF, CXCL8, and IL-1β levels in PISF could help with the diagnosis of mucositis/peri-implantitis before any clinical manifestations, thus allowing a quicker appropriate therapy intervention at an early stage.