Molecular Biomarkers in Peri-Implant Health and Disease: A Cross-Sectional Pilot Study

Background: The aim of this feasibility study was to investigate the concentration level of CCL-20/MIP-3 alpha, BAFF/BLyS, IL-23, RANKL, and Osteoprotegerin in the Peri-Implant Crevicular Fluid (PICF), from patients diagnosed with peri-implant mucositis and peri-implantitis, and to compare them with PICF from patients with healthy implants. Methods: Participants with at least one dental implant with healthy peri-implant tissues, peri-implant mucositis, or peri-implantitis were included. PICF was collected using paper strips from healthy and diseased peri-implant sites (n = 19). Biomarker levels were analyzed using a custom Multiplex ELISA Assay Kit. Results: In comparison to peri-implant health, the peri-implant mucositis group showed an increased concentration of CCL-20 MIP-3 alpha, BAFF/BLyS, IL-23, RANKL, and Osteoprotegerin. The peri-implantitis group had the lowest median concentration of Osteoprotegerin (1963 ng/mL); this group had a similar concentration of RANKL (640.84 ng/mL) when compared to the peri-implant health group. BAFF/BLyS (17.06 ng/mL) showed the highest concentration in the peri-implantitis group. Conclusions: This feasibility study suggests that IL-23 and RANKL may help to elucidate the pathogenesis during the conversion from peri-implant health to peri-implantitis. Further research is required in BAFF/BLyS for the early diagnosis of peri-implantitis.

Automated summary

This study investigated the concentration levels of various biomarkers in the peri-implant crevicular fluid (PICF) of patients with peri-implant mucositis, peri-implantitis, and healthy implants. The results showed that the concentrations of CCL-20/MIP-3 alpha, BAFF/BLyS, IL-23, RANKL, and Osteoprotegerin were higher in the diseased groups compared to the healthy group. IL-23 and RANKL may play a role in the pathogenesis of peri-implantitis, and further research is needed on BAFF/BLyS for early diagnosis.