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Objective: The aim of this pilot study is to evaluate the alterations of epigenetic patterns in periodontally diseased individuals, before and after periodontal treatment, also in comparison to periodontally healthy patients.
Materials & methods: Twenty patients were voluntarily enrolled in two groups: 10 participants with healthy periodontium, and 10 participants with chronic periodontitis. Clinical parameters were recorded and gingival biopsies were collected within the following timelines: At baseline (for both groups), after 15 days (for the diseased group only) and after two months (for the diseased group only).
Study Design Baseline: Before harvesting gingival biopsies, bleeding on probing (BOP), periodontal pocket depth (PPD) and clinical attachment level (CAL) were registered at the biopsy site, for all study participants. Following the registration of the clinical parameters, gingival biopsies were obtained from the periodontally-healthy individuals during crown lengthening surgery or surgical removal of wisdom teeth. In the periodontally-diseased group, biopsies were harvested from two sites: healthy site and periodontally-involved site. After harvesting of biopsies, patients with periodontal disease underwent scaling and root planing.
Two weeks after periodontal treatment: Clinical parameters were registered and gingival biopsies were harvested (from two sites) for the periodontally-diseased group only, to evaluate if the epigenetic patterns (DNA methylation) were altered by conventional periodontal therapy, in comparison to the patterns observed at baseline for both diseased and healthy groups.
Two months after initial periodontal treatment: Clinical parameters were registered and gingival biopsies were harvested (from two sites) for the periodontally-diseased group only, to evaluate if the epigenetic patterns were still altered by conventional periodontal therapy, in comparison to the patterns observed at baseline for both diseased and healthy groups, and at 15 days for the diseased group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Test Group | Patients with periodontal disease that need conventional periodontal treatment |
| |
| Control Group | Periodontally-healthy individuals. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional periodontal treatment | Other | Conventional routine periodontal treatment will be done for patients in test group |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in in the levels of DNA methylation (type of epigenetic modification) following periodontal therapy | 0, 15 days after periodontal therapy, 2 months after periodontal therapy |
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Inclusion Criteria:
Exclusion Criteria:
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Two groups: ten patients with chronic periodontitis and ten individuals with healthy periodontium
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| Name | Affiliation | Role |
|---|---|---|
| Giulio Rasperini, DDS | University of Milan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Studio Odontoiatrico Professor Rasperini | Piacenza | PC | 29121 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28736819 | Derived | Asa'ad F, Bollati V, Pagni G, Castilho RM, Rossi E, Pomingi F, Tarantini L, Consonni D, Giannobile WV, Rasperini G. Evaluation of DNA methylation of inflammatory genes following treatment of chronic periodontitis: A pilot case-control study. J Clin Periodontol. 2017 Sep;44(9):905-914. doi: 10.1111/jcpe.12783. Epub 2017 Aug 17. |
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| ID | Term |
|---|---|
| D010518 | Periodontitis |
| ID | Term |
|---|---|
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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Gingival biopsies will be collected in tubes that contain Allprotect tissue reagent (100 ml, Qiagen, USA), to immediately and effectively stabilize the DNA in tissues, based on the manufacturer's instructions. Tubes containing the reagent will be stored at 2-8 C. Later DNA/RNA will be purified using AllPrep DNA/RNA Mini Kit (50 ml, Qiagen, USA), following the manufacturer's instructions. With this approach, quantitative gene expression of specific cytokines is possible.