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Evaluation of Gingival Crevicular Fluid Cytokine Profiles in Children and Young Adults With Gingivitis

2026年6月8日 更新者:Nigde Omer Halisdemir University

Comparison of Gingival Crevicular Fluid Biomarkers Between Childhood Gingivitis and Adolescent Gingivitis

This prospective observational case-control study aims to compare gingival crevicular fluid (GCF) biomarker profiles between children and young adults diagnosed with gingivitis. A total of approximately 80 systemically healthy participants will be recruited and divided into two groups: children aged 8-12 years and young adults aged 15-24 years. Individuals aged 13-14 years will be excluded as they represent a transitional pubertal period characterized by significant hormonal fluctuations that may influence inflammatory responses and confound biomarker levels.

Clinical periodontal parameters including gingival index, plaque index, bleeding on probing, and probing depth will be recorded. In addition, GCF samples will be collected from a standardized tooth and analyzed for levels of IL-1β, TNF-α, IL-10, and MMP-8 using enzyme-linked immunosorbent assay (ELISA).

The primary objective of the study is to evaluate and compare inflammatory and anti-inflammatory cytokine profiles between the two age groups. The findings may contribute to understanding age-related differences in gingival inflammatory responses and the potential role of hormonal transition in periodontal disease expression during childhood and early adulthood.

研究概览

详细说明

Gingivitis is the most common reversible periodontal disease in children and young adults and is characterized by gingival inflammation without periodontal attachment loss. Gingival crevicular fluid (GCF) contains inflammatory mediators and biomarkers that reflect periodontal tissue response and disease activity.

This prospective observational case-control study aims to compare GCF biomarker profiles between children and young adults diagnosed with gingivitis. Approximately 80 systemically healthy participants will be recruited and divided into two groups: children aged 8-12 years and young adults aged 15-24 years. Individuals aged 13-14 years will be excluded due to pubertal hormonal variability that may affect inflammatory biomarker levels.

Clinical periodontal parameters including Gingival Index, Plaque Index, Bleeding on Probing, and Probing Depth will be recorded. GCF samples will be collected from tooth #31 using standardized paper strips and analyzed for IL-1β, TNF-α, IL-10, and MMP-8 levels using ELISA.

The findings may contribute to understanding age-related differences in gingival inflammatory responses and biomarker expression in gingivitis.

研究类型

观察性的

注册 (估计的)

80

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

研究联系人备份

学习地点

      • Niğde、土耳其(türkiye)、51240
        • 招聘中
        • Niğde Ömer Halisdemir University Faculty of Dentistry
        • 接触:

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 孩子
  • 成人

接受健康志愿者

是的

取样方法

非概率样本

研究人群

Participants will be recruited from the Pedodontics and Periodontology Clinics of Niğde Ömer Halisdemir University Faculty of Dentistry. The study population will consist of systemically healthy children and young adults diagnosed with gingivitis. Participants will be divided into two age-based groups: children aged 8-12 years and young adults aged 15-24 years. Individuals aged 13-14 years will be excluded due to being in a transitional pubertal stage associated with significant hormonal variability that may influence gingival inflammatory responses and confound biomarker levels. All participants will undergo clinical periodontal examination and gingival crevicular fluid sampling for biomarker analysis.

描述

Inclusion Criteria:

  1. Individuals aged 8-12 years (child group) or 15-24 years (young adult group)
  2. Clinical diagnosis of gingivitis
  3. Presence of fully erupted tooth #31 with closed apex
  4. Systemically healthy individuals
  5. No history of periodontal treatment in the last 3 months
  6. No antibiotic or anti-inflammatory drug use in the last 3 months
  7. Good cooperation and willingness to participate
  8. Written informed consent from participants or legal guardians (for minors)

Exclusion Criteria:

  1. Age 13-14 years (transitional pubertal period)
  2. Presence of periodontitis or other periodontal diseases
  3. Systemic, genetic, or immunological diseases
  4. Acute oral infections or conditions requiring emergency treatment
  5. Orthodontic appliances in the sampling region
  6. Smokers
  7. Pregnant or lactating individuals
  8. Individuals with cognitive, psychological, or physical disabilities affecting cooperation
  9. Inadequate eruption or incomplete root development of tooth #31
  10. Refusal to participate or withdrawal of consent

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

队列和干预

团体/队列
干预/治疗
Childhood gingivitis group
Systemically healthy children aged 8-12 years diagnosed with gingivitis who will undergo clinical periodontal examination and gingival crevicular fluid biomarker analysis.

Gingival crevicular fluid (GCF) samples will be collected from a standardized tooth (#31) using sterile absorbent paper strips (Periopaper®). Samples will be obtained after isolation and drying of the sampling site to avoid saliva contamination. Each strip will be placed gently in the gingival sulcus until mild resistance is felt and maintained for 30 seconds.

Collected samples will be immediately stored at -80°C until laboratory analysis. Levels of inflammatory and anti-inflammatory biomarkers including IL-1β, TNF-α, IL-10, and MMP-8 will be quantified using enzyme-linked immunosorbent assay (ELISA) kits according to manufacturer instructions.

This procedure is non-invasive and performed for diagnostic and comparative biomarker analysis purposes only.

Young adult gingivitis group
Systemically healthy young adults aged 15-24 years diagnosed with gingivitis who will undergo clinical periodontal examination and gingival crevicular fluid biomarker analysis.

Gingival crevicular fluid (GCF) samples will be collected from a standardized tooth (#31) using sterile absorbent paper strips (Periopaper®). Samples will be obtained after isolation and drying of the sampling site to avoid saliva contamination. Each strip will be placed gently in the gingival sulcus until mild resistance is felt and maintained for 30 seconds.

Collected samples will be immediately stored at -80°C until laboratory analysis. Levels of inflammatory and anti-inflammatory biomarkers including IL-1β, TNF-α, IL-10, and MMP-8 will be quantified using enzyme-linked immunosorbent assay (ELISA) kits according to manufacturer instructions.

This procedure is non-invasive and performed for diagnostic and comparative biomarker analysis purposes only.

研究衡量的是什么?

主要结果指标

结果测量
大体时间
Gingival crevicular fluid TNF-α levels
大体时间:Baseline
Baseline
Gingival crevicular fluid IL-1β levels
大体时间:Baseline
Baseline
Gingival crevicular fluid IL-10 levels
大体时间:Baseline
Baseline
Gingival crevicular fluid MMP-8 levels
大体时间:Baseline
Baseline

次要结果测量

结果测量
措施说明
大体时间
Gingival Index
大体时间:Baseline

Gingival inflammation will be assessed using the Löe and Silness Gingival Index. Each surface will be scored between 0 and 3:

0 = normal gingiva

  1. = mild inflammation
  2. = moderate inflammation with bleeding on probing
  3. = severe inflammation with spontaneous bleeding Higher scores indicate worse gingival inflammation.
Baseline
Plaque Index
大体时间:Baseline

Dental plaque accumulation will be evaluated using the Silness and Löe Plaque Index. Each surface will be scored between 0 and 3:

0 = no plaque

  1. = plaque detectable by probe
  2. = visible plaque accumulation
  3. = abundant plaque accumulation Higher scores indicate poorer oral hygiene and greater plaque accumulation.
Baseline
Bleeding on Probing Scores Assessed by Periodontal Probing
大体时间:Baseline

Bleeding on probing will be evaluated using a periodontal probe after gentle probing of the gingival sulcus. Bleeding presence will be recorded dichotomously:

0 = absence of bleeding

1 = presence of bleeding Higher scores indicate greater gingival inflammation.

Baseline
Periodontal Probing Depth Measurements Assessed With Williams Periodontal Probe
大体时间:Baseline
Periodontal probing depth will be measured in millimeters using a Williams periodontal probe at six sites per tooth. Higher values indicate deeper periodontal pockets and worse periodontal condition.
Baseline

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2026年5月22日

初级完成 (估计的)

2027年10月1日

研究完成 (估计的)

2027年11月1日

研究注册日期

首次提交

2026年5月19日

首先提交符合 QC 标准的

2026年5月19日

首次发布 (实际的)

2026年5月26日

研究记录更新

最后更新发布 (实际的)

2026年6月10日

上次提交的符合 QC 标准的更新

2026年6月8日

最后验证

2026年5月1日

更多信息

与本研究相关的术语

其他研究编号

  • NigdeOHU-GingivitisDOS

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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