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Open Access Research article

The effect of adjunctive chlorhexidine mouthrinse on GCF MMP-8 and TIMP-1 levels in gingivitis: a randomized placebo-controlled study

Oya Türkoğlu1*, Sema Becerik1, Taina Tervahartiala2, Timo Sorsa23, Gül Atilla1 and Gülnur Emingil1

  • * Corresponding author: Oya Türkoğlu oya_t@yahoo.com

  • † Equal contributors

Author Affiliations

1 Department of Periodontology, Ege University, School of Dentistry, Izmir, Turkey

2 Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital, Institute of Dentistry, University of Helsinki, Helsinki, Finland

3 Division of Periodontology, Department of Dental Medicine, Karolinska Institutue, Stockholm, Sweden

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BMC Oral Health 2014, 14:55  doi:10.1186/1472-6831-14-55

Published: 20 May 2014

Abstract

Background

The aim of the present study was to evaluate the effect of adjunctive chlorhexidine (CHX) mouthrinse on gingival crevicular fluid (GCF) MMP-8 and TIMP-1 levels in plaque-associated gingivitis.

Methods

A total of 50 gingivitis patients were included in the present study. In addition to daily plaque control, CHX group rinsed with CHX, while placebo group rinsed with placebo mouthrinse for 4 weeks. GCF samples were collected, and clinical parameters including plaque index, papillary bleeding index, calculus index and pocket depth were recorded at baseline and 4 weeks. GCF MMP-8 and TIMP-1 levels were determined by immunofluorometric assay (IFMA) and enzyme-linked immunosorbent assay (ELISA), respectively.

Results

In both groups, GCF MMP-8 levels of anterior and posterior sites at four weeks were not different from baseline (p > 0.05). There were no significant differences in GCF MMP-8 levels between the study groups at four weeks (p > 0.05). GCF TIMP-1 levels of anterior and posterior sites at four weeks were higher compared to baseline in both groups (p < 0.05). There was no significant difference in GCF TIMP level between the study groups at four weeks (p > 0.05).

Conclusions

CHX usage had no significant effects on the GCF MMP-8 and TIMP-1 levels in plaque-associate gingivitis. However, daily plaque control resulted in the increase of GCF TIMP-1 levels regardless of CHX usage.

Keywords:
Chlorhexidine; Gingivitis; Gingival crevicular fluid; MMP-8; TIMP-1