The effect of nonsurgical periodontal treatment on the severity of drug-induced gingival overgrowth in transplant patients

Gaetano Castronovo, Giuliana Liani, Alessia Fedon, Sara De Iudicibus, Giuliana Decorti, Fulvia Costantinides, Lorenzo Bevilacqua

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: Immunosuppressive drugs may induce an increase of the gingival connective tissue in the extracellular matrix. The aim of this study was to assess the effectiveness of nonsurgical periodontal treatment in reducing gingival overgrowth (GO) in transplant patients taking cyclosporin A (CsA) or tacrolimus (Tcr).

METHOD AND MATERIALS: An observational cohort study employing 68 transplant patients with diagnosis of GO, 51 taking CsA and 17 in therapy with Tcr, was performed at the Periodontal Unit of the School of Dental Sciences (University of Trieste, Italy). Percentages of plaque index (PI), bleeding on probing (BoP), sites with probing depth (PD) > 3 mm, and hypertrophy index (HI) were registered at baseline, 90 days, 180 days, and at 1 year after nonsurgical periodontal therapy. Furthermore, HI at baseline and after 1 year was investigated by multiple linear regression.

RESULTS: Both groups have significantly improved their clinical parameters: CsA group: PIbaseline = 41.67%; PIyear = 33%; BoPbaseline = 13.88%; BoPyear = 6.94%; PD > 3 mmbaseline = 18.6%; PD > 3 mmyear = 12.96%; HIbaseline = 22%; HIyear = 10%; Tcr group: PIbaseline = 40.73%; PIyear = 38.54%; BoPbaseline = 20.78%; BoPyear = 12.5%; PD > 3 mmbaseline = 21.53%; PD > 3 mmyear = 13.19%; HIbaseline = 12%; HIyear = 6.5%. Age showed a statistical negative correlation with HI at baseline (P <.05), while PD > 3 mm was positively correlated to the baseline HI (P <.001). Only HI at baseline showed a statistically significant negative relation with HI at 1 year (P <.001).

CONCLUSION: After nonsurgical periodontal therapy no patients needed additional periodontal surgery. Nonsurgical periodontal treatment itself represents an efficacious therapy in transplant patients treated with CsA and Tcr.

Original languageEnglish
Pages (from-to)115-124
Number of pages10
JournalQuintessence international (Berlin, Germany : 1985)
Volume45
Issue number2
DOIs
Publication statusPublished - Feb 1 2014

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Gingival Overgrowth
Hypertrophy
Tacrolimus
Transplants
Cyclosporine
Pharmaceutical Preparations
Therapeutics
Dental Schools
Immunosuppressive Agents
Connective Tissue
Italy
Observational Studies
Extracellular Matrix
Linear Models
Cohort Studies
Hemorrhage

ASJC Scopus subject areas

  • Medicine(all)

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The effect of nonsurgical periodontal treatment on the severity of drug-induced gingival overgrowth in transplant patients. / Castronovo, Gaetano; Liani, Giuliana; Fedon, Alessia; De Iudicibus, Sara; Decorti, Giuliana; Costantinides, Fulvia; Bevilacqua, Lorenzo.

In: Quintessence international (Berlin, Germany : 1985), Vol. 45, No. 2, 01.02.2014, p. 115-124.

Research output: Contribution to journalArticle

Castronovo, Gaetano ; Liani, Giuliana ; Fedon, Alessia ; De Iudicibus, Sara ; Decorti, Giuliana ; Costantinides, Fulvia ; Bevilacqua, Lorenzo. / The effect of nonsurgical periodontal treatment on the severity of drug-induced gingival overgrowth in transplant patients. In: Quintessence international (Berlin, Germany : 1985). 2014 ; Vol. 45, No. 2. pp. 115-124.
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abstract = "OBJECTIVE: Immunosuppressive drugs may induce an increase of the gingival connective tissue in the extracellular matrix. The aim of this study was to assess the effectiveness of nonsurgical periodontal treatment in reducing gingival overgrowth (GO) in transplant patients taking cyclosporin A (CsA) or tacrolimus (Tcr).METHOD AND MATERIALS: An observational cohort study employing 68 transplant patients with diagnosis of GO, 51 taking CsA and 17 in therapy with Tcr, was performed at the Periodontal Unit of the School of Dental Sciences (University of Trieste, Italy). Percentages of plaque index (PI), bleeding on probing (BoP), sites with probing depth (PD) > 3 mm, and hypertrophy index (HI) were registered at baseline, 90 days, 180 days, and at 1 year after nonsurgical periodontal therapy. Furthermore, HI at baseline and after 1 year was investigated by multiple linear regression.RESULTS: Both groups have significantly improved their clinical parameters: CsA group: PIbaseline = 41.67{\%}; PIyear = 33{\%}; BoPbaseline = 13.88{\%}; BoPyear = 6.94{\%}; PD > 3 mmbaseline = 18.6{\%}; PD > 3 mmyear = 12.96{\%}; HIbaseline = 22{\%}; HIyear = 10{\%}; Tcr group: PIbaseline = 40.73{\%}; PIyear = 38.54{\%}; BoPbaseline = 20.78{\%}; BoPyear = 12.5{\%}; PD > 3 mmbaseline = 21.53{\%}; PD > 3 mmyear = 13.19{\%}; HIbaseline = 12{\%}; HIyear = 6.5{\%}. Age showed a statistical negative correlation with HI at baseline (P <.05), while PD > 3 mm was positively correlated to the baseline HI (P <.001). Only HI at baseline showed a statistically significant negative relation with HI at 1 year (P <.001).CONCLUSION: After nonsurgical periodontal therapy no patients needed additional periodontal surgery. Nonsurgical periodontal treatment itself represents an efficacious therapy in transplant patients treated with CsA and Tcr.",
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AU - Castronovo, Gaetano

AU - Liani, Giuliana

AU - Fedon, Alessia

AU - De Iudicibus, Sara

AU - Decorti, Giuliana

AU - Costantinides, Fulvia

AU - Bevilacqua, Lorenzo

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N2 - OBJECTIVE: Immunosuppressive drugs may induce an increase of the gingival connective tissue in the extracellular matrix. The aim of this study was to assess the effectiveness of nonsurgical periodontal treatment in reducing gingival overgrowth (GO) in transplant patients taking cyclosporin A (CsA) or tacrolimus (Tcr).METHOD AND MATERIALS: An observational cohort study employing 68 transplant patients with diagnosis of GO, 51 taking CsA and 17 in therapy with Tcr, was performed at the Periodontal Unit of the School of Dental Sciences (University of Trieste, Italy). Percentages of plaque index (PI), bleeding on probing (BoP), sites with probing depth (PD) > 3 mm, and hypertrophy index (HI) were registered at baseline, 90 days, 180 days, and at 1 year after nonsurgical periodontal therapy. Furthermore, HI at baseline and after 1 year was investigated by multiple linear regression.RESULTS: Both groups have significantly improved their clinical parameters: CsA group: PIbaseline = 41.67%; PIyear = 33%; BoPbaseline = 13.88%; BoPyear = 6.94%; PD > 3 mmbaseline = 18.6%; PD > 3 mmyear = 12.96%; HIbaseline = 22%; HIyear = 10%; Tcr group: PIbaseline = 40.73%; PIyear = 38.54%; BoPbaseline = 20.78%; BoPyear = 12.5%; PD > 3 mmbaseline = 21.53%; PD > 3 mmyear = 13.19%; HIbaseline = 12%; HIyear = 6.5%. Age showed a statistical negative correlation with HI at baseline (P <.05), while PD > 3 mm was positively correlated to the baseline HI (P <.001). Only HI at baseline showed a statistically significant negative relation with HI at 1 year (P <.001).CONCLUSION: After nonsurgical periodontal therapy no patients needed additional periodontal surgery. Nonsurgical periodontal treatment itself represents an efficacious therapy in transplant patients treated with CsA and Tcr.

AB - OBJECTIVE: Immunosuppressive drugs may induce an increase of the gingival connective tissue in the extracellular matrix. The aim of this study was to assess the effectiveness of nonsurgical periodontal treatment in reducing gingival overgrowth (GO) in transplant patients taking cyclosporin A (CsA) or tacrolimus (Tcr).METHOD AND MATERIALS: An observational cohort study employing 68 transplant patients with diagnosis of GO, 51 taking CsA and 17 in therapy with Tcr, was performed at the Periodontal Unit of the School of Dental Sciences (University of Trieste, Italy). Percentages of plaque index (PI), bleeding on probing (BoP), sites with probing depth (PD) > 3 mm, and hypertrophy index (HI) were registered at baseline, 90 days, 180 days, and at 1 year after nonsurgical periodontal therapy. Furthermore, HI at baseline and after 1 year was investigated by multiple linear regression.RESULTS: Both groups have significantly improved their clinical parameters: CsA group: PIbaseline = 41.67%; PIyear = 33%; BoPbaseline = 13.88%; BoPyear = 6.94%; PD > 3 mmbaseline = 18.6%; PD > 3 mmyear = 12.96%; HIbaseline = 22%; HIyear = 10%; Tcr group: PIbaseline = 40.73%; PIyear = 38.54%; BoPbaseline = 20.78%; BoPyear = 12.5%; PD > 3 mmbaseline = 21.53%; PD > 3 mmyear = 13.19%; HIbaseline = 12%; HIyear = 6.5%. Age showed a statistical negative correlation with HI at baseline (P <.05), while PD > 3 mm was positively correlated to the baseline HI (P <.001). Only HI at baseline showed a statistically significant negative relation with HI at 1 year (P <.001).CONCLUSION: After nonsurgical periodontal therapy no patients needed additional periodontal surgery. Nonsurgical periodontal treatment itself represents an efficacious therapy in transplant patients treated with CsA and Tcr.

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