Oral infection with Porphyromonas gingivalis induces peri-implantitis in a murine model: Evaluation of bone loss and the local inflammatory response

J Clin Periodontol. 2017 Jul;44(7):739-748. doi: 10.1111/jcpe.12735. Epub 2017 Jun 23.

Abstract

Aim: Peri-implantitis is a major health concern, with unclear pathogenesis, and with no accessible animal models. Our aim was to establish a mouse model for peri-implantitis and to investigate mediators of inflammation.

Materials and methods: Mice were divided into implanted versus non-implanted groups. Implants were inserted immediately following the extraction of the upper first molar. Four weeks following implantation, implanted and non-implanted mice were challenged with either Porphyromonas gingivalis or vehicle (eight mice in each subgroup, 32 mice in total). Alveolar bone loss and expression of inflammatory mediators in the soft tissue were assessed 42 days following infection.

Results: Porphyromonas gingivalis infection induced greater bone loss around implants than around teeth. In non-infected animals, the presence of the implant correlated with elevated expression of Il-10, Foxp3 and Rankl/Opg ratio, while Tnf-α levels were decreased relative to tissue around teeth. Six weeks following infection, Tnf-α increased significantly while the expression of Foxp3 decreased in the tissue around the implants. No significant differences in anti- or pro-inflammatory mediators were found around teeth of infected, relative to non-infected mice.

Conclusions: Oral infection with P. gingivalis of mice with implants induced bone loss and a shift in gingival cytokine expression. This mouse model enables exploration of the pathogenesis of peri-implantitis and testing of novel treatments.

Keywords: cytokines; murine; peri-implantitis; periodontitis; residual bone volume.

MeSH terms

  • Alveolar Bone Loss / microbiology*
  • Animals
  • Dental Implants
  • Dental Prosthesis Design
  • Disease Models, Animal
  • Female
  • Forkhead Transcription Factors / metabolism
  • Inflammation Mediators / metabolism
  • Interleukin-10 / metabolism
  • Mice
  • Mice, Inbred BALB C
  • Osteoprotegerin / metabolism
  • Peri-Implantitis / microbiology*
  • Porphyromonas gingivalis / pathogenicity*
  • RANK Ligand / metabolism
  • Surface Properties
  • Titanium
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Dental Implants
  • Forkhead Transcription Factors
  • Foxp3 protein, mouse
  • Inflammation Mediators
  • Osteoprotegerin
  • RANK Ligand
  • Tnfsf11 protein, mouse
  • Tumor Necrosis Factor-alpha
  • Interleukin-10
  • Titanium