Impact of resveratrol in the reduction of the harmful effect of diabetes on peri-implant bone repair: bone-related gene expression, counter-torque and micro-CT analysis in rats

Acta Odontol Scand. 2021 Apr;79(3):174-181. doi: 10.1080/00016357.2020.1797159. Epub 2020 Jul 22.

Abstract

Objective: Investigate the impact of resveratrol (RESV) on peri-implant repair and its effect on bone-related markers in rats with induced diabetes mellitus (DM).

Material and methods: Ninety rats were divided into: DM + RESV (n = 18); DM + placebo (PLAC) (n = 18); DM + insulin (INS) (n = 18); DM + RESV + INS (n = 18); Non-DM (n = 18). Diabetes was induced by streptozotocin. One screw-shaped titanium implant was inserted in each tibiae of animals. Treatments were administered during 30 days. After, one of the implants was removed for counter-torque and the peri-implant tissue was collected for mRNA quantification of BMP-2, OPN, Runx2, Lrp-5, Osx, β-catenin, Dkk1, OPG, and RANKL by Real-time PCR. The other tibia was submitted to MicroCT analysis to measure: bone volume (BV/TV), trabecular thickness (Tb.Th) and bone-implant contact (BIC).

Results: Higher counter-torque values were observed for implant removal in DM + RESV, DM + RESV + INS and Non-DM groups when compared to DM + PLAC (p < .05). Augmented Tb.Th was observed in DM + RESV and Non-DM when compared to DM + PLAC group (p < .05), whereas higher BIC was detected in DM + RESV, DM + RESV + INS and Non-DM animals when compared to DM + PLAC (p < .05). Levels of RANKL were downregulated by the RESV and/or INS therapy, whereas only the association of RESV and INS upregulated the levels of Runx2 (p < .05).

Conclusions: The therapy with RESV may favour peri-implant bone repair improving bone formation around implants.

Keywords: Diabetes mellitus; dental implants; gene expression; osseointegration; resveratrol.

MeSH terms

  • Animals
  • Dental Implants* / adverse effects
  • Diabetes Mellitus*
  • Gene Expression
  • Osseointegration
  • Rats
  • Rats, Wistar
  • Resveratrol
  • Titanium
  • Torque
  • X-Ray Microtomography

Substances

  • Dental Implants
  • Titanium
  • Resveratrol