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Active, not recruitingNCT07785817Updated Aug 25, 2026

Evaluation of aMMP-8 and IL-1β Levels and Marginal Bone Loss Associated With Peri-Implant Mucositis and Peri-Implantitis in Postmenopausal Women

An observational study in Postmenopausal Peri-implant Health, Postmenopausal Peri-mucositis and Postmenopausal Peri-implantitis, sponsored by Medipol University. Active, not recruiting at 1 site in Turkey (Türkiye). Open to female participants aged 45 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-25.

Sponsored by Medipol University · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
120
Ages
45 Years and older
Sex
Female
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Study summary

Peri-implant mucositis and peri-implantitis are among the major biological complications threatening the long-term success of dental implants. Current diagnostic approaches are primarily based on clinical and radiographic assessments; however, there is still a need for reliable biomarkers that can detect biological alterations before extensive tissue destruction occurs. Hormonal changes associated with the postmenopausal period may influence bone metabolism and inflammatory responses, thereby increasing the susceptibility of peri-implant tissues to disease. Nevertheless, studies investigating local inflammatory biomarkers in peri-implant diseases among postmenopausal women remain limited.

Active matrix metalloproteinase-8 (aMMP-8) is a key enzyme involved in collagen degradation and connective tissue destruction and is considered one of the most important biomarkers of periodontal and peri-implant tissue breakdown. Interleukin-1 beta (IL-1β) is a potent pro-inflammatory cytokine associated with inflammatory responses, bone resorption, and tissue destruction. Assessment of these biomarkers in peri-implant crevicular fluid may contribute to the early diagnosis and risk assessment of peri-implant diseases.

The aim of this project is to evaluate the association between peri-implant health, peri-implant mucositis, peri-implantitis, and peri-implant crevicular fluid levels of aMMP-8 and IL-1β in postmenopausal women, together with clinical and radiographic parameters. Postmenopausal women with at least one functional dental implant will be recruited and classified into three groups according to their peri-implant status. Clinical peri-implant parameters will be recorded, standardized radiographic examinations will be performed, and peri-implant crevicular fluid samples will be collected using the PerioPaper method. Levels of aMMP-8 and IL-1β will be quantified using enzyme-linked immunosorbent assay (ELISA).

The obtained data will be analyzed using advanced statistical methods to investigate the relationships between biomarker levels and clinical and radiographic disease parameters. In addition, the diagnostic performance of aMMP-8 and IL-1β for distinguishing peri-implantitis will be evaluated using receiver operating characteristic (ROC) analyses, and potential threshold values will be explored. The project is expected to provide novel insights into the role of local inflammatory biomarkers in peri-implant diseases among postmenopausal women, contribute to the identification of high-risk individuals, and support the development of personalized preventive and therapeutic strategies.

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Conditions studied

  • Postmenopausal Peri-implant Health
  • Postmenopausal Peri-mucositis
  • Postmenopausal Peri-implantitis
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In context

Mucositis

265 studies on the registry are indexed under Mucositis; 34 are open to participants now.

This study's planned enrollment of 120 is above the median of 90 across 34 observational studies indexed under Mucositis.

Browse Mucositis studies →

Lead sponsor

Medipol University is the lead sponsor of 326 studies on the registry; 88 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
45 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Postmenopausal women aged 45-70 years with at least one functional dental implant will be recruited from patients attending the Periodontology Clinic. Participants will be classified according to their peri-implant clinical and radiographic status as peri-implant health, peri-implant mucositis, or peri-implantitis.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • status, defined as amenorrhea for at least 12 months
  • Aged 45-70 years
  • Presence of at least one functional dental implant
  • Completed and functional implant-supported prosthetic restoration
  • Implant in function for at least 1 year after prosthetic loading
  • No systemic or local condition preventing clinical or radiographic assessment
  • Provision of written

Exclusion criteria

Exclusion Criteria:

  • Current smoking
  • Presence of uncontrolled systemic disease
  • Use of antibiotics or anti-inflammatory medications within the past 3 months
  • Periodontal or peri-implant surgical treatment within the past 6 months
  • History of radiotherapy to the head and neck region or chemotherapy
  • Any condition preventing reliable clinical, radiographic, or biochemical assessment
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
120 participants (estimated)
Patient registry
No

Groups and cohorts

  • Postmenopausal Peri-implant Health

    Postmenopausal women with healthy peri-implant tissues, without clinical signs of inflammation or pathological bone loss.

  • Postmenopausal Peri-implant mucositis

    Postmenopausal women with peri-implant soft tissue inflammation without progressive bone loss.

  • Postmenopausal Peri-implantitis

    Postmenopausal women with peri-implant inflammation and progressive supporting bone loss.

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What researchers measure

Primary outcomes

  1. IL-1B levels

    Saliva and Peri-implant Sulcular Fluid Interleukin-1B (IL-1b) Levels measured by ELISA

    Time frame: baseline

  2. aMMP-8 levels

    Saliva and Peri-implant Sulcular Fluid active-Matrix Metalloproteinase-8 (aMMP-8) Levels measured by ELISA

    Time frame: baseline

  3. Marginal bone loss

    Marginal bone levels will be measured mesially and distally on standardized periapical radiographs using a fixed implant reference point.

    Time frame: baseline

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Study locations

1 site
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07785817
Lead sponsor
Medipol University
Responsible party
Emrah Turkmen (Assoc.Prof.Dr., Medipol University) — Principal investigator
First posted
Aug 25, 2026
Start date
Mar 19, 2026
Primary completion
Feb 1, 2027 (estimated)
Completion
Feb 1, 2027 (estimated)
Last update
Aug 25, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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