Evaluation of osteocalcin and pyridinium crosslinks of bone collagen as markers of bone turnover in gingival crevicular fluid during different stages of orthodontic treatment

. Osteocalcin (Oc) and the collagen cross‐links pyridinoline (Pyr) and deoxypyridinoline (dPyr) arc used as markers of bone turnover in metabolic bone diseases. The aims of this study were: 1) to establish if Oc, Pyr and dPyr can be detected in GCF and 2) using the orthodontic tooth movement model o...

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Vydané v:Journal of clinical periodontology Ročník 25; číslo 6; s. 492 - 498
Hlavní autori: Griffiths, G. S., Moulson, A. M., Petrie, A., James, I. T.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Oxford, UK Blackwell Publishing Ltd 01.06.1998
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ISSN:0303-6979, 1600-051X
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Abstract . Osteocalcin (Oc) and the collagen cross‐links pyridinoline (Pyr) and deoxypyridinoline (dPyr) arc used as markers of bone turnover in metabolic bone diseases. The aims of this study were: 1) to establish if Oc, Pyr and dPyr can be detected in GCF and 2) using the orthodontic tooth movement model of alveolar bone resorption to evaluate GCF levels of osteocalcin and these collagen cross‐links as markers of bone breakdown. Plaque, colour and bleeding indices, probing measurements and GCF samples were collected at two sites in each of 20 adolescents, during 4 stages of fixed appliance therapy: (1) prior to appliance lit. (2) post appliance fit, (3) during active retraction of the maxillary canines. (4) during retention. GCF was collected onto filter paper strips and the volume determined by weighing. An ELISA kit was used for the detection of osteocalcin, whereas Pyr and dPyr were assayed using high performance liquid chromotography (HPLC). Wilcoxon signed ranks test and Bonferroni correction revealed statistically significant increases in plaque (p= 0.012), GCF volume (p= 0.024) and osteocalcin concentration (p= 0.012). between stages 1 and 2. There were no statistically significant differences between the other variables at this stage or between any of the variables at stages 2 and 3, or between stages 3 and 4, All but 3 of the GCF samples yielded detectable osteocalcin, with large site and subject variation. The median values of osteocalcin and osteocalcin concentration of all the samples were 87.,5 pg and 66 pg/μl, with a range of 0–1,248 pg. 0–1,572 pg/μl. The detection of osteocalein in GCF during every stage, the wide variation between subjects, and the lack of a consistent pattern related to stages of orthodontic treatment, suggests that osteocalcin may merely be a constituent of GCF associated with the developing dentition, which would reduce its potential as a marker of bone turnover in this group. None of the 16 GCF samples analysed for Pyr and dPyr gave a positive result. This study confirms that fitting an orthodontic appliance results in plaque accumulation and increased gingival inflammation, and that GCF volume is the most sensitive indicator of that inflammation. Osteocalcin was detected in GCF collected from adolescents, whereas Pyr and dPyr could not be detected. Further work is required lo establish whether GCF osteocalcin levels can be used as a marker of bone turnover, and whether improvements in the sensitivity of detecting Pyr & dPyr make further study of these promising bone markers worthwhile.
AbstractList Osteocalcin (Oc) and the collagen cross-links pyridinoline (Pyr) and deoxypyridinoline (dPyr) are used as markers of bone turnover in metabolic bone diseases. The aims of this study were: 1) to establish if Oc, Pyr and dPyr can be detected in GCF and 2) using the orthodontic tooth movement model of alveolar bone resorption to evaluate GCF levels of osteocalcin and these collagen cross-links as markers of bone breakdown. Plaque, colour and bleeding indices, probing measurements and GCF samples were collected at two sites in each of 20 adolescents, during 4 stages of fixed appliance therapy: (1) prior to appliance fit, (2) post appliance fit, (3) during active retraction of the maxillary canines, (4) during retention. GCF was collected onto filter paper strips and the volume determined by weighing. An ELISA kit was used for the detection of osteocalcin, whereas Pyr and dPyr were assayed using high performance liquid chromotography (HPLC). Wilcoxon signed ranks test and Bonferroni correction revealed statistically significant increases in plaque (p= 0.012), GCF volume (p=0.024) and osteocalcin concentration (p=0.012), between stages 1 and 2. There were no statistically significant differences between the other variables at this stage or between any of the variables at stages 2 and 3, or between stages 3 and 4. All but 3 of the GCF samples yielded detectable osteocalcin, with large site and subject variation. The median values of osteocalcin and osteocalcin concentration of all the samples were 87.5 pg and 66 pg/microl, with a range of 0-1,248 pg, 0-1,572 pg/microl. The detection of osteocalcin in GCF during every stage, the wide variation between subjects, and the lack of a consistent pattern related to stages of orthodontic treatment, suggests that osteocalcin may merely be a constituent of GCF associated with the developing dentition, which would reduce its potential as a marker of bone turnover in this group. None of the 16 GCF samples analysed for Pyr and dPyr gave a positive result. This study confirms that fitting an orthodontic appliance results in plaque accumulation and increased gingival inflammation, and that GCF volume is the most sensitive indicator of that inflammation. Osteocalcin was detected in GCF collected from adolescents, whereas Pyr and dPyr could not be detected. Further work is required to establish whether GCF osteocalcin levels can be used as a marker of bone turnover, and whether improvements in the sensitivity of detecting Pyr & dPyr make further study of these promising bone markers worthwhile.Osteocalcin (Oc) and the collagen cross-links pyridinoline (Pyr) and deoxypyridinoline (dPyr) are used as markers of bone turnover in metabolic bone diseases. The aims of this study were: 1) to establish if Oc, Pyr and dPyr can be detected in GCF and 2) using the orthodontic tooth movement model of alveolar bone resorption to evaluate GCF levels of osteocalcin and these collagen cross-links as markers of bone breakdown. Plaque, colour and bleeding indices, probing measurements and GCF samples were collected at two sites in each of 20 adolescents, during 4 stages of fixed appliance therapy: (1) prior to appliance fit, (2) post appliance fit, (3) during active retraction of the maxillary canines, (4) during retention. GCF was collected onto filter paper strips and the volume determined by weighing. An ELISA kit was used for the detection of osteocalcin, whereas Pyr and dPyr were assayed using high performance liquid chromotography (HPLC). Wilcoxon signed ranks test and Bonferroni correction revealed statistically significant increases in plaque (p= 0.012), GCF volume (p=0.024) and osteocalcin concentration (p=0.012), between stages 1 and 2. There were no statistically significant differences between the other variables at this stage or between any of the variables at stages 2 and 3, or between stages 3 and 4. All but 3 of the GCF samples yielded detectable osteocalcin, with large site and subject variation. The median values of osteocalcin and osteocalcin concentration of all the samples were 87.5 pg and 66 pg/microl, with a range of 0-1,248 pg, 0-1,572 pg/microl. The detection of osteocalcin in GCF during every stage, the wide variation between subjects, and the lack of a consistent pattern related to stages of orthodontic treatment, suggests that osteocalcin may merely be a constituent of GCF associated with the developing dentition, which would reduce its potential as a marker of bone turnover in this group. None of the 16 GCF samples analysed for Pyr and dPyr gave a positive result. This study confirms that fitting an orthodontic appliance results in plaque accumulation and increased gingival inflammation, and that GCF volume is the most sensitive indicator of that inflammation. Osteocalcin was detected in GCF collected from adolescents, whereas Pyr and dPyr could not be detected. Further work is required to establish whether GCF osteocalcin levels can be used as a marker of bone turnover, and whether improvements in the sensitivity of detecting Pyr & dPyr make further study of these promising bone markers worthwhile.
Osteocalcin (Oc) and the collagen cross-links pyridinoline (Pyr) and deoxypyridinoline (dPyr) are used as markers of bone turnover in metabolic bone diseases. The aims of this study were: 1) to establish if Oc, Pyr and dPyr can be detected in GCF and 2) using the orthodontic tooth movement model of alveolar bone resorption to evaluate GCF levels of osteocalcin and these collagen cross-links as markers of bone breakdown. Plaque, colour and bleeding indices, probing measurements and GCF samples were collected at two sites in each of 20 adolescents, during 4 stages of fixed appliance therapy: (1) prior to appliance fit, (2) post appliance fit, (3) during active retraction of the maxillary canines, (4) during retention. GCF was collected onto filter paper strips and the volume determined by weighing. An ELISA kit was used for the detection of osteocalcin, whereas Pyr and dPyr were assayed using high performance liquid chromotography (HPLC). Wilcoxon signed ranks test and Bonferroni correction revealed statistically significant increases in plaque (p= 0.012), GCF volume (p=0.024) and osteocalcin concentration (p=0.012), between stages 1 and 2. There were no statistically significant differences between the other variables at this stage or between any of the variables at stages 2 and 3, or between stages 3 and 4. All but 3 of the GCF samples yielded detectable osteocalcin, with large site and subject variation. The median values of osteocalcin and osteocalcin concentration of all the samples were 87.5 pg and 66 pg/microl, with a range of 0-1,248 pg, 0-1,572 pg/microl. The detection of osteocalcin in GCF during every stage, the wide variation between subjects, and the lack of a consistent pattern related to stages of orthodontic treatment, suggests that osteocalcin may merely be a constituent of GCF associated with the developing dentition, which would reduce its potential as a marker of bone turnover in this group. None of the 16 GCF samples analysed for Pyr and dPyr gave a positive result. This study confirms that fitting an orthodontic appliance results in plaque accumulation and increased gingival inflammation, and that GCF volume is the most sensitive indicator of that inflammation. Osteocalcin was detected in GCF collected from adolescents, whereas Pyr and dPyr could not be detected. Further work is required to establish whether GCF osteocalcin levels can be used as a marker of bone turnover, and whether improvements in the sensitivity of detecting Pyr & dPyr make further study of these promising bone markers worthwhile.
Osteocalcin (Oc) and the collagen cross‐links pyridinoline (Pyr) and deoxypyridinoline (dPyr) arc used as markers of bone turnover in metabolic bone diseases. The aims of this study were: 1) to establish if Oc, Pyr and dPyr can be detected in GCF and 2) using the orthodontic tooth movement model of alveolar bone resorption to evaluate GCF levels of osteocalcin and these collagen cross‐links as markers of bone breakdown. Plaque, colour and bleeding indices, probing measurements and GCF samples were collected at two sites in each of 20 adolescents, during 4 stages of fixed appliance therapy: (1) prior to appliance lit. (2) post appliance fit, (3) during active retraction of the maxillary canines. (4) during retention. GCF was collected onto filter paper strips and the volume determined by weighing. An ELISA kit was used for the detection of osteocalcin, whereas Pyr and dPyr were assayed using high performance liquid chromotography (HPLC). Wilcoxon signed ranks test and Bonferroni correction revealed statistically significant increases in plaque ( p = 0.012), GCF volume ( p = 0.024) and osteocalcin concentration ( p = 0.012). between stages 1 and 2. There were no statistically significant differences between the other variables at this stage or between any of the variables at stages 2 and 3, or between stages 3 and 4, All but 3 of the GCF samples yielded detectable osteocalcin, with large site and subject variation. The median values of osteocalcin and osteocalcin concentration of all the samples were 87. ,5 pg and 66 pg/μl, with a range of 0–1,248 pg. 0–1,572 pg/μl. The detection of osteocalein in GCF during every stage, the wide variation between subjects, and the lack of a consistent pattern related to stages of orthodontic treatment, suggests that osteocalcin may merely be a constituent of GCF associated with the developing dentition, which would reduce its potential as a marker of bone turnover in this group. None of the 16 GCF samples analysed for Pyr and dPyr gave a positive result. This study confirms that fitting an orthodontic appliance results in plaque accumulation and increased gingival inflammation, and that GCF volume is the most sensitive indicator of that inflammation. Osteocalcin was detected in GCF collected from adolescents, whereas Pyr and dPyr could not be detected. Further work is required lo establish whether GCF osteocalcin levels can be used as a marker of bone turnover, and whether improvements in the sensitivity of detecting Pyr & dPyr make further study of these promising bone markers worthwhile.
. Osteocalcin (Oc) and the collagen cross‐links pyridinoline (Pyr) and deoxypyridinoline (dPyr) arc used as markers of bone turnover in metabolic bone diseases. The aims of this study were: 1) to establish if Oc, Pyr and dPyr can be detected in GCF and 2) using the orthodontic tooth movement model of alveolar bone resorption to evaluate GCF levels of osteocalcin and these collagen cross‐links as markers of bone breakdown. Plaque, colour and bleeding indices, probing measurements and GCF samples were collected at two sites in each of 20 adolescents, during 4 stages of fixed appliance therapy: (1) prior to appliance lit. (2) post appliance fit, (3) during active retraction of the maxillary canines. (4) during retention. GCF was collected onto filter paper strips and the volume determined by weighing. An ELISA kit was used for the detection of osteocalcin, whereas Pyr and dPyr were assayed using high performance liquid chromotography (HPLC). Wilcoxon signed ranks test and Bonferroni correction revealed statistically significant increases in plaque (p= 0.012), GCF volume (p= 0.024) and osteocalcin concentration (p= 0.012). between stages 1 and 2. There were no statistically significant differences between the other variables at this stage or between any of the variables at stages 2 and 3, or between stages 3 and 4, All but 3 of the GCF samples yielded detectable osteocalcin, with large site and subject variation. The median values of osteocalcin and osteocalcin concentration of all the samples were 87.,5 pg and 66 pg/μl, with a range of 0–1,248 pg. 0–1,572 pg/μl. The detection of osteocalein in GCF during every stage, the wide variation between subjects, and the lack of a consistent pattern related to stages of orthodontic treatment, suggests that osteocalcin may merely be a constituent of GCF associated with the developing dentition, which would reduce its potential as a marker of bone turnover in this group. None of the 16 GCF samples analysed for Pyr and dPyr gave a positive result. This study confirms that fitting an orthodontic appliance results in plaque accumulation and increased gingival inflammation, and that GCF volume is the most sensitive indicator of that inflammation. Osteocalcin was detected in GCF collected from adolescents, whereas Pyr and dPyr could not be detected. Further work is required lo establish whether GCF osteocalcin levels can be used as a marker of bone turnover, and whether improvements in the sensitivity of detecting Pyr & dPyr make further study of these promising bone markers worthwhile.
Author James, I. T.
Petrie, A.
Moulson, A. M.
Griffiths, G. S.
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  email: g.griffiths@eastman.ucl.ac.uk
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– sequence: 2
  givenname: A. M.
  surname: Moulson
  fullname: Moulson, A. M.
  organization: Department of Periodontology, Eastman Dental Institute and Hospital. University College London, 256 Gray's Inn Road, London, WC1X 8LD
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  givenname: A.
  surname: Petrie
  fullname: Petrie, A.
  organization: Department of Transcultural Oral Health, Eastman Dental Institute and Hospital. University College London, 256 Gray's Inn Road, London, WC1X 8LD
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  givenname: I. T.
  surname: James
  fullname: James, I. T.
  organization: Department of Medicine, Dunn Laboratories, 5th Floor King George Vth building, St Bartholomew's Hospital, West Smithfield, London EC1A 7BE, UK
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PublicationPlace_xml – name: Oxford, UK
– name: United States
PublicationTitle Journal of clinical periodontology
PublicationTitleAlternate J Clin Periodontol
PublicationYear 1998
Publisher Blackwell Publishing Ltd
Publisher_xml – name: Blackwell Publishing Ltd
References Hauschka, P. V. Lian, J. B., Cole, D. E. & Gundberg, C. M. (1989) Osteocalcin and matrix Gla protein: vitamin K-dependent proteins in bone, Physiological Reviews 69, 990-1047.
Kunimatsu, K., Mataki, S., Tanaka, H., Mine, N., Kivoki, M., Hosoda K., Kato, Y. & Kato, I. (1991). A cross-sectional study on osteocalcin levels in gingival crevicular fluid from periodontal patients. Journal of Periodontology 64, 865-869.
Roach, H. I. (1994) Why does bone matrix contain non-collagenous proteins? The possible roles of osteocalcin. osteonectin, osteopontin and bone sialoprotein in bone mineralisation and resorption. Cell Biology International 18, 617-628.
Uebelhart, D., Gineyts, E., Chapuy, M. C. & Delmas, P. D. (1990) Urinary excretion of pyridinium cross-links: a new marker of bone resorption in metabolic bone disease. Bone and Mineral 8, 87-96.
Balenseifen, J. W & Madonia, J. V. (1970) Study of dental plaque in orthodontic patients. Journal of Dental Research 49, 320-324.
Silness, J. & Loe, H. (1964), Periodontal disease in pregnancy, II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 22, 121-135.
Löe, H. & Holm-Pedersen, P. (1965), Absence and presence of fluid from normal and inflamed gingivae. Periodontics 3, 171-177.
Delmas, P. D. (1990) Biochemical markers of bone turnover for the clinical assessment of metabolic bone disease. Endocr Metabol Clin N Amer 19, 1-18.
James I. T., Perret D. & Thompson, P. W. (1990) Rapid assay for hard tissue collagen cross-links using isocratic ion-pair reversed-phase liquid chromotography. Journal of Chromotography 525, 43-57.
Koyama, N., Ohara, K., Yokata, H., Kurome, T., Katayama, M., Hino, F., Kato, I. & Akai, T. (1991) A one step sandwich enzyme immunoassay for t-carboxylated osteocalcin using monoclonal antibodies. Journal of Immunological Methods 139, 17-23.
Griffiths, G. S., Sterne, J. A. C., Wilton, J. M. A., Eaton, K. A. & Johnson, N. W. (1992b) Associations between volume and flow rate of gingival crevicular fluid and clinical assessments of gingival inflammation in a population of British male adolescents. Journal of Clinical Periodontology 19, 464-470.
Tersin, J. (1973) Studies of gingival conditions in relation to orthodonlic treatment. 1. The relationship between amounts of gingival exudate and gingival scores, plaque scores and gingival pocket depths in children undergoing orthodontic treatment, Swedish Dental Journal 66, 165-175.
Zachrisson, S. & Zachrisson, B. U. (1972) Gingival condition associated with orthodontic treatment. Angle Orthod 42, 26-34.
Gundberg, C. M. (1991). Primer on metabolic bone diseases and disorders of mineral metabolism. (Ed. Favus M.J.) 1st edition, ch. 20, p. 74, New York . Raven Press.
Van Daele, P. L. A., Birkenhager, J. C. & Pols, H. A. P. (1994) Biochemical markers of bone turnover: an update, Netherlands Journal of Medicine 44, 65-72.
Delmas, P. D. (1992) Clinical use of biochemical markers of bone remodelling in osteoporosis. Bone 13, S17-21.
Griffiths, G. S., Wilton, J. M. A. & Curtis, M. A. (1992a) Immunochemical detection of α-amylase for detection of salivary contamination of human gingival crevicular fluid. Archive of Oral Biology 37, 559-564.
Nakashima, K., Roehrich, N. & Cimasoni, G. (1994) Osteocalcin, prostaglandin E2 and alkaline phosphatase in gingival crevicular fluid: their relations to periodontal status. Journal of Clinical Periodontology 21, 327-331.
Last, K. S., Donkin, C. & Embery, G. (1988) Glycosaminoglycans in human gingival crevicular fluid during orthodontic tooth movement. Archives of Oral Biology 33, 907-912.
Meng, H. X., James, I. T., Skingle, L., Johnson, N. W. & Thompson P. W. (1991) Collagen cross-links in human gingival crevicular fluid. Journal of Dental Research 70, 714 abstr.
Giannobile, W. V., Lynch, S. E., Denmark, R. G. Paquette, D. W., Fiorellini, J. P. & Williams, R. C. (1995) Crevicular fluid osteocalcin and pyridinoline cross-linked carboxyterminal telopeptide of type I collagen (ICTP) as markers of rapid bone turnover in periodontitis: A pilot study in beagle dogs. Journal of Clinical Periodontology 22, 903-910.
Robins, S. P., Duncan, A. & Riggs, B. L. (1990) In Osteoporosis 1990 Ed. Christiansen, C. & Overgaard, K., 1, 465, Copenhagen , Osteopress ApS.
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References_xml – reference: Roach, H. I. (1994) Why does bone matrix contain non-collagenous proteins? The possible roles of osteocalcin. osteonectin, osteopontin and bone sialoprotein in bone mineralisation and resorption. Cell Biology International 18, 617-628.
– reference: Delmas, P. D. (1992) Clinical use of biochemical markers of bone remodelling in osteoporosis. Bone 13, S17-21.
– reference: Last, K. S., Donkin, C. & Embery, G. (1988) Glycosaminoglycans in human gingival crevicular fluid during orthodontic tooth movement. Archives of Oral Biology 33, 907-912.
– reference: Nakashima, K., Roehrich, N. & Cimasoni, G. (1994) Osteocalcin, prostaglandin E2 and alkaline phosphatase in gingival crevicular fluid: their relations to periodontal status. Journal of Clinical Periodontology 21, 327-331.
– reference: Robins, S. P., Duncan, A. & Riggs, B. L. (1990) In Osteoporosis 1990 Ed. Christiansen, C. & Overgaard, K., 1, 465, Copenhagen , Osteopress ApS.
– reference: Zachrisson, S. & Zachrisson, B. U. (1972) Gingival condition associated with orthodontic treatment. Angle Orthod 42, 26-34.
– reference: Meng, H. X., James, I. T., Skingle, L., Johnson, N. W. & Thompson P. W. (1991) Collagen cross-links in human gingival crevicular fluid. Journal of Dental Research 70, 714 abstr.
– reference: Kunimatsu, K., Mataki, S., Tanaka, H., Mine, N., Kivoki, M., Hosoda K., Kato, Y. & Kato, I. (1991). A cross-sectional study on osteocalcin levels in gingival crevicular fluid from periodontal patients. Journal of Periodontology 64, 865-869.
– reference: Griffiths, G. S., Wilton, J. M. A. & Curtis, M. A. (1992a) Immunochemical detection of α-amylase for detection of salivary contamination of human gingival crevicular fluid. Archive of Oral Biology 37, 559-564.
– reference: Griffiths, G. S., Sterne, J. A. C., Wilton, J. M. A., Eaton, K. A. & Johnson, N. W. (1992b) Associations between volume and flow rate of gingival crevicular fluid and clinical assessments of gingival inflammation in a population of British male adolescents. Journal of Clinical Periodontology 19, 464-470.
– reference: Koyama, N., Ohara, K., Yokata, H., Kurome, T., Katayama, M., Hino, F., Kato, I. & Akai, T. (1991) A one step sandwich enzyme immunoassay for t-carboxylated osteocalcin using monoclonal antibodies. Journal of Immunological Methods 139, 17-23.
– reference: Tersin, J. (1973) Studies of gingival conditions in relation to orthodonlic treatment. 1. The relationship between amounts of gingival exudate and gingival scores, plaque scores and gingival pocket depths in children undergoing orthodontic treatment, Swedish Dental Journal 66, 165-175.
– reference: Gundberg, C. M. (1991). Primer on metabolic bone diseases and disorders of mineral metabolism. (Ed. Favus M.J.) 1st edition, ch. 20, p. 74, New York . Raven Press.
– reference: Hauschka, P. V. Lian, J. B., Cole, D. E. & Gundberg, C. M. (1989) Osteocalcin and matrix Gla protein: vitamin K-dependent proteins in bone, Physiological Reviews 69, 990-1047.
– reference: Delmas, P. D. (1990) Biochemical markers of bone turnover for the clinical assessment of metabolic bone disease. Endocr Metabol Clin N Amer 19, 1-18.
– reference: Balenseifen, J. W & Madonia, J. V. (1970) Study of dental plaque in orthodontic patients. Journal of Dental Research 49, 320-324.
– reference: James I. T., Perret D. & Thompson, P. W. (1990) Rapid assay for hard tissue collagen cross-links using isocratic ion-pair reversed-phase liquid chromotography. Journal of Chromotography 525, 43-57.
– reference: Silness, J. & Loe, H. (1964), Periodontal disease in pregnancy, II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 22, 121-135.
– reference: Löe, H. & Holm-Pedersen, P. (1965), Absence and presence of fluid from normal and inflamed gingivae. Periodontics 3, 171-177.
– reference: Uebelhart, D., Gineyts, E., Chapuy, M. C. & Delmas, P. D. (1990) Urinary excretion of pyridinium cross-links: a new marker of bone resorption in metabolic bone disease. Bone and Mineral 8, 87-96.
– reference: Van Daele, P. L. A., Birkenhager, J. C. & Pols, H. A. P. (1994) Biochemical markers of bone turnover: an update, Netherlands Journal of Medicine 44, 65-72.
– reference: Giannobile, W. V., Lynch, S. E., Denmark, R. G. Paquette, D. W., Fiorellini, J. P. & Williams, R. C. (1995) Crevicular fluid osteocalcin and pyridinoline cross-linked carboxyterminal telopeptide of type I collagen (ICTP) as markers of rapid bone turnover in periodontitis: A pilot study in beagle dogs. Journal of Clinical Periodontology 22, 903-910.
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  article-title: Associations between volume and flow rate of gingival crevicular fluid and clinical assessments of gingival inflammation in a population of British male adolescents
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Snippet . Osteocalcin (Oc) and the collagen cross‐links pyridinoline (Pyr) and deoxypyridinoline (dPyr) arc used as markers of bone turnover in metabolic bone...
Osteocalcin (Oc) and the collagen cross‐links pyridinoline (Pyr) and deoxypyridinoline (dPyr) arc used as markers of bone turnover in metabolic bone diseases....
Osteocalcin (Oc) and the collagen cross-links pyridinoline (Pyr) and deoxypyridinoline (dPyr) are used as markers of bone turnover in metabolic bone diseases....
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SubjectTerms Adolescent
Adult
Alveolar Process - metabolism
Amino Acids - analysis
Biomarkers - analysis
Bone Resorption - metabolism
Child
Chromatography, High Pressure Liquid
Collagen - metabolism
Dental Plaque Index
Enzyme-Linked Immunosorbent Assay
Evaluation Studies as Topic
Female
Gingival Crevicular Fluid - chemistry
gingival fluid
Gingival Hemorrhage - metabolism
Gingival Hemorrhage - pathology
Gingivitis - metabolism
Gingivitis - pathology
Humans
Male
orthodontic tooth movement
osteocalcin
Osteocalcin - analysis
Periodontal Index
Periodontal Pocket - metabolism
Periodontal Pocket - pathology
pyridinium crosslinks
Sensitivity and Specificity
Tooth Movement Techniques
Title Evaluation of osteocalcin and pyridinium crosslinks of bone collagen as markers of bone turnover in gingival crevicular fluid during different stages of orthodontic treatment
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https://www.ncbi.nlm.nih.gov/pubmed/9667483
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