关键词: Activated matrix metalloproteinase-8 Saliva Sensitivity/specificity Untreated moderate/severe chronic periodontitis

Mesh : Adult Biomarkers Case-Control Studies Enzyme Activation Female Humans Male Matrix Metalloproteinase 8 / metabolism Middle Aged Periodontal Diseases / diagnosis metabolism Risk Factors Saliva / metabolism Sensitivity and Specificity Severity of Illness Index Young Adult

来  源:   DOI:10.1007/s00430-015-0413-2   PDF(Sci-hub)

Abstract:
Untreated periodontal disease may influence general health. However, how may a physician, who is not trained in periodontal probing, detect untreated periodontitis? Activated matrix metalloproteinase-8 (aMMP-8) in saliva correlates with periodontal probing parameters. Thus, sensitivity and specificity of a chair-side test for aMMP-8 to detect periodontitis were evaluated. Thirty cases [untreated chronic periodontitis (ChP); 15 generalized moderate and 15 generalized severe] and 30 controls [probing depths (PD) ≤3 mm, vertical probing attachment level (PAL-V) ≤2 mm at <30 % of sites) were examined periodontally (PD, PAL-V, bleeding on probing). Subsequently, the aMMP-8 test was performed. The test kit becomes positive with ≥25 ng/ml aMMP-8 in the sample. The aMMP-8 test was positive in 87 % of ChP and in 40 % of controls. That corresponds to a sensitivity of 87 % and a specificity of 60 %. The sensitivity to detect generalized severe ChP was 93 % (60 % specificity). Backward stepwise logistic regression analysis to explain positive aMMP-8 tests identified exclusively ChP with an odds ratio of 9.8 (p < 0.001). Positive results of the aMMP-8 test significantly correlate with generalized ChP. The aMMP-8 test may be used by physicians to detect periodontitis in their patients.
摘要:
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