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矩阵金属蛋白酶-8与外围植入炎之间的关系:系统性审查和元分析
Hani S AlMoharib1, Raed AlRowis1, Abdulrahman AlMubarak1
1Department of Periodontology and Community Dentistry. King Saud University. P.O.Box 60169, Riyadh 11545, Saudi Arabia.
The Saudi dental journal
|May 30, 2023
概括
在周植入物沟液中的矩阵金属蛋白酶-8 (MMP-8) 水平在周植入物炎病例中显著升高. 这一元分析表明存在联系,但MMP-8尚未被证明是围部植入炎的诊断测试.
科学领域:
- 牙科植入物学 牙科植入物学
- 生物标志物 生物标志物
- 牙周病学 牙周病学
背景情况:
- 围植入炎的诊断依赖于评估炎症,口袋深度,出血和骨损失.
- 目前的诊断方法主要反映疾病史,而不是活跃的疾病或易感性.
- 需要诊断工具,以显示当前的围植入炎活动.
研究的目的:
- 评估在周植入物裂液 (PICF) 和周植入物炎中的矩阵金属蛋白酶-8 (MMP-8) 水平之间的关联.
- 确定MMP-8是否可以作为活跃周植入炎的生物标志物.
主要方法:
- 2022年2月,对三个数据库和手动搜索进行了系统的文献搜索.
- 包括的研究比较了健康植入物的PICF中的MMP-8水平与患有围植入炎的植入物.
- 数据分析涉及标准化平均差异 (SMD) 与95%的置信区间,使用RevMan软件.
主要成果:
- 六项涉及276名患者的研究被纳入了分析.
- 与健康对照组相比,患有周植入炎的患者在PICF中的MMP-8水平显著更高 (SMD = 1.43,p = 0.02).
- 包括的研究质量从中等到高不等.
结论:
- 在PICF中MMP-8水平升高与周植入炎有关.
- MMP-8显示出作为围植入炎活动指标的潜力.
- 需要进一步的诊断准确性研究来确定MMP-8作为围植入炎的可靠诊断工具.
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