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Open Access 30-05-2023 | Oral and Maxillofacial Surgery | Original Article

Applicability of an active matrix metalloproteinase-8 point-of-care test in an oral and maxillofacial surgery clinic: a pilot study

Authors: Essi Kallio, Tero Puolakkainen, Taina Tervahartiala, Johanna Snäll, Emilia Marttila, Timo Sorsa, Johanna Uittamo

Published in: Odontology | Issue 1/2024

Abstract

Objectives

Matrix metalloproteinases are enzymes that participate in numerous inflammatory responses and have been targeted as biomarkers in numerous pathologic states. The detection of active matrix metalloproteinase-8 (aMMP-8) using a mouthrinse point-of-care test (POCT) has emerged as a diagnostic marker for periodontitis and other systemic inflammatory states. The objective of this pilot study was to assess the applicability of aMMP-8 POCT in an oral and maxillofacial surgery clinic and to evaluate the relationship between aMMP-8 levels and different patient groups.

Materials and methods

aMMP-8 POCT samples were collected from patients in an oral and maxillofacial surgery clinic during a one-month period. aMMP-8 levels were analyzed using a chairside lateral-flow immunotest and a digital reader. Clinically relevant patient variables were collected and descriptively evaluated. aMMP-8 levels over 20 ng/ml were considered to be elevated.

Results

A total of 115 patients were interviewed of which 112 agreed to the test (97.4%). Elevated aMMP-8 levels were observed in 58 (51.8%) patients. Bone loss was noted in 75 (67.0%) patients. Of these patients, aMMP-8 levels were elevated in 47 (62.7%) patients. Patients at an increased risk of infection had 35.5% higher aMMP-8 values on average compared to patients with no prior illnesses.

Conclusion

aMMP-8 POCT provides a non-invasive and reliable method for measuring aMMP-8 levels. Future studies are warranted to assess the clinical relevance between elevated aMMP-8 levels and specific patient groups.

Clinical relevance

The rapid availability of the test score allows an immediate impact on treatment planning.

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Title: Applicability of an active matrix metalloproteinase-8 point-of-care test in an oral and maxillofacial surgery clinic: a pilot study
Authors: Essi Kallio
Tero Puolakkainen
Taina Tervahartiala
Johanna Snäll
Emilia Marttila
Timo Sorsa
Johanna Uittamo
Publication date: 30-05-2023
Publisher: Springer Nature Singapore
Keywords: Oral and Maxillofacial Surgery
Oral and Maxillofacial Surgery
Care
Published in: Odontology / Issue 1/2024
Print ISSN: 1618-1247
Electronic ISSN: 1618-1255
DOI: https://doi.org/10.1007/s10266-023-00821-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Applicability of an active matrix metalloproteinase-8 point-of-care test in an oral and maxillofacial surgery clinic: a pilot study

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

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