PMID- 30360358 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220408 IS - 2075-4418 (Print) IS - 2075-4418 (Electronic) IS - 2075-4418 (Linking) VI - 8 IP - 4 DP - 2018 Oct 22 TI - Point-of-Care/Chairside aMMP-8 Analytics of Periodontal Diseases' Activity and Episodic Progression. LID - 10.3390/diagnostics8040074 [doi] LID - 74 AB - Traditional periodontal disease diagnostics are based mainly on clinical examination and radiographs. They assess only past tissue destruction and provide no information on the current disease status or its future progression. The objective is to find out if an active matrix metalloproteinase-8 (aMMP-8) point-of-care (PoC) test could provide a cost-effective way to get around this limitation. This cross-sectional study used 47 adolescents and 70 adults, who were clinically examined and their aMMP-8 PoC tested. The aMMP-8 PoC test results and patients' treatment need, based on the community periodontal index of treatment needs (CPITN), were compared and analyzed using Fisher's exact test. In terms of CPITN, the aMMP-8 PoC test gave no false positives for both adolescents and adults. All healthy patients got a negative test result, while a positive test result indicated periodontal treatment need correctly. Finally, there was a significant association between a patient's aMMP-8 PoC test result and his/her treatment need (p = 0.001 for adolescents, p = 0.001 for adults). In conclusion, more accurate diagnostics of periodontal diseases' activity and progression using an aMMP-8 PoC test may help to reduce oral health care costs by reducing patient overtreatment, improving patient outcome, and reducing the need for complex periodontal therapy. FAU - Raisanen, Ismo T AU - Raisanen IT AUID- ORCID: 0000-0001-5821-5299 AD - Department of Oral and Maxillofacial Diseases, Head and Neck Center, University of Helsinki and Helsinki University Hospital, PO Box 63 (Haartmaninkatu 8), 00014 Helsinki, Finland. ismo.raisanen@helsinki.fi. FAU - Heikkinen, Anna Maria AU - Heikkinen AM AD - Department of Oral and Maxillofacial Diseases, Head and Neck Center, University of Helsinki and Helsinki University Hospital, PO Box 63 (Haartmaninkatu 8), 00014 Helsinki, Finland. anna.m.heikkinen@helsinki.fi. FAU - Siren, Eva AU - Siren E AD - Department of Oral and Maxillofacial Diseases, Head and Neck Center, University of Helsinki and Helsinki University Hospital, PO Box 63 (Haartmaninkatu 8), 00014 Helsinki, Finland. eva.siren@helsinki.fi. FAU - Tervahartiala, Taina AU - Tervahartiala T AD - Department of Oral and Maxillofacial Diseases, Head and Neck Center, University of Helsinki and Helsinki University Hospital, PO Box 63 (Haartmaninkatu 8), 00014 Helsinki, Finland. taina.tervahartiala@helsinki.fi. FAU - Gieselmann, Dirk-Rolf AU - Gieselmann DR AD - Institute for Molecular Diagnostics (IMOD), Bonner Str. 84, 42697 Solingen, Germany. gieselmann@matrix-lab.de. FAU - van der Schoor, Gerrit-Jan AU - van der Schoor GJ AD - Division of Periodontology, Department of Dental Medicine, Karolinska Institute, SE-171 77 Stockholm, Sweden. vdschoor.putten@gmail.com. FAU - van der Schoor, Peter AU - van der Schoor P AD - Division of Periodontology, Department of Dental Medicine, Karolinska Institute, SE-171 77 Stockholm, Sweden. peter@vanderschoor.org. FAU - Sorsa, Timo AU - Sorsa T AD - Division of Periodontology, Department of Dental Medicine, Karolinska Institute, SE-171 77 Stockholm, Sweden. timo.sorsa@helsinki.fi. LA - eng GR - TYH 2016251/Helsinki University Hospital Research Foundation/ GR - TYH 2017251/Helsinki University Hospital Research Foundation/ GR - TYH 2018229/Helsinki University Hospital Research Foundation/ GR - Y1014SL017/Helsinki University Hospital Research Foundation/ GR - Y1014SL018/Helsinki University Hospital Research Foundation/ GR - -/Karolinska Institutet/ PT - Journal Article DEP - 20181022 PL - Switzerland TA - Diagnostics (Basel) JT - Diagnostics (Basel, Switzerland) JID - 101658402 PMC - PMC6315514 OTO - NOTNLM OT - matrix metalloproteinases OT - periodontal diseases OT - periodontitis OT - point-of-care testing COIS- Timo Sorsa is an inventor of US-patents 5652227, 5736341, 5866432, and 6143476. Timo Sorsa and Dirk-Rolf Gieselmann are inventors of patent 20170023571. Other authors report no conflict of interest. EDAT- 2018/10/27 06:00 MHDA- 2018/10/27 06:01 PMCR- 2018/10/22 CRDT- 2018/10/27 06:00 PHST- 2018/09/27 00:00 [received] PHST- 2018/10/15 00:00 [revised] PHST- 2018/10/18 00:00 [accepted] PHST- 2018/10/27 06:00 [entrez] PHST- 2018/10/27 06:00 [pubmed] PHST- 2018/10/27 06:01 [medline] PHST- 2018/10/22 00:00 [pmc-release] AID - diagnostics8040074 [pii] AID - diagnostics-08-00074 [pii] AID - 10.3390/diagnostics8040074 [doi] PST - epublish SO - Diagnostics (Basel). 2018 Oct 22;8(4):74. doi: 10.3390/diagnostics8040074.