PMID- 31534637 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220410 IS - 2213-8862 (Electronic) IS - 1991-7902 (Print) IS - 1991-7902 (Linking) VI - 14 IP - 3 DP - 2019 Sep TI - Diagnostic accuracy of salivary biomarkers of bone turnover in identifying patients with periodontitis in a Saudi Arabian population. PG - 269-276 LID - 10.1016/j.jds.2019.03.002 [doi] AB - BACKGROUND/PURPOSE: Salivary markers of bone turnover are useful biomarkers for screening patients advanced periodontal diseases with alveolar bone loss. Hence, the purpose of this study was to determine the diagnostic accuracy of deoxypyridinoline-containing degradation fragment of the C-terminal telopeptide region of type I collagen (CTX), Osteocalcin (OC) and Osteonectin (ON) in identifying patients with alveolar bone loss (BL) due to periodontitis. MATERIALS AND METHOD: Salivary levels of CTX, OC and ON were evaluated in ninety patients (group I, II and III with healthy, periodontitis without Type2 diabetes mellitus-T2DM and periodontitis with T2DM respectively). Group III was included since T2DM is very common among patients attending our clinics. Bleeding on probing (BOP), probing pocket depth (PPD) and BL were recorded for these patients. RESULTS: The concentrations of salivary CTX, OC, and ON were higher in subjects with periodontitis than in controls. Significant correlations were found between these biomarkers and periodontal parameters. CTX, OC, and ON could discriminate between healthy (group I) and diseased (group II & III) regarding BL with excellent sensitivity (90.2-100%) and good specificity (62.1-96.6%). ROC curve gave excellent discrimination regarding BL (AUC: 0.926-0.958) and PPD (AUC: 0.904-0.915). However, none of the cut-off values gave good discrimination regarding BOP. CONCLUSION: It can be concluded that CTX, OC, and ON correlated well with BL and PPD. Among the three biomarkers, ON at 81.80 ng/ml gave the best discrimination for presence or absence of bone loss. FAU - Betsy, Joseph AU - Betsy J AD - Department of Periodontics and Community Dental Sciences, Division of Periodontics, College of Dentistry, King Khalid University, Abha, Saudi Arabia. FAU - Ahmed, Javali Mukhatar AU - Ahmed JM AD - Department of Periodontics and Community Dental Sciences, Division of Periodontics, College of Dentistry, King Khalid University, Abha, Saudi Arabia. FAU - Mohasin, Abdul Khader AU - Mohasin AK AD - Department of Periodontics and Community Dental Sciences, Division of Periodontics, College of Dentistry, King Khalid University, Abha, Saudi Arabia. FAU - Mohammed, Amanullah AU - Mohammed A AD - Department of Clinical Biochemistry, College of Medicine, King Khalid University, Gureiger, Abha, Saudi Arabia. FAU - Nabeeh A, AlQahtani AU - Nabeeh A A AD - Department of Periodontics and Community Dental Sciences, Division of Periodontics, College of Dentistry, King Khalid University, Abha, Saudi Arabia. LA - eng PT - Journal Article DEP - 20190329 PL - Netherlands TA - J Dent Sci JT - Journal of dental sciences JID - 101293181 PMC - PMC6742844 OTO - NOTNLM OT - Alveolar bone loss (BL) OT - C-terminal telopeptide region of type I collagen (CTX) OT - Osteocalcin (OC) OT - Osteonectin (ON) OT - Probing pocket depth (PPD) OT - Salivary EDAT- 2019/09/20 06:00 MHDA- 2019/09/20 06:01 PMCR- 2019/03/29 CRDT- 2019/09/20 06:00 PHST- 2018/11/29 00:00 [received] PHST- 2019/03/06 00:00 [revised] PHST- 2019/09/20 06:00 [entrez] PHST- 2019/09/20 06:00 [pubmed] PHST- 2019/09/20 06:01 [medline] PHST- 2019/03/29 00:00 [pmc-release] AID - S1991-7902(18)31107-3 [pii] AID - 10.1016/j.jds.2019.03.002 [doi] PST - ppublish SO - J Dent Sci. 2019 Sep;14(3):269-276. doi: 10.1016/j.jds.2019.03.002. Epub 2019 Mar 29.