Prognostic utility of oral neutrophil counts in high‐risk periodontitis: A retrospective study
Notice bibliographique
Résumé
BACKGROUND: Oral polymorphonuclear neutrophil (oPMN) levels are potential biomarkers for differentiating between stages and grades of periodontitis. We compared the diagnostic utility of oPMN levels with bleeding on probing percentage (BOP%) and microbial load in high-risk patients with periodontitis. METHODS: Sixty-two subjects were divided into four categories based on periodontitis stage and grade: stage II periodontitis (S2P, n = 19), stage III periodontitis (S3P, n = 43), grade B periodontitis (GBP, n = 34), and grade C periodontitis (GCP, n = 28). Clinical parameters included probing depth (PD), BOP%, and clinical attachment loss (CAL). Associations between oPMN levels and BOP% were compared to periodontitis stage and grade, and the presence of the periodontal pathogens Porphyromonas gingivalis (Pg), Treponema denticola (Td), Tannerella forsythia (Tf), Aggregatibacter actinomycetemcomitans, and Prevotella intermedia (Pi) in the gingivocrevicular fluid (GCF). RESULTS: Both oPMN levels and BOP% were associated with increasing stage and grade of periodontitis; however, better sensitivity, specificity, and predictive values for differentiating between GBP versus GCP were observed with oPMN. Significant positive associations were found between oPMN level and the detection of Pg and Pi. CONCLUSIONS: OPMN level can be used to differentiate between grade B and C periodontitis. Likewise, the presence of periodontal pathogens Pg and Pi correlated with the oPMN level. Given these findings, oPMN level may be useful as a multipurpose clinical biomarker in terms of diagnosing periodontitis and determining the risk of disease progression. PLAIN LANGUAGE SUMMARY: Periodontitis is a serious gum disease that can lead to tooth loss and is linked to other health issues. Currently, bleeding of the gums after probing is one method used to assess the disease activity, but this method is not always accurate. In this study, we investigated whether counting a type of immune cell called oral neutrophil found in saliva could provide a better way to detect and measure the severity of periodontitis. We examined 62 patients with different stages and grades of the disease. We found that the number of oral neutrophils was a better tool for identifying more severe cases and those at a higher risk for future breakdown than gum bleeding. We also found that higher levels of neutrophils were linked to the presence of harmful bacteria that cause periodontitis. These findings suggest that measuring oral neutrophils could be a more reliable way to diagnose and monitor periodontitis, helping dentists identify severe cases earlier and treat patients more effectively. This method could improve how we understand and manage gum disease, leading to better patient-centered outcomes.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».