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Open AccessOpinion
Prevention of Initial Periodontitis Is an Investment in the Future
by
Anna Maria Heikkinen
Anna Maria Heikkinen 1,2
,
Teija Raivisto
Teija Raivisto 3
,
Ismo Tapani Räisänen
Ismo Tapani Räisänen 3,*
and
Timo Sorsa
Timo Sorsa 3,4
1
Faculty of Medicine and Health Technology, University of Tampere, 33100 Tampere, Finland
2
Wellbeing Services County of Pirkanmaa, 33400 Tampere, Finland
3
Department of Oral and Maxillofacial Diseases and Public Health, University of Helsinki and Helsinki University Hospital, 00290 Helsinki, Finland
4
Department of Dental Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(17), 1850; https://doi.org/10.3390/diagnostics14171850 (registering DOI)
Submission received: 25 July 2024
/
Revised: 14 August 2024
/
Accepted: 21 August 2024
/
Published: 24 August 2024
Abstract
Background: Periodontal tissue damage is mainly caused by the active form of collagenolytic matrix metalloproteinase-8, aMMP-8, the concentration of which in the mouth rinse can be measured with a mouth rinse chairside-test. The mouth rinse chair side test can be used to identify adolescents with a risk of periodontitis. Methods: The data were collected at the Kotka Health Centre (2004–2005, N = 501 and 2014–2015, N = 47) and at the Hämeenlinna Health Centre (2017–2018, N = 125) consisting of adolescents aged 14–17. They underwent a complete periodontal examination, and some were subjected to the aMMP-8-test. Results: We identified bacterial plaques in combination with increased bleeding on probing (BOP), elevated aMMP-8 concentration, smoking and male sex as the main risk factors for initial periodontitis. Approximately 10% of adolescents had subclinical periodontitis, they were not periodontally healthy, but also not sick. They may not develop periodontitis, but they are at the risk. The aMMP-8 test positivity had a stronger association with initial periodontitis than BOP. Conclusions: In addition to identifying risk factors, these adolescents need individual prevention and, if necessary, early treatment. For the periodontal health biomarker aMMP-8, test negativity ([-], ≤20 ng/mL) should be sought.
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MDPI and ACS Style
Heikkinen, A.M.; Raivisto, T.; Räisänen, I.T.; Sorsa, T.
Prevention of Initial Periodontitis Is an Investment in the Future. Diagnostics 2024, 14, 1850.
https://doi.org/10.3390/diagnostics14171850
AMA Style
Heikkinen AM, Raivisto T, Räisänen IT, Sorsa T.
Prevention of Initial Periodontitis Is an Investment in the Future. Diagnostics. 2024; 14(17):1850.
https://doi.org/10.3390/diagnostics14171850
Chicago/Turabian Style
Heikkinen, Anna Maria, Teija Raivisto, Ismo Tapani Räisänen, and Timo Sorsa.
2024. "Prevention of Initial Periodontitis Is an Investment in the Future" Diagnostics 14, no. 17: 1850.
https://doi.org/10.3390/diagnostics14171850
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