Periostin level in gingival crevicular fluid in periodontal disease: a systematic review and meta-analysis

Abstract Background Periostin, a secreted adhesion molecule, is a matricellular protein secreted most in periodontal ligament and periosteum. Periostin is also needed for integrity and maturation of periodontal tissue. This meta-analysis was conducted to compare the gingival crevicular fluid (GCF) p...

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Main Authors: Fatemeh Abdolalian, Mojtaba Bayani, Saeid Afzali, Afrooz Nakhostin, Amir Almasi-Hashiani
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-023-03031-w
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author Fatemeh Abdolalian
Mojtaba Bayani
Saeid Afzali
Afrooz Nakhostin
Amir Almasi-Hashiani
author_facet Fatemeh Abdolalian
Mojtaba Bayani
Saeid Afzali
Afrooz Nakhostin
Amir Almasi-Hashiani
author_sort Fatemeh Abdolalian
collection DOAJ
description Abstract Background Periostin, a secreted adhesion molecule, is a matricellular protein secreted most in periodontal ligament and periosteum. Periostin is also needed for integrity and maturation of periodontal tissue. This meta-analysis was conducted to compare the gingival crevicular fluid (GCF) periostin levels in subjects having periodontal disease and healthy periodontium. Methods In this meta-analysis, three international database including PubMed, Scopus and Web of Science were searched and 207 studies retrieved. Also, the Google Scholar was searched to find more related studies (two studies were found). To assess the risk of bias of included studies, the Newcastle–Ottawa assessment scale adapted for case–control was used. Finally, required data was extracted and included into analysis. All statistical analysis were done using Stata software. Results Eight studies were included in this meta-analysis. Results showed that GCF periostin level is significant lower in chronic periodontitis group compare to healthy people (the standardized mean difference (SMD) = -3.15, 95% CI = -4.45, -1.85, p < 0.001). The syntheses of studies shown a significant decrease in the periostin level of chronic periodontitis patients compared to the gingivitis patients (SMD = -1.50, 95%CI = -2.52, -0.49, P = 0.003), while the mean level of periostin between the gingivitis patients and healthy group has no significant difference (SMD = -0.88, 95%CI = -2.14, 0.38, P = 0.173). Conclusion The mean concentration of GCF periostin in people with chronic periodontitis significantly decreased compared to people with gingivitis and also compared to healthy people, while no significant difference was observed between the two groups with gingivitis and healthy people. Therefore, this marker may be used as a diagnostic criterion for the disease, which requires further studies.
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spelling doaj.art-010b31cc2f0f4f4191e21920be59839f2023-05-14T11:29:54ZengBMCBMC Oral Health1472-68312023-05-0123111110.1186/s12903-023-03031-wPeriostin level in gingival crevicular fluid in periodontal disease: a systematic review and meta-analysisFatemeh Abdolalian0Mojtaba Bayani1Saeid Afzali2Afrooz Nakhostin3Amir Almasi-Hashiani4Department of Periodontics, School of Dentistry, Arak University of Medical SciencesDepartment of Periodontics, School of Dentistry, Arak University of Medical SciencesStudent Research Committee, Arak University of Medical SciencesDepartment of Restorative Dentistry, School of Dentistry, Arak University of Medical SciencesDepartment of Epidemiology, School of Health, Arak University of Medical SciencesAbstract Background Periostin, a secreted adhesion molecule, is a matricellular protein secreted most in periodontal ligament and periosteum. Periostin is also needed for integrity and maturation of periodontal tissue. This meta-analysis was conducted to compare the gingival crevicular fluid (GCF) periostin levels in subjects having periodontal disease and healthy periodontium. Methods In this meta-analysis, three international database including PubMed, Scopus and Web of Science were searched and 207 studies retrieved. Also, the Google Scholar was searched to find more related studies (two studies were found). To assess the risk of bias of included studies, the Newcastle–Ottawa assessment scale adapted for case–control was used. Finally, required data was extracted and included into analysis. All statistical analysis were done using Stata software. Results Eight studies were included in this meta-analysis. Results showed that GCF periostin level is significant lower in chronic periodontitis group compare to healthy people (the standardized mean difference (SMD) = -3.15, 95% CI = -4.45, -1.85, p < 0.001). The syntheses of studies shown a significant decrease in the periostin level of chronic periodontitis patients compared to the gingivitis patients (SMD = -1.50, 95%CI = -2.52, -0.49, P = 0.003), while the mean level of periostin between the gingivitis patients and healthy group has no significant difference (SMD = -0.88, 95%CI = -2.14, 0.38, P = 0.173). Conclusion The mean concentration of GCF periostin in people with chronic periodontitis significantly decreased compared to people with gingivitis and also compared to healthy people, while no significant difference was observed between the two groups with gingivitis and healthy people. Therefore, this marker may be used as a diagnostic criterion for the disease, which requires further studies.https://doi.org/10.1186/s12903-023-03031-wPeriostinPeriodontal diseaseGingival Crevicular fluidSystematic reviewMeta-analysis
spellingShingle Fatemeh Abdolalian
Mojtaba Bayani
Saeid Afzali
Afrooz Nakhostin
Amir Almasi-Hashiani
Periostin level in gingival crevicular fluid in periodontal disease: a systematic review and meta-analysis
BMC Oral Health
Periostin
Periodontal disease
Gingival Crevicular fluid
Systematic review
Meta-analysis
title Periostin level in gingival crevicular fluid in periodontal disease: a systematic review and meta-analysis
title_full Periostin level in gingival crevicular fluid in periodontal disease: a systematic review and meta-analysis
title_fullStr Periostin level in gingival crevicular fluid in periodontal disease: a systematic review and meta-analysis
title_full_unstemmed Periostin level in gingival crevicular fluid in periodontal disease: a systematic review and meta-analysis
title_short Periostin level in gingival crevicular fluid in periodontal disease: a systematic review and meta-analysis
title_sort periostin level in gingival crevicular fluid in periodontal disease a systematic review and meta analysis
topic Periostin
Periodontal disease
Gingival Crevicular fluid
Systematic review
Meta-analysis
url https://doi.org/10.1186/s12903-023-03031-w
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AT saeidafzali periostinlevelingingivalcrevicularfluidinperiodontaldiseaseasystematicreviewandmetaanalysis
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