Association between Herpesviruses and Chronic Periodontitis: A Meta-Analysis Based on Case-Control Studies.

Numerous studies have investigated the associations between herpesviruses and chronic periodontitis; however, the results remain controversial. To derive a more precise estimation, a meta-analysis on all available studies was performed to identify the association between herpesviruses and chronic pe...

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Main Authors: Ce Zhu, Fei Li, May Chun Mei Wong, Xi-Ping Feng, Hai-Xia Lu, Wei Xu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4677929?pdf=render
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author Ce Zhu
Fei Li
May Chun Mei Wong
Xi-Ping Feng
Hai-Xia Lu
Wei Xu
author_facet Ce Zhu
Fei Li
May Chun Mei Wong
Xi-Ping Feng
Hai-Xia Lu
Wei Xu
author_sort Ce Zhu
collection DOAJ
description Numerous studies have investigated the associations between herpesviruses and chronic periodontitis; however, the results remain controversial. To derive a more precise estimation, a meta-analysis on all available studies was performed to identify the association between herpesviruses and chronic periodontitis.A computerized literature search was conducted in December 2014 to identify eligible case-control studies from the PUBMED and EMBASE databases according to inclusion and exclusion criteria. Data were extracted and pooled odds ratios (OR) with 95% confidence intervals (CI) were used to assess the association between herpesviruses and risk of chronic periodontitis. A fixed or random effects model was determined based on a heterogeneity test. Sensitivity analysis was conducted to investigate stability and reliability. Publication bias was investigated using the Begg rank correlation test and Egger's funnel plot.Ten eligible studies were included to investigate the association between Epstein-Barr virus (EBV) and chronic periodontitis. The results showed that EBV has a significant association with chronic periodontitis compared with periodontally healthy group (OR = 5.74, 95% CI = 2.53-13.00, P<0.001). The association between human cytomegalovirus (HCMV) and chronic periodontitis was analyzed in 10 studies. The pooled result showed that HCMV also has a significant association with chronic periodontitis (OR = 3.59, 95% CI = 1.41-9.16, P = 0.007). Similar results were found in the sensitivity analyses. No significant publication bias was observed. Two eligible studies were included to investigate the association between herpes simplex virus (HSV) and chronic periodontitis risk. The association between HSV and chronic periodontitis was inconclusive (OR = 2.81 95% CI = 0.95-8.27, P = 0.06). Only one included study investigated the association between human herpesvirus 7 (HHV-7) and chronic periodontitis risk (OR = 1.00, 95% CI = 0.21-4.86).The findings of this meta-analysis suggest that two members of the herpesvirus family, EBV and HCMV, are significantly associated with chronic periodontitis. There is insufficient evidence to support associations between HSV, HHV-7 and chronic periodontitis.
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spelling doaj.art-9f52ef84c2e44628babe2abe2df53e982022-12-22T00:09:27ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011012e014431910.1371/journal.pone.0144319Association between Herpesviruses and Chronic Periodontitis: A Meta-Analysis Based on Case-Control Studies.Ce ZhuFei LiMay Chun Mei WongXi-Ping FengHai-Xia LuWei XuNumerous studies have investigated the associations between herpesviruses and chronic periodontitis; however, the results remain controversial. To derive a more precise estimation, a meta-analysis on all available studies was performed to identify the association between herpesviruses and chronic periodontitis.A computerized literature search was conducted in December 2014 to identify eligible case-control studies from the PUBMED and EMBASE databases according to inclusion and exclusion criteria. Data were extracted and pooled odds ratios (OR) with 95% confidence intervals (CI) were used to assess the association between herpesviruses and risk of chronic periodontitis. A fixed or random effects model was determined based on a heterogeneity test. Sensitivity analysis was conducted to investigate stability and reliability. Publication bias was investigated using the Begg rank correlation test and Egger's funnel plot.Ten eligible studies were included to investigate the association between Epstein-Barr virus (EBV) and chronic periodontitis. The results showed that EBV has a significant association with chronic periodontitis compared with periodontally healthy group (OR = 5.74, 95% CI = 2.53-13.00, P<0.001). The association between human cytomegalovirus (HCMV) and chronic periodontitis was analyzed in 10 studies. The pooled result showed that HCMV also has a significant association with chronic periodontitis (OR = 3.59, 95% CI = 1.41-9.16, P = 0.007). Similar results were found in the sensitivity analyses. No significant publication bias was observed. Two eligible studies were included to investigate the association between herpes simplex virus (HSV) and chronic periodontitis risk. The association between HSV and chronic periodontitis was inconclusive (OR = 2.81 95% CI = 0.95-8.27, P = 0.06). Only one included study investigated the association between human herpesvirus 7 (HHV-7) and chronic periodontitis risk (OR = 1.00, 95% CI = 0.21-4.86).The findings of this meta-analysis suggest that two members of the herpesvirus family, EBV and HCMV, are significantly associated with chronic periodontitis. There is insufficient evidence to support associations between HSV, HHV-7 and chronic periodontitis.http://europepmc.org/articles/PMC4677929?pdf=render
spellingShingle Ce Zhu
Fei Li
May Chun Mei Wong
Xi-Ping Feng
Hai-Xia Lu
Wei Xu
Association between Herpesviruses and Chronic Periodontitis: A Meta-Analysis Based on Case-Control Studies.
PLoS ONE
title Association between Herpesviruses and Chronic Periodontitis: A Meta-Analysis Based on Case-Control Studies.
title_full Association between Herpesviruses and Chronic Periodontitis: A Meta-Analysis Based on Case-Control Studies.
title_fullStr Association between Herpesviruses and Chronic Periodontitis: A Meta-Analysis Based on Case-Control Studies.
title_full_unstemmed Association between Herpesviruses and Chronic Periodontitis: A Meta-Analysis Based on Case-Control Studies.
title_short Association between Herpesviruses and Chronic Periodontitis: A Meta-Analysis Based on Case-Control Studies.
title_sort association between herpesviruses and chronic periodontitis a meta analysis based on case control studies
url http://europepmc.org/articles/PMC4677929?pdf=render
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