Evidence map›Paper›PMID 29484548›Full record

ArticleClinical oral investigations2018

Inflammatory serum markers up to 5 years after comprehensive periodontal therapy of aggressive and chronic periodontitis.

Tatjana Ramich, Anne Asendorf, Katrin Nickles, Gerhard M Oremek, Ralf Schubert, Luigi Nibali, Martin Wohlfeil, Peter Eickholz

Open access · hybridAbstract read
In one paragraph

Article in Clinical oral investigations, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Article
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  7. Review
  8. Article
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  10. Review
  11. Article
  12. Article
  13. Association between periodontitis and serum c-reactive protein levels.Journal of clinical and experimental dentistry · 2020
    Article
  14. Article
  15. Genetic Profiling ofPathogens (Basel, Switzerland) · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Tatjana RamichDepartment of Periodontology, Center for Dentistry and Oral Medicine (Carolinum), Johann Wolfgang Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Anne AsendorfDepartment of Periodontology, Center for Dentistry and Oral Medicine (Carolinum), Johann Wolfgang Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Katrin NicklesDepartment of Periodontology, Center for Dentistry and Oral Medicine (Carolinum), Johann Wolfgang Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Gerhard M OremekDepartment of Laboratory Medicine, Centre for Internal Medicine, Hospital of the Johann Wolfgang Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
Ralf SchubertDepartment for Children and Adolescents, Division of Allergology, Pulmonology, and Cystic Fibrosis, Hospital of the Johann Wolfgang Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
Luigi NibaliCentre for Oral Clinical Research, Institute of Dentistry, Queen Mary University of London, Turner Street, London, E1 2AD, UK.
Martin WohlfeilDepartment of Periodontology, Center for Dentistry and Oral Medicine (Carolinum), Johann Wolfgang Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Peter EickholzDepartment of Periodontology, Center for Dentistry and Oral Medicine (Carolinum), Johann Wolfgang Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany. eickholz@med.uni-frankfurt.de.ORCID http://orcid.org/0000-0002-1655-8055
Goethe University Frankfurt · DEQueen Mary University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of the study is to assess the long-term effect of active periodontal therapy on serum inflammatory parameters in patients with aggressive (AgP) and chronic (ChP) periodontitis in a non-randomised clinical study.

methodsTwenty-five ChP and 17 AgP were examined clinically prior to (baseline), 12 weeks and 60 months after subgingival debridement of all pockets within 2 days. Systemic antibiotics were prescribed if Aggregatibacter actinomycetemcomitans was detected (10 AgP, 8 ChP), flap surgery was rendered if required. Neutrophil elastase (NE), C-reactive protein (CRP), lipopolysaccharide binding protein, interleukin 6, 8, and leukocyte counts were assessed at baseline, 12 weeks and 60 months.

resultsClinical parameters improved significantly in both groups from 12 weeks to 60 months. Eleven AgP and 18 ChP patients received surgical treatment after the 12 weeks examination. Only 3 patients in each group attended ≥ 2 supportive maintenance visits per year. NE and CRP were significantly higher in AgP than ChP at baseline and 60 months (p < 0.01). For leukocyte counts in ChP, significant changes were observed (baseline: 6.11 ± 1.44 nl

conclusionDespite comprehensive periodontal treatment, AgP patients exhibit higher NE and CRP levels than ChP patients up to 5 years after therapy. CLINICAL RELEVANCE: Systemic inflammatory burden in AgP patients is higher than in ChP patients even 5 years after periodontal treatment.

Indexed as

Acute-Phase ProteinsAdultAggregatibacter actinomycetemcomitansAggressive PeriodontitisAnti-Bacterial AgentsBiomarkersCarrier ProteinsChronic PeriodontitisC-Reactive ProteinDebridementFemaleHumansInflammationInterleukin-6Interleukin-8Leukocyte CountAcute-Phase ProteinsAnti-Bacterial AgentsBiomarkersCarrier ProteinsC-Reactive ProteinInterleukin-6Interleukin-8Leukocyte ElastaseLipopolysaccharide-Binding ProteinMembrane GlycoproteinsAggressive periodontitisChronic periodontitisC-reactive proteinInterleukin-6Leukocyte elastaseLipopolysaccharide-binding protein

Identifiers

PMID29484548
PMCPMC6224024
OpenAlexW2792803863

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.