Evidence map›Paper›PMID 34066498›Full record

ReviewMaterials (Basel, Switzerland)2021

Melatonin as a Topical/Systemic Formulation for the Management of Periodontitis: A Systematic Review.

Thodur Madapusi Balaji, Saranya Varadarajan, Raghunathan Jagannathan, Jaideep Mahendra, Hammam Ibrahim Fageeh, Hytham N Fageeh, Shazia Mushtaq, Hosam Ali Baeshen, Shilpa Bhandi, Archana A Gupta and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in Materials (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
13.0field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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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

14 authors at 8 institutions in 3 countries.

Thodur Madapusi BalajiDepartment of Dentistry, Bharathiraja Hospital and Research Institute, Chennai 600017, India.
Saranya VaradarajanDepartment of Oral Pathology and Microbiology, Sri Venkateswara Dental College and Hospital, Chennai 600130, India.ORCID 0000-0002-7051-1143
Raghunathan JagannathanDepartment of Periodontology, Tagore Dental College and Hospital, Chennai 600127, India.ORCID 0000-0001-9061-6367
Jaideep MahendraDepartment of Periodontology, Meenakshi Ammal Dental College, Meenakshi Academy of Higher Education and Research, Chennai 600095, India.
Hammam Ibrahim FageehDepartment of Preventive Dental Science, College of Dentistry, Jazan University, Jazan 45412, Saudi Arabia.ORCID 0000-0003-0438-5449
Hytham N FageehDepartment of Preventive Dental Science, College of Dentistry, Jazan University, Jazan 45412, Saudi Arabia.ORCID 0000-0002-8208-4855
Shazia MushtaqDental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh 11362, Saudi Arabia.
Hosam Ali BaeshenDepartment of Orthodontics, College of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
Shilpa BhandiDepartment of Restorative Dental Sciences, Division of Operative Dentistry, College of Dentistry, Jazan University, Jazan 45412, Saudi Arabia.
Archana A GuptaDepartment of Oral Pathology and Microbiology, Dr. D. Y. Patil Dental College and Hospital Dr. D. Y. Patil Vidyapeeth, Pune 411018, India.ORCID 0000-0002-5050-4288
A Thirumal RajDepartment of Oral Pathology and Microbiology, Sri Venkateswara Dental College and Hospital, Chennai 600130, India.ORCID 0000-0002-1079-1024
Rodolfo RedaDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0003-1532-6524
Shankaragouda PatilDepartment of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan 45412, Saudi Arabia.ORCID 0000-0001-7246-5497
Luca TestarelliDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0003-3904-3000
Jazan University · SASapienza University of Rome · ITSri Venkateswara Medical College and Ruia Hospital · INDr. D.Y. Patil Vidyapeeth, Pune · INKing Abdulaziz University · SAKing Saud University · SAMeenakshi Academy of Higher Education and Research · INRagas Dental College & Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo qualitatively and quantitatively review the use of melatonin as a topical/systemic formulation for the management of periodontitis. MATERIALS AND

methodsPubMed; Scopus; and Web of Science databases were searched using the MesH terms "melatonin" and "periodontitis". Title and abstracts were screened to eliminate irrelevant and duplicate articles. The full text data of the screened articles were assessed using the selection criteria.

resultsOf 176 identified articles (PubMed-66; Scopus-56; Web of Science-52; Cross-reference-2), only 12 studies qualified to be included in the systematic review. Four studies assessed the independent effect of 1% topical melatonin formulation while 8 articles assessed the adjunctive use of systemic melatonin formulation (1-10 mg) following scaling and root planing (SRP). All studies showed an improvement in periodontal parameters such as pocket depth, clinical attachment loss, periodontal disease index, community periodontal index, gingival bleeding scores, and prognostic marker levels in saliva and serum. A meta-analysis of data from 2 studies revealed that 1-2 mg (systemic) melatonin supplementation reduced pocket depth; although the difference was not statistically significant and hence cannot be interpreted or used for conclusive evidence. Risk of Bias Assessment tool (RoBANS) and Cochrane Collaboration RoB tool elicited a high risk of bias in the included studies. GRADE (recommendation assessment, development, and evaluation) inferred a weak recommendation for the use of melatonin in periodontitis management.

conclusionsMelatonin supplementation (topical and systemic) in periodontitis patients improved key periodontal parameters including pocket depth and clinical attachment loss. CLINICAL RELEVANCE: Melatonin could be a potential host modulatory agent for periodontitis management; although the data from the present review should be interpreted carefully due to the associated high risk of bias.

Indexed as

melatoninperiodontitispocket depthsystemictopical

Identifiers

PMID34066498
PMCPMC8124881
OpenAlexW3159098189

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.