Evidence map›Paper›PMID 38042793›Full record

SynthesisBMC oral health2023

Systematic review and meta-analysis of oxidative stress and antioxidant markers in recurrent aphthous stomatitis.

Saeideh Ghasemi, Fataneh Farokhpour, Bardia Mortezagholi, Emad Movahed, Arshin Ghaedi, Morad Kohandel Gargari, Monireh Khanzadeh, Aida Bazrgar, Shokoufeh Khanzadeh

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC oral health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.8field-weighted citation impact, top 9% 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, 13 citations in OpenAlex.

  1. Review
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  7. Oral Gel Formulation ofPharmaceutics · 2025
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  8. Observational
  9. Review
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  11. Review
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  15. 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

9 authors at 5 institutions in 1 country.

Saeideh GhasemiDental school, Tabriz University of Medical Sciences, Tabriz, Iran.
Fataneh FarokhpourDepartment of pathology, school of medicine, Isfahan university of medical science, Isfahan, Iran.
Bardia MortezagholiDental Research Center, Faculty of Dentistry, Islamic Azad University of Medical Sciences, Tehran, Iran.
Emad MovahedDental Research Center, Faculty of Dentistry, Islamic Azad University of Medical Sciences, Tehran, Iran.
Arshin GhaediStudent Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Morad Kohandel GargariTabriz University of Medical Sciences, Tabriz, Iran.
Monireh KhanzadehGeriatric & Gerontology Department, Medical School, Tehran University of medical and health sciences, Tehran, Iran.
Aida BazrgarStudent Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Shokoufeh KhanzadehTabriz University of Medical Sciences, Tabriz, Iran. Khshokufe7@gmail.com.
Tabriz University of Medical Sciences · IRIslamic Azad University Dental Branch of Tehran · IRShiraz University of Medical Sciences · IRTehran University of Medical Sciences · IRUniversity of Isfahan · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe performed this systematic review and meta-analysis to synthesize all studies that reported the level of oxidative and antioxidative markers in recurrent aphthous stomatitis (RAS) patients compared to controls.

methodsWe registered our study in PROSPERO (CRD42023431310). PubMed, ProQuest, Scopus, EMBASE, Google Scholar, and Web of Science were searched to find relevant publications up to June 5, 2023. The standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated. We included 30 articles after multiple stags of screening.

resultsWe found that erythrocyte superoxide dismutase and Glutathione peroxidase activity were significantly lower in patients with RAS compared to healthy controls (SMD = - 1.00, 95%CI = -1.79 to -0.21, p = 0.013, and SMD = - 1.90, 95%CI = -3.43 to -0.38, p = 0.01, Respectively). However, there was not any difference between patients with RAS and healthy controls in erythrocyte Catalase (SMD = - 0.71, 95%CI = -1.56-0.14, p = 0.10). The total antioxidant status (TAS) level, in serum was significantly lower in patients than healthy controls (SMD = - 0.98, 95%CI = -1.57 to -0.39, p = 0.001). In addition, RAS patients had higher levels of serum Malondialdehyde (MDA), Serum total oxidant status, and serum oxidative stress index than healthy controls (SMD = 2.11, 95%CI = 1.43-2.79, p < 0.001, SMD = 1.53, 95%CI = 0.34-2.72, p = 0.01, and SMD = 1.25, 95%CI = 0.25-2.25, p = 0.014, Respectively); However, salivary MDA and TAS, and serum uric acid, vitamin E and C, and reduced glutathione levels of patients with RAS were not different from that of healthy controls.

conclusionsThe relationship between oxidative stress and RAS is well established in this meta-analysis. Although the molecular processes underlying the etiology of this pathology remain unknown, evidence indicating oxidative stress has a significant role in the pathogenesis of RAS has been revealed.

Indexed as

AntioxidantsStomatitis, AphthousHumansOxidative StressUric AcidAntioxidantsUric AcidAphthousMeta-analysisoxidative stressStomatitis

Identifiers

PMID38042793
PMCPMC10693709
OpenAlexW4389263878

What OpenQuestion holds

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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.