Evidence map›Paper›PMID 40926156›Full record

ArticleOdontology2026

Early prediction of orthodontic gingival enlargement using S100A4: a biomarker-based risk stratification model.

Víctor Simancas-Escorcia, Jaime Plazas-Román, Antonio Díaz-Caballero, Adel Martínez-Martínez, Carlos M Ardila

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Article in Odontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Víctor Simancas-EscorciaGENOMA Research Group, Universidad del Sinú, Cartagena Section, Cartagena, Colombia.
Jaime Plazas-RománGITOUC Research Group, Faculty of Dentistry, Universidad de Cartagena, Cartagena, Colombia.
Antonio Díaz-CaballeroGITOUC Research Group, Faculty of Dentistry, Universidad de Cartagena, Cartagena, Colombia.
Adel Martínez-MartínezGITOUC Research Group, Faculty of Dentistry, Universidad de Cartagena, Cartagena, Colombia.
Carlos M ArdilaDepartment of Periodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India. martin.ardila@udea.edu.co.ORCID http://orcid.org/0000-0002-3663-1416

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Orthodontic-induced gingival enlargement (OIGE) affects approximately 15-30% of patients undergoing orthodontic treatment and remains largely unpredictable, often relying on subjective clinical assessments made after irreversible tissue changes have occurred. S100A4 is a well-characterized marker of activated fibroblasts involved in pathological tissue remodeling. This was a cross-sectional precision biomarker study that analyzed gingival tissue samples from three groups: healthy controls (n = 60), orthodontic patients without gingival enlargement (n = 31), and patients with clinically diagnosed OIGE (n = 61). Immunohistochemical analysis quantified S100A4-positive fibroblasts, type I collagen synthesis, and microvascular density. Advanced statistical analyses included multivariate logistic regression, machine learning-based validation, causal mediation analysis, and survival modeling for risk stratification. The density of S100A4-positive fibroblasts was significantly higher in OIGE patients (245.8 ± 38.7 cells/mm

Indexed as

Gingival OvergrowthS100 Calcium-Binding Protein A4AdolescentBiomarkersCase-Control StudiesCross-Sectional StudiesFemaleFibroblastsHumansImmunohistochemistryMaleRisk AssessmentBiomarkersS100A4 protein, humanS100 Calcium-Binding Protein A4BiomarkersFibroblastsGingival overgrowthOrthodonticsPrecision medicineS100A4

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Registered trials

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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.