Evidence map›Paper›PMID 40948802›Full record

SynthesisFrontiers in immunology2025

Temporal dynamics of early inflammatory markers after professional dental cleaning: a meta-analysis and spline-based meta-regression of TNF-α, IL-1β, IL-6, and (hs)CRP.

Martina Cardisciani, Sara Di Nicolantonio, Serena Altamura, Eleonora Ortu, Rita Del Pinto, Davide Pietropaoli

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. TL1A/DR3 signaling deletion attenuates mucosal inflammation and alveolar bone loss in a murine model of spontaneous periodontitis.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Periodontal Medicine: The Past, the Present, the Future.Journal of periodontal research · 2025
    Article
  12. 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

6 authors.

Martina Cardisciani *Department of Life, Health & Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Sara Di Nicolantonio *Department of Life, Health & Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Serena AltamuraDepartment of Life, Health & Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Eleonora OrtuDepartment of Life, Health & Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Rita Del PintoDepartment of Life, Health & Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Davide PietropaoliCenter of Oral Diseases, Prevention and Translational Research - Dental Clinic, L'Aquila, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Chronic periodontitis is linked to systemic inflammation and cardiovascular risk, yet the temporal trajectory and magnitude of systemic cytokine reduction following nonsurgical-periodontal-therapy (NSPT) remain underexplored. We conducted a meta-analysis and spline-based meta-regression to assess whether intensive NSPT, compared to standard therapy, produces sustained reductions in circulating TNF-α, IL-1β, IL-6 and high-sensitivity C-reactive protein (hs-CRP). Methods: We systematically searched major databases for interventional studies published until January 2024 comparing intensive vs. standard NSPT on inflammatory markers. Using a custom R pipeline, standardized mean differences (SMDs), 95% confidence intervals (Cis) heterogeneity (I²) and stratified analyses by phenotype (e.g., smoking, diabetes) and time were performed. A spline-based mixed-effects meta-regression explored temporal dynamics of inflammatory reduction in the intensive group. Results: From 216 observations (14,374 paired values), intensive NSPT led to significantly greater reductions in TNF-α (SMD -0.59, 95% CI -1.02 to -0.16; Discussion: Intensive NSPT reduces systemic inflammation particularly in younger, non-smoking individuals. The potential rebound in inflammatory markers underscores the need for longitudinal studies but, supports the systemic immunoregulatory effect of periodontal therapy. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO, identifier CDR42024503063.

Indexed as

Chronic PeriodontitisC-Reactive ProteinInflammation MediatorsInterleukin-6BiomarkersHumansInflammationInterleukin-1betaTumor Necrosis Factor-alphaBiomarkersC-Reactive ProteinIL1B protein, humanIL6 protein, humanInflammation MediatorsInterleukin-1betaInterleukin-6Tumor Necrosis Factor-alphaC-reactive proteincytokinesinflammationinterleukin-1βinterleukin-6meta-analysisperiodontitistumor necrosis factor-α

Identifiers

PMID40948802
PMCPMC12423065

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.