The Ability of Quantitative, Specific, and Sensitive Point-of-Care/Chair-Side Oral Fluid Immunotests for aMMP-8 to Detect Periodontal and Peri-Implant Diseases

Dis Markers. 2018 Aug 5:2018:1306396. doi: 10.1155/2018/1306396. eCollection 2018.

Abstract

The analysis of the disease-specific oral and systemic biomarkers in saliva and oral fluids (i.e., mouth rinse, gingival crevicular fluid (GCF), and peri-implantitis fluid (PISF)) is demanding. Several hosts and microbial factors may influence their expression, release, and levels. The type of saliva/oral fluids utilized for the diagnostics affects the analysis. High sensitivity and specificities together with sophisticated methods and techniques are essential for valuable outcome. We describe here recently developed practical, convenient, inexpensive, noninvasive, and quantitative mouth rinse and PISF/GCF/chair-side/point-of-care (PoC) lateral-flow aMMP-8 immunoassays (PerioSafe and ImplantSafe/ORALyser) to detect, predict, and monitor successfully the course, treatment, and prevention of periodontitis and peri-implantitis, respectively. The tests have been independently and successfully validated to differentiate periodontal and peri-implant health and disease in Finland, Germany, Netherland, Sweden, Turkey, Nigeria, Malawi, and USA. The clinical use of salivary/oral fluid biomarkers to identify oral and systemic conditions requires additional studies utilizing these noninvasive screening, diagnostic, and preventive aMMP-8 PoC/chair-side technologies.

Publication types

  • Review

MeSH terms

  • Biomarkers / analysis*
  • Biomarkers / metabolism
  • Dental Implants / adverse effects
  • Diagnosis, Oral / methods*
  • Humans
  • Matrix Metalloproteinase 8 / analysis*
  • Peri-Implantitis / diagnosis
  • Peri-Implantitis / enzymology
  • Periodontal Diseases / diagnosis*
  • Periodontal Diseases / enzymology
  • Point-of-Care Systems
  • Saliva / enzymology
  • Sensitivity and Specificity

Substances

  • Biomarkers
  • Dental Implants
  • MMP8 protein, human
  • Matrix Metalloproteinase 8