Pär Morin, Jani Talvilahti, Mattias Ulmner, Per Alstergren, Eva Nordendahl, Aron Naimi-Akbar
{"title":"Effects of total temporomandibular joint replacement with alloplastic prosthesis - a systematic review.","authors":"Pär Morin, Jani Talvilahti, Mattias Ulmner, Per Alstergren, Eva Nordendahl, Aron Naimi-Akbar","doi":"10.2340/aos.v84.43641","DOIUrl":"10.2340/aos.v84.43641","url":null,"abstract":"<p><strong>Objectives: </strong>This paper studies the treatment effect of total joint replacement (TJR) of the temporomandibular joint (TMJ) with alloplastic joint prosthesis regarding function, symptoms and health-related quality of life compared to other surgical and non-surgical treatments in patients with TMJ disorders.</p><p><strong>Methods: </strong>Three databases (PubMed, Cochrane Library and Web of Science) were searched up to 11 March 2025. Studies in which TJR was compared with other surgical or non-surgical methods were searched and analyzed. Data extraction and quality assessments were performed by at least two investigators independently. Risk of bias was assessed with the ROBINS-I-tool. Certainty of evidence was assessed with GRADE.</p><p><strong>Results: </strong>A total of 2,891 studies were identified in the search. One study met the criteria with comparison of TJR with a control group consisting of patients treated with another surgical method, namely, interpositional arthroplasty. The study investigated the outcome variables such as pain reduction and improvement in mouth opening and had a moderate risk of bias. No significant difference between the groups was found after regression analysis. Quality of life assessment was not the objective of this study. No meta-analysis could be performed from this literature search, for obvious reasons.</p><p><strong>Conclusion: </strong>TMJ reconstruction with alloplastic prostheses is rapidly evolving, with new systems continually entering the market. This review highlights the urgent need for further scientific efforts, including well-designed trials capable of demonstrating the comparative effectiveness of alloplastic TJR against other treatment modalities, ideally randomized trials with controls.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"258-265"},"PeriodicalIF":1.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of the effectiveness of different ırrigation activation methods on biofilm removal in lateral canals - an ın vitro study.","authors":"Uğur Aydın, Bilal Turan, Emre Çulha, Muazzez Naz Baştürk Özer, Melih Özdemir","doi":"10.2340/aos.v84.43737","DOIUrl":"10.2340/aos.v84.43737","url":null,"abstract":"<p><strong>Objectives: </strong>Activation of sodium hypochlorite (NaOCl) to remove biofilm from lateral canal is important for the success of endodontic treatment. This study aimed to compare the biofilm dissolving capacity of different irrigation techniques in resin blocks with two lateral canals manufactured with 3D printers. Materials and methods: Biofilm-mimicking hydrogel was placed in the upper and lower lateral canals of 75 resin blocks. Main canals of the blocks were irrigated with 5% NaOCl. Then, the blocks were randomly divided into five groups: sonic activation (SA), passive ultrasonic irrigation (PUI), intracanal heating (ICH), self-adjusting file (SAF) and control. The amount of hydrogel removed was measured by weighing the blocks before and after the treatment and further visually scored. Data were analyzed using Kruskall Wallis H, Wilcoxon, Tukey Post-hoc HSD (Honestly Significant Difference) and one-way ANOVA tests.</p><p><strong>Results: </strong>The SAF group showed the highest hydrogel scores compared to other groups (p < 0.05). The hydrogel dissolution capacity of the SA group was lower compared to SAF, PUI and ICH techniques (p < 0.05). Based on visual scoring, SAF group was superior to other activation methods (p < 0.05) which are similar to each other (p > 0.05) in both upper and lower lateral canals. Conclusion: All activation methods were superior than the control group. The SAF system demonstrated superior hydrogel dissolving ability, while SA, PUI, and ICH groups showed similar effectiveness.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"266-274"},"PeriodicalIF":1.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hassan Hamed Kaabi, Abdullah Mohamed Alsoghier, Islam Abdulrahim Alredah, Rayan Mohammed Alqahtani, Ibrahim Suliman Alsanie, Hanan Abdulgafour Balto
{"title":"E-cadherin expression in the tongue epithelium of streptozotocin-induced diabetic rats: an exploratory study.","authors":"Hassan Hamed Kaabi, Abdullah Mohamed Alsoghier, Islam Abdulrahim Alredah, Rayan Mohammed Alqahtani, Ibrahim Suliman Alsanie, Hanan Abdulgafour Balto","doi":"10.2340/aos.v84.43564","DOIUrl":"10.2340/aos.v84.43564","url":null,"abstract":"<p><strong>Objective: </strong>Little was found on the association between diabetes and its effect on epithelial intercellular adhesion. However, no study reported the association between hyperglycemia and E-cadherin-mediated cell adhesion in tongue epithelium. This study aimed to explore the potential impacts of hyperglycemia on the epithelial E-cadherin expression in the tongue's epithelial tissue in streptozotocin (STZ)-induced diabetic rats.</p><p><strong>Material and methods: </strong>Twelve male Wistar albino rats were randomly allocated into control and STZ-induced diabetic groups. At the 5-week post-STZ injection, rats were euthanized, and the tongues were harvested and preserved in formalin. Epithelial thickness was assessed using hematoxylin and eosin (H&E) staining, while immunohistochemistry (IHC) was employed to analyze the expression of E-cadherin. Statistical analysis was performed using unpaired t-tests and two-proportion Z-tests, with a significance level determined at p < 0.05.</p><p><strong>Results: </strong>The results showed a significant reduction in epithelial thickness in the dorsal tongue of STZ-diabetic rats compared to the control group (p = 0.0173). Additionally, E-cadherin expression in the dorsal tongue epithelium was markedly weaker in the diabetic group than in the control (p < 0.0001).</p><p><strong>Conclusions: </strong>This exploratory study is the first to report that hyperglycemia reduces E-cadherin expression in the dorsal tongue epithelium, possibly contributing to oral epithelial alterations observed in diabetes. These findings not only highlight the potential diagnostic value of E-cadherin as a biomarker for oral complications in diabetic patients but also provide a foundation for future translational and clinical studies exploring therapeutic interventions targeting epithelial integrity in diabetes.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"226-231"},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A questionnaire-based survey of COVID-19 transmission in dental practice during the pandemic: comparison between the 1st-5th and the 6th-8th surges in Japan.","authors":"Hironori Sakai, Eiji Kondo, Hirokazu Tanaka, Akinobu Shibata, Shizuka Nakatani, Hiroshi Kurita","doi":"10.2340/aos.v84.43420","DOIUrl":"10.2340/aos.v84.43420","url":null,"abstract":"<p><strong>Objectives: </strong>A previous questionnaire survey on infection control measures and infection status among practicing dentists during the 1st-5th surge of coronavirus disease 2019 (COVID-19) cases in Japan indicated a low risk of COVID-19 infection spreading through dental care. However, the low number of infected patients during the survey period may have been a contributing factor, and a sharp increase in the number of infected patients was subsequently observed. We re-examined the spread of infections in dental care settings and compared the results with those of previous reports.</p><p><strong>Materials and methods: </strong>An online questionnaire-based survey was administered in March 2023 to examine the situation from February 2022 to March 2023, when the 6th-8th surge of COVID-19 infection was observed in Japan. The survey was conducted via an online platform (Google Forms; San Mateo, California, USA). The call for participation was publicized to members of the Nagano Dental Association. The survey consisted of questions on clinical activities, infection control measures, and confirmed or probable COVID-19 cases among patients and clinical staff.</p><p><strong>Results: </strong>The number of COVID-19-positive patients increased approximately 50-fold between the study periods. There was a 3.5-fold increase in the rate of dental treatment for infected patients.</p><p><strong>Conclusion: </strong>Even with the increased likelihood of contact with COVID-19 patients, no cases of infection during dental treatment were observed. The results of this study indicate that even with the possibility of contact with COVID-19 during dental treatment, the likelihood of COVID-19 clusters occurring in dental practices is low if appropriate infection prevention measures are in place.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"212-217"},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality of life among adults with less severe malocclusions seeking orthodontic treatment.","authors":"Narmina Sandlund, Idil Burt, Robert Schibbye","doi":"10.2340/aos.v84.43536","DOIUrl":"10.2340/aos.v84.43536","url":null,"abstract":"<p><strong>Objective: </strong>Severe malocclusions affect Oral Health Related Quality of Life (OHRQoL), but the effects of less severe malocclusions are underexplored. This study investigates OHRQoL and psychological well-being in adults with less severe malocclusion, but high subjective need of orthodontic treatment.</p><p><strong>Material and methods: </strong>This cross-sectional study included 130 study participants aged 18-75 years, with less severe malocclusion. Two groups were assessed: 65 with high subjective orthodontic treatment need and 65 in a control group. Patients with malocclusions graded with Index of Orthodontic Treatment Need-Dental Health Component (IOTN-DHC) index 1, 2, or 3 were included. Three questionnaires were used: Oral Health Impact Profile (OHIP-14), Hospital Anxiety and Depression Scale (HADS), and a general appearance perception survey.</p><p><strong>Results: </strong>The high subjective need group showed significantly higher OHIP-14 scores, reflecting poorer OHRQoL, compared to the control group. When age was considered, only the orofacial appearance subscale remained significant. No clinical signs of depression or anxiety were found among participants. However, a subset in the high subjective need group spent over an hour daily on their oral appearance.</p><p><strong>Conclusions: </strong>Adults seeking orthodontic treatment despite low objective treatment need may have impacted OHRQoL and an impairment from the time spent on their oral appearance. Dentist should consider patients' subjective treatment needs and impact on daily functioning when treating patients with mild malocclusions.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"251-257"},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xuejie Xie, Jun Xu, Yiming Li, Li Tang, Gulinuer Awuti
{"title":"Efficacy of nonsurgical periodontal treatment on patients with periodontitis and type 2 diabetes mellitus: a systematic review and Bayesian network meta-analysis.","authors":"Xuejie Xie, Jun Xu, Yiming Li, Li Tang, Gulinuer Awuti","doi":"10.2340/aos.v84.43344","DOIUrl":"10.2340/aos.v84.43344","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effects of periodontal basic therapy combined with various adjunctive treatments on periodontal inflammation and glycemic control in patients with periodontitis and type 2 diabetes mellitus (T2DM) using network meta-analysis.</p><p><strong>Methods: </strong>Randomized controlled trials (RCTs) involving patients with periodontitis and T2DM were retrieved from PubMed, Embase, Cochrane Library, and Web of Science up to February 29, 2024. The Cochrane quality scoring system was applied to assess study quality, and data were analyzed using R and Stata. The study was registered in PROSPERO (Registration No.: CRD42024501722).</p><p><strong>Results: </strong>Thirty-seven RCTs involving 1,989 patients were included. Among the adjunctive therapies, scaling and root planing (SRP) with local satranidazole gel (SZ) achieved the best improvement in probing depth (PD) and clinical attachment level (CAL); SRP with systemic amoxicillin (AMX) significantly improved bleeding on probing (BOP); SRP with systemic doxycycline (Doxy) or antimicrobial photodynamic therapy (aPDT) was most effective for reducing glycated hemoglobin (HbA1c%); and SRP with diode laser (DL) improved fasting blood sugar (FBS) most effectively.</p><p><strong>Conclusion: </strong>SRP combined with local SZ may improve PD and CAL in patients with periodontitis and T2DM. Systemic AMX may enhance BOP outcomes, while DOXY or aPDT may help reduce HbA1c. DL may contribute to better FBS improvement.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"201-211"},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association between subjective orthodontic treatment need, oral health-related quality of life, and occlusal deviations in a cohort of 17-year-old adolescents in Finland.","authors":"Heidi Arponen, Eija Latvakoski, Linnea Närhi, Anna-Sofia Silvola","doi":"10.2340/aos.v84.43565","DOIUrl":"10.2340/aos.v84.43565","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the relationship between self-perceived orthodontic treatment need, satisfaction with dental esthetics and occlusion, oral health-related quality of life (OHRQoL), occlusal deviations, and orthodontic treatment history of 17-year-olds.</p><p><strong>Material and methods: </strong>Clinical examination and standardized questionnaire were completed by 108 adolescents from two municipal clinics. OHRQoL was measured with the Oral Health Impact Profile (OHIP-14) and malocclusion severity using the Peer Assessment Rating (PAR) Index. Associations between the variables were analyzed with Spearman's rank correlation and linear regression.</p><p><strong>Results: </strong>Of the participants, 55% had either undergone orthodontic treatment or were in treatment. The level of self-perceived treatment need was low and satisfaction with esthetics and functionality of occlusion high. Painful aching in the mouth was the most reported OHIP item, followed by self-consciousness. Subjective treatment need and PAR correlated positively (rs(95) = 0.389, p < 0.001), whereas the OHIP score and PAR score showed no association. Subjective treatment need, satisfaction, or treatment history did not predict the OHIP score.</p><p><strong>Conclusions: </strong>Majority of the adolescents were satisfied with their dental esthetics and occlusal function irrespective of past orthodontic treatment history. OHRQoL was poorer in adolescents with subjective orthodontic treatment need. Those with the greatest subjective treatment need had the most severe malocclusion.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"232-240"},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is the presence of accessory mandibular canals associated with the dimensions of the mandibular canal?","authors":"Emre Sözen, Hasan Akpınar","doi":"10.2340/aos.v84.43600","DOIUrl":"10.2340/aos.v84.43600","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study is to classify accessory mandibular canals (AMC) and investigate their association with the dimensions of the mandibular canal (MC) to enhance surgical planning and prevent complications in dental treatments.</p><p><strong>Methods: </strong>Cone-beam computed tomography (CBCT) images were evaluated. AMC's frequency, length, and diameter, including dental, superior, inferior, forward-open, forward-closed, and retromolar types, were determined. Additionally, the dimensions of the MC, including its length and diameter, were measured, and the relationship between the AMC and MC was statistically analyzed. Descriptive statistics, chi-square test, independent samples t-test (for normally distributed data), Kruskal-Wallis test (for non-normally distributed data), and Tamhane post hoc test were used for statistical analysis of the data.</p><p><strong>Results: </strong>AMC was identified in 82 of the 222 hemimandibles examined (36.9%). It was found that the length and diameter of AMCs varied significantly depending on the AMC type (p = 0.000). The diameter of the dental type AMCs (mean 0.40 ± 0.22 mm) was considerably smaller than that of other AMC types (mean 0.86 ± 0.37 mm). The length and diameter of the MC were measured as 69.20 ± 5.10 mm and 2.96 ± 0.57 mm, respectively. While MC length was not found to influence the presence of AMC (p = 0.785), MC diameter was significantly associated with the occurrence of AMC (p = 0.000).</p><p><strong>Conclusions: </strong>AMC, which is critical for improving surgical planning and reducing the risk of complications in dental procedures, is not uncommon. Their presence should be carefully evaluated, particularly in cases where the MC has a larger diameter.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"241-249"},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comments on oral lesions and disorders and their prevalence arising from the use of illicit drugs in a prison population.","authors":"Manas Bajpai","doi":"10.2340/aos.v84.43601","DOIUrl":"10.2340/aos.v84.43601","url":null,"abstract":"","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"250"},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarala Banjara, Ellen Berggreen, Jannicke Igland, Anne-Kristine Åstrøm, Øivind Midttun, Dagmar Bunæs, Gerhard Sulo
{"title":"Plasma levels of immune system activation markers Neopterin and Kynurenine-to-Tryptophan Ratio, and oral health among community-dwelling adults in Norway: a population-based, cohort study.","authors":"Sarala Banjara, Ellen Berggreen, Jannicke Igland, Anne-Kristine Åstrøm, Øivind Midttun, Dagmar Bunæs, Gerhard Sulo","doi":"10.2340/aos.v84.43535","DOIUrl":"10.2340/aos.v84.43535","url":null,"abstract":"<p><strong>Objective: </strong>Periodontitis is a condition characterised by inflammation. Neopterin and kynurenine-to-tryptophan ratio (KTR) are markers of immune system activation in response to inflammation whose elevated levels are linked to higher incidence and poorer prognosis of various systemic diseases. Their potential association with oral health remains underexplored. The aim of this study was to prospectively investigate the associations between these biomarkers and periodontal health status among community-dwelling adults in Hordaland County, Norway.</p><p><strong>Materials and methods: </strong>Neopterin and KTR were measured in 1,298 participants of the Hordaland Health Study, 1997-1999. Information on oral health indicators was obtained from the 'Hordaland-Oral Health Survey', 2020-2022. Ordinal logistic regression and negative binomial regression were used to explore the association between biomarkers and periodontitis, tooth loss, and current inflammation (extend of sites with pocket depth ≥4mm and bleeding on probing) and odds ratios (OR) and incidence rate ratios (IRR), along with respective 95% confidence intervals (CI) were reported.</p><p><strong>Results: </strong>No association was found between biomarker levels and periodontitis [neopterin: OR = 0.96, 95% CI: 0.69-1.33 for fourth (Q4) vs. first quartile (Q1); KTR: OR = 0.85, 95% CI: 0.61-1.18 for Q4 vs. Q1], tooth loss [neopterin: IRR = 1.00, 95% CI: 0.94-1.06 for Q4 vs. Q1; KTR: IRR = 0.97, 95% CI: 0.91-1.03 for Q4 vs. Q1) or extend of inflammation [neopterin: OR = 0.87, 95% CI: 0.70-1.09 for Q4 vs. Q1; KTR: OR = 0.98, 95% CI: 0.78-1.23 for Q4 vs. Q1].</p><p><strong>Conclusion: </strong>Plasma levels of neopterin and KTR were not prospectively associated with periodontal health and number of missing teeth.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"218-225"},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}