Oral Medicine and Oral Clinical Chemistry Game Changers for Future Plaque Control and Maintenance: PerioSafe® aMMP-8 POCT, Lumoral® 2× PDT- and Lingora® Fermented Lingonberry Oral Rinse-Treatments
<b>Background</b>: Periodontitis is a global health crisis that affects almost half of the world's population and commonly goes unnoticed because of its asymptomatic and pain-free nature. For early and easy detection and treatment, safe and non-invasive chair-side oral fluid biomarker (aMMP-8) diagnostics and new anti-microbial, anti-inflammatory and anti-proteolytic treatment modalities have been developed, which this review aims to introduce. <b>Methods</b>: For convenient diagnosis and tackling of periodontitis, adoption of an oral fluid aMMP-8 chair-side point-of-care rapid diagnostic test (POCT) has been proposed, comparable to home pregnancy and COVID-19 antigen tests, to be conveniently used by healthcare professionals and by patients themselves. To improve treatment of detected periodontitis, Finnish scientists have also developed a potentially industry-altering, biofilm-modulating, anti-microbial, anti-inflammatory, and anti-proteolytic (i) dual-light-activated photodynamic-therapy (2×PDT) and (ii) fermented lingonberry juice (FLJ) oral rinse designed for home personalized medicine and professional use. These new oral medicine technologies are reviewed and some unpublished results are presented. <b>Results</b>: aMMP-8 is the superior biomarker for grade of periodontitis (progression rate) when compared to the total latent/proform MMP-8 (total-MMP-8) and microbial lipopolysaccharide (LPS/LAL) activity. Cut-off 20 ng/mL is the optimal cut-off for aMMP-8 POCT and does not make false positives. Antibacterial 2× PDT light and anti-microbial FLJ treatments can eliminate and reduce problem-causing bacteria and Candida-yeasts from the mouth. <b>Conclusions</b>: These new oral medicine technologies have shown promising results and could have the potential to revolutionize diagnosis, prevention, oral care, plaque control and maintenance. These new game-changer oral medicine technologies have launched a new clinical field in dentistry: oral clinical chemistry.
Authors
- Shipra Gupta (ORCID: https://orcid.org/0000-0003-2097-2459)
- Vaibhav Sahni (ORCID: https://orcid.org/0000-0002-6757-8654)
- Ismo T. Räisänen (ORCID: https://orcid.org/0000-0001-5821-5299)
- Andreas Pfützner (ORCID: https://orcid.org/0000-0003-2385-0887)
- Nur Rahman Ahmad Seno Aji (ORCID: https://orcid.org/0000-0002-1779-8763)
- Dirk Neefs
- Pirjo Pärnänen (ORCID: https://orcid.org/0000-0003-2994-8690)
- Dimitra Sakellari (ORCID: https://orcid.org/0000-0002-4365-8406)
- Andreas Grigoriadis (ORCID: https://orcid.org/0000-0002-5542-2230)
- Tommi Pätilä (ORCID: https://orcid.org/0000-0003-2219-4689)
- Timo Sorsa
- Miika Penttala (ORCID: https://orcid.org/0009-0009-9532-8829)
Institutions
- University of Helsinki (FI)
- Universitas Gadjah Mada (ID)
- University of Luxembourg (LU)
- University of Milan (IT)
- Aristotle University of Thessaloniki (GR)
- Helsinki University Hospital (FI)
- Karolinska Institutet (SE)
- 424 General Military Hospital (GR)
- Post Graduate Institute of Medical Education and Research (IN)
Publication Details
- Journal
- Dentistry Journal
- Published
- 2025-03-13
- DOI
- https://doi.org/10.3390/dj13030127
- Citations
- 9
- Primary Topic
- Oral microbiology and periodontitis research
- Type
- article
- Field-Weighted Citation Impact
- 13.19