Association Between Matrix Metalloproteinase-8 (MMP-8) Levels in Gingivitis Patients After Scaling and Root Planing Based on Gingival Index (GI)

Share this article Share via WhatsApp

Article metrics

OJS usage and citation sources
Abstract views0OJS
Article downloads0OJS
Crossref citations02026-10-20
Google Scholar citations02026-10-20

Views and downloads are recorded by OJS; statistics processing may be delayed. A dash means the source count is unavailable. Search Google Scholar

Main Article Content

Thifla Rafifa Wirza
Nita Afriani
Nila Kasuma

Abstract

This study aims to analyze the relationship between the Gingival Index (GI) and the levels of Matrix Metalloproteinase-8 (MMP-8) in the saliva of gingivitis patients after Scaling and Root Planing (SRP). A total of 36 gingivitis patients aged 15-24 years who underwent SRP in Padang City were included in the study. GI was assessed using the WHO probe, and saliva samples were collected on day 7 after SRP using the unstimulated saliva method. MMP-8 levels in the saliva were analyzed using an ELISA kit. The results showed higher average MMP-8 levels in the moderate and severe gingivitis groups compared to the mild group, but with considerable individual variation. The Kruskal-Wallis test revealed that the difference in MMP-8 levels among GI categories was not statistically significant (p = 0.584). Although there was a trend of increasing levels, these results suggest that MMP-8 cannot be used as a sole determinant of gingivitis severity and is better utilized as a supportive biomarker when combined with other clinical parameters.

Article Details

Section

Original Articles

Author Biographies

Thifla Rafifa Wirza , Master’s Program in Biomedical Sciences, Faculty of Medicine, Universitas Andalas, Padang, Indonesia

Master’s Program in Biomedical Sciences, Faculty of Medicine, Universitas Andalas, Padang, Indonesia

Nita Afriani , Department of Histology, Faculty of Medicine, Universitas Andalas, Padang, Indonesia

Department of Histology, Faculty of Medicine, Universitas Andalas, Padang, Indonesia

Nila Kasuma , Departement of Oral Biology, Faculty of Dentistry, Universitas Andalas, Padang, Indonesia

Departement of Oral Biology, Faculty of Dentistry, Universitas Andalas, Padang, Indonesia

How to Cite

Association Between Matrix Metalloproteinase-8 (MMP-8) Levels in Gingivitis Patients After Scaling and Root Planing Based on Gingival Index (GI). (2026). Journal of Pharmaceutical and Sciences, 9(1), 939-946. https://doi.org/10.36490/journal-jps.com.v9i1.1419

References

World Health Organization (WHO). (2025). Periodontal Disease Prevalence.

Mainas, G., Nibali, L., Ide, M., Mahmeed, W. Al, Al-rasadi, K., Al-alawi, K., Banach, M., Banerjee, Y., Ceriello, A., & Cesur, M. (2023). Associations between Periodontitis, COVID-19, and Cardiometabolic Complications: Molecular Mechanisms and Clinical Evidence.

Nurfauziah, H. (2023). Pelatihan Kesehatan Gigi dan Mulut di Indonesia Ramah Lansia Provinsi Jawa Barat Husnul Khatimah 2 Wilayah Cilodong Depok. Juara Pengabdian Kepada Masyarakat, 1(2), 3026–6378.

Kementerian Kesehatan RI. (2018). Hasil Riset Kesehatan Dasar (RISKESDAS 2018).

Theresia, T. T., & Putri, S. L. (2023). Prevalence and Potential Risk Factors for Periodontal Disease Among Adults Aged 35-54 Years in Banten. Majalah Kedokteran Gigi Indonesia, 9(3), 220. https://doi.org/10.22146/majkedgiind.81548

Morais, E., Pinheiro, J., Leite, R., De Andrade Santos, P., Barboza, C., & Freitas, R. (2018). Matrix metalloproteinase‐8 levels in periodontal disease patients: A systematic review. Journal of Periodontal Research, 53, 156–163. https://doi.org/10.1111/jre.12495

Luchian, I., Goriuc, A., Sandu, D., & Covașă, M. (2022). The Role of Matrix Metalloproteinases (MMP-8, MMP-9, MMP-13) in Periodontal and Peri-Implant Pathological Processes. International Journal of Molecular Sciences, 23. https://doi.org/10.3390/ijms23031806

Sachelarie, L., Stefanescu, C., Murineanu, R., Grigorian, M., Zaharia, A., Scrobotă, I., & Hurjui, L. (2025). Role of Salivary Biomarkers IL-1β and MMP-8 in Early Detection and Staging of Periodontal Disease. Medicina, 61. https://doi.org/10.3390/medicina61040760

Boynes, S., Sofiyeva, N., Saw, T., Nieto, V., & Palomo, L. (2025). Assessment of salivary matrix metalloproteinase (MMP8) and activated salivary matrix metalloproteinase (aMMP8) in periodontitis patients: a systematic review and meta-analysis. Frontiers in Oral Health, 6. https://doi.org/10.3389/froh.2025.1444399

Gupta, V., Rastogi, P., Ajay, S., Lal, N., Verma, U., Singhal, R., Pathak, A., Nigam, N., & Rastogi, P. (2025). To evaluate the effect of oral zinc supplementation on salivary MMP-8 levels in periodontitis: A randomized, double-blind, placebo-controlled study. Journal of Oral Biology and Craniofacial Research, 15, 493 - 499. https://doi.org/10.1016/j.jobcr.2025.02.013

Taalab, M., Mahmoud, S., Moslemany, R., & Abdelaziz, D. (2021). Intrapocket application of tea tree oil gel in the treatment of stage 2 periodontitis. BMC Oral Health, 21. https://doi.org/10.1186/s12903-021-01588-y

Emingil, G., Gürkan, A., Tervahartiala, T., Hernández, M., Özgül, S., Sorsa, T., & Alassiri, S. (2019). Adjunctive Effects of a Sub-Antimicrobial Dose of Doxycycline on Clinical Parameters and Potential Biomarkers of Periodontal Tissue Catabolism. Dentistry Journal, 7. https://doi.org/10.3390/dj7010009

Teles, F., Chandrasekaran, G., Martin, L., Patel, M., Kallan, M., Furquim, C., Hamza, T., Cucchiara, A., Kantarcı, A., Urquhart, O., Sugai, J., & Giannobile, W. (2024). Salivary and serum inflammatory biomarkers during periodontitis progression and after treatment. Journal of Clinical Periodontology, 51, 1619 - 1631. https://doi.org/10.1111/jcpe.14048

Miller, C., Ding, X., Nagarajan, R., Dawson, D., & Ebersole, J. (2023). Biomarker panel discriminates diabetics with and without periodontitis pre- and post-therapy.. Journal of periodontal research. https://doi.org/10.1111/jre.13127

Bergamini, S., Bellei, E., Selleri, V., Salvatori, R., Micheloni, G., Nasi, M., Pinti, M., & Bertoldi, C. (2025). The Impact of Nonsurgical Periodontal Therapy on the Salivary Proteome: A Pilot Study. International Journal of Dentistry, 2025. https://doi.org/10.1155/ijod/6655743

Nanakaly, H., Ahmed, S., & Azeez, H. (2024). Effect of periodontal therapy on serum and salivary Interleukin-1 beta (IL-1β) and malondialdehyde levels in chronic periodontitis.. Cellular and molecular biology, 70 10, 167-173. https://doi.org/10.14715/cmb/2024.70.10.22

Mujawar, F., Zope, S., Suragimath, G., Varma, S., & Kale, A. (2024). Salivary Macrophage Inflammatory Protein-1α Levels in Periodontitis Subjects Receiving Non-surgical Periodontal Therapy With and Without Photo-Biomodulation: A Prospective Interventional Controlled Trial. Cureus, 16. https://doi.org/10.7759/cureus.68980

Lee, K., Guo, Z., Teng, N., Hsu, K., Chen, I., Lee, C., Chang, H., & Huang, Y. (2021). Salivary Pro-Inflammatory Markers and Smoking Status Influences the Treatment Effectiveness of Periodontal Disease Patients with Hypertension. International Journal of Environmental Research and Public Health, 18. https://doi.org/10.3390/ijerph18147364

Yucel, Z., Afacan, B., Emingil, G., Tervahartiala, T., Kose, T., & Sorsa, T. (2020). Local and systemic levels of aMMP-8 in gingivitis and stage 3 grade C periodontitis.. Journal of periodontal research. https://doi.org/10.1111/jre.12781

Ikhar, A., Kolte, R., Kolte, A., Rathi, P., Ghoderao, D., & Dahake, R. (2023). Comparative evaluation of semaphorin-4D, peptidylarginine deiminase-2, and matrix metalloproteinase-8 levels of gingival crevicular fluid in periodontally healthy and Stage III periodontitis smoker and non-smoker patients before and after non-surgical periodontal therapy.. Journal of periodontology. https://doi.org/10.1002/jper.23-0324

Bertoldi, C., Nasi, M., Salvatori, R., Pinti, M., Montagna, S., Tonetti, M., Generali, L., Bellei, E., Zaffe, D., Selleri, V., & Bergamini, S. (2025). Salivary Biomarker Analysis to Distinguish Between Health and Periodontitis Status: A Preliminary Study. Dentistry Journal, 13. https://doi.org/10.3390/dj13090436

Iddi, S., & Donohue, M. C. (2022). Power and Sample Size for Longitudinal Models in R – The longpower Package and Shiny App. R Journal, 14(1), 264–281. https://doi.org/10.32614/RJ-2022-022

AlGhamdi, A., Almarghlani, A., Alyafi, R., Kayal, R., & Al-Zahrani, M. (2020). Gingival health and oral hygiene practices among high school children in Saudi Arabia. Annals of Saudi Medicine, 40, 126 - 135. https://doi.org/10.5144/0256-4947.2020.126

Foláyan, M., Adeniyi, A., Arowolo, O., Maureen, C., Alade, M., & Tantawi, M. (2022). Risk indicators for dental caries, and gingivitis among 6–11-year-old children in Nigeria: a household-based survey. BMC Oral Health, 22. https://doi.org/10.1186/s12903-022-02470-1

Liu, X., Xu, J., Li, S., Wang, X., Liu, J., & Li, X. (2022). The prevalence of gingivitis and related risk factors in schoolchildren aged 6–12 years old. BMC Oral Health, 22. https://doi.org/10.1186/s12903-022-02670-9

Zhang, Z., Wang, D., Zhao, J., c, D., & Zhang, B. (2023). Assessment of oral health status and related factors in adolescents aged 12–15 years in the Gansu Province of China: a cross-sectional survey. BMC Oral Health, 23. https://doi.org/10.1186/s12903-023-02748-y

Aksaka, N., Sahinkaya, S., & Yay, E. (2025). Influence of digital behavior and sleep quality on periodontal status in adolescents: a cross-sectional study. BMC Oral Health, 25. https://doi.org/10.1186/s12903-025-06749-x

Domokos, Z., Simon, F., Uhrin, E., Szabó, B., Váncsa, S., Varga, G., Hegyi, P., Kerémi, B., & Németh, O. (2024). Evaluating salivary MMP-8 as a biomarker for periodontal diseases: A systematic review and meta-analysis. Heliyon, 10. https://doi.org/10.1016/j.heliyon.2024.e40402

Kamil, T., & Ali, O. (2024). Relation between salivary Matrix-metalloproteinase-8 with periodontal health; dental biofilm induced gingivitis, localized and generalized periodontitis. Mustansiria Dental Journal. https://doi.org/10.32828/mdj.v19i1.991

Bostancı, N., Mitsakakis, K., Afacan, B., Bao, K., Johannsen, B., Baumgartner, D., Müller, L., Kotolová, H., Emingil, G., & Karpíšek, M. (2021). Validation and verification of predictive salivary biomarkers for oral health. Scientific Reports, 11. https://doi.org/10.1038/s41598-021-85120-w

Hong, I., Pae, H., Song, Y., Cha, J., Lee, J., Paik, J., & Choi, S. (2020). Oral Fluid Biomarkers for Diagnosing Gingivitis in Human: A Cross-Sectional Study. Journal of Clinical Medicine, 9. https://doi.org/10.3390/jcm9061720

Most read articles by the same author(s)