Hubungan Kadar Matrix Metalloproteinase-8 (MMP-8) pada Pasien Gingivitis Setelah Tindakan Scaling dan Root Planing Berdasarkan Gingival Index (GI)
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Penelitian ini bertujuan untuk menganalisis hubungan Gingival Index (GI) terhadap kadar Matriks Metaloproteinase-8 (MMP-8) pada saliva pasien gingivitis pasca Scaling Root Planing (SRP). Sebanyak 36 pasien gingivitis berusia 15-24 tahun yang menjalani SRP di Kota Padang menjadi sampel penelitian. Pemeriksaan GI dilakukan dengan menggunakan probe WHO, dan pengambilan sampel saliva dilakukan pada hari ke-7 pasca SRP menggunakan metode unstimulated saliva. Kadar MMP-8 dalam saliva dianalisis menggunakan ELISA kit Hasil penelitian menunjukkan rerata kadar MMP-8 yang lebih tinggi pada kelompok gingivitis sedang dan berat dibandingkan kelompok ringan, namun variasi antar individu sangat besar. Uji Kruskal-Wallis menunjukkan bahwa perbedaan kadar MMP-8 antar kategori GI tidak signifikan secara statistik (p = 0,584). Meskipun ada tren peningkatan, hasil ini menunjukkan bahwa MMP-8 tidak dapat digunakan sebagai penentu tunggal derajat keparahan gingivitis, dan lebih tepat digunakan sebagai biomarker pendukung yang dikombinasikan dengan parameter klinis lainnya.
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Referensi
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. DOI: https://doi.org/10.3390/metabo13010040
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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: https://doi.org/10.21203/rs.3.rs-2067091/v1
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 DOI: https://doi.org/10.20944/preprints202508.0472.v1
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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: https://doi.org/10.3390/jcm9061720