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2015 ; 10
(12
): e0144319
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English Wikipedia
Association between Herpesviruses and Chronic Periodontitis: A Meta-Analysis
Based on Case-Control Studies
#MMPMID26666412
Zhu C
; Li F
; Wong MC
; Feng XP
; Lu HX
; Xu W
PLoS One
2015[]; 10
(12
): e0144319
PMID26666412
show ga
OBJECTIVE: Numerous studies have investigated the associations between
herpesviruses and chronic periodontitis; however, the results remain
controversial. To derive a more precise estimation, a meta-analysis on all
available studies was performed to identify the association between herpesviruses
and chronic periodontitis. METHODS: A computerized literature search was
conducted in December 2014 to identify eligible case-control studies from the
PUBMED and EMBASE databases according to inclusion and exclusion criteria. Data
were extracted and pooled odds ratios (OR) with 95% confidence intervals (CI)
were used to assess the association between herpesviruses and risk of chronic
periodontitis. A fixed or random effects model was determined based on a
heterogeneity test. Sensitivity analysis was conducted to investigate stability
and reliability. Publication bias was investigated using the Begg rank
correlation test and Egger's funnel plot. RESULTS: Ten eligible studies were
included to investigate the association between Epstein-Barr virus (EBV) and
chronic periodontitis. The results showed that EBV has a significant association
with chronic periodontitis compared with periodontally healthy group (OR = 5.74,
95% CI = 2.53-13.00, P<0.001). The association between human cytomegalovirus
(HCMV) and chronic periodontitis was analyzed in 10 studies. The pooled result
showed that HCMV also has a significant association with chronic periodontitis
(OR = 3.59, 95% CI = 1.41-9.16, P = 0.007). Similar results were found in the
sensitivity analyses. No significant publication bias was observed. Two eligible
studies were included to investigate the association between herpes simplex virus
(HSV) and chronic periodontitis risk. The association between HSV and chronic
periodontitis was inconclusive (OR = 2.81 95% CI = 0.95-8.27, P = 0.06). Only one
included study investigated the association between human herpesvirus 7 (HHV-7)
and chronic periodontitis risk (OR = 1.00, 95% CI = 0.21-4.86). CONCLUSION: The
findings of this meta-analysis suggest that two members of the herpesvirus
family, EBV and HCMV, are significantly associated with chronic periodontitis.
There is insufficient evidence to support associations between HSV, HHV-7 and
chronic periodontitis.