Oral and gingival crevicular fluid biomarkers for jawbone turnover diseases: A scoping review

Fadli, Nurfatima Azzahra and Abdul Rahman, Mariati and Karsani, Saiful Anuar and Ramli, Roszalina (2024) Oral and gingival crevicular fluid biomarkers for jawbone turnover diseases: A scoping review. Diagnostics, 14 (19). ISSN 2075-4418, DOI https://doi.org/10.3390/diagnostics14192184.

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Abstract

Gingival crevicular fluid (GCF) and oral fluid have emerged as promising diagnostic tools for detecting biomarkers. This review aimed to evaluate the existing literature on using oral fluids as a source of biomarkers for bone turnover diseases affecting the jawbone. A comprehensive search strategy was executed between August 2014 and August 2024 across five major databases (Web of Science, EBSCOhost Dentistry & Oral Sciences Source, Cochrane Library, Scopus, and PubMed) and grey literature sources. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) was applied. The screening was facilitated using Rayyan at rayyan.ai and Endnote X20 software tools, culminating in the evaluation of 14,965 citations from databases and 34 from grey literature. Following rigorous scrutiny, 37 articles were selected for inclusion in this review, encompassing diseases such as periodontitis, medication-related osteonecrosis of the jaw (MRONJ), and osteoporosis. The quality of the included observational studies was assessed using the Revised Risk of Bias Assessment Tool for Non-Randomized Studies (RoBANS 2). Interleukin-1 beta (IL-1 beta), sclerostin, osteoprotegerin (OPG), and interleukin-34 (IL-34) emerged as significant biomarkers in GCF, and they were mainly from periodontitis and osteoporosis. Osteocalcin (OC), IL-1 beta, tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), OPG, and matrix metalloproteinase-9 (MMP-9) were significant in oral fluid or saliva, and they were from periodontitis, MRONJ, and osteoporosis. These findings underscore the potential use of oral fluids, which are regarded as non-invasive tools for biomarker identification in bone turnover. Many biomarkers overlap, and it is important to identify other specific biomarkers to enable accurate diagnosis of these conditions.

Item Type: Article
Funders: Ministry of Higher Education, Malaysia [Grant no. FRGS/1/2020/SKK0/UKM/02/27]
Uncontrolled Keywords: Biomarkers; Bone turnover diseases; Jawbones; Oral fluid; Gingival crevicular fluid; Saliva
Subjects: Q Science > QH Natural history > QH301 Biology
R Medicine > RK Dentistry
Divisions: Faculty of Science > Institute of Biological Sciences
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 27 Oct 2025 04:26
Last Modified: 27 Oct 2025 04:26
URI: http://eprints.um.edu.my/id/eprint/46408

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