Dental examination: How to detect hidden problems in the mouth early?
Did you know that your saliva can reveal more than just the condition of your morning breath? New research and diagnostic options indicate that enzymes found in saliva can provide valuable information about your oral health. One of the most important markers that can be measured in saliva is aMMP-8, or activated matrix metalloproteinase-8. This is an enzyme that breaks down type I collagen, one of the main components in our gums and jaw.
Why is aMMP-8 important?
When the level of aMMP-8 rises, it indicates that something is happening in the body that breaks down its own tissues – often already before the person notices any symptoms. This makes the aMMP-8 test a very important tool for the early detection of gum diseases and peri-implantitis.
How does it work?
Nowadays, a so-called "point-of-care" rapid test can be done at the dentist's office, where a saliva or gingival pocket sample is taken and results are known within minutes. If the aMMP-8 level is high, it indicates active tissue breakdown.
In what issues is aMMP-8 particularly useful for detection?
1. Gum diseases (Periodontitis):
Gum diseases often develop insidiously and without pain.
The aMMP-8 test helps detect active inflammation before teeth start to move or bone is lost.
The test can also be used to assess healing achieved through treatment.
2. Peri-implantitis (Inflammation around implants):
Inflammation around the implant can lead to implant loss if untreated.
aMMP-8 helps to detect surrounding bone breakdown early.
What do the test results indicate?
Normal level: Continue with regular oral care.
Moderate rise: Further investigation and regular monitoring needed.
Very high level: Indicates active inflammation and the need for immediate treatment.
How do we treat elevated aMMP-8 levels?
1. Professional cleaning and root canal treatment:
Mechanical cleaning removes bacteria and tartar.
2. Inhibiting MMP activity:
Doxycycline (in low doses) helps slow down enzyme activity.
Natural remedies like green tea extract, melatonin, or turmeric can support oral health.
3. Anti-inflammatory treatment and vitamin balance:
Inflammation promotes aMMP-8 activation.
It is often important to also evaluate vitamin D levels, as it supports the immune system and bone tissue healing.
Why is this important for everyone?
Many people lose teeth precisely because problems are detected too late. The salivary aMMP-8 test allows for the identification of "silent inflammation" before it starts causing irreversible damage. It also provides an opportunity to plan treatment precisely according to the patient's needs.
If you care about your health and want to keep your teeth in the future, it is worth taking the first step with this simple yet valuable test. Book an appointment for a consultation and together we will head towards a healthier smile!