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Saliva has been discussed as an important biological material for the purpose of introducing new diagnostic tests. The important enzymes associated with cell injury and cell death are aspartate and alanine aminotransferase (AST, ALT), lactate dehydrogenase (LDH), and alkaline phosphatase (ALP). Changes in the activity of these enzymes reflect metabolic changes in the gingiva and periodontium in inflammation. In the present study, there was a significant difference in the levels of salivary enzymes in patients of either group and a significant decrease in these levels was found after...

Risk assessment is a diagnostic tool that helps professionals individualize oral health supervision. It is based on the concept that the frequency and type of oral health supervision needed by a patient depends on the likelihood that specific diseases or conditions may develop. Epidemiologic surveys estimate that periodontitis affects roughly one third of adults. Although advanced periodontal destruction affects only one in eight persons, its prevalence increases to over one third among older individuals