Effect of immunoglobulin Y formulations on oral microorganisms in human subjects - A systematic review and meta-analysis of clinical trials.

Background: Passive immunization using egg yolk-based antibodies has been tested against oral microorganisms. Our study assessed the effect of immunoglobulin Y (IgY) formulations on Streptococcus mutans, Porphyromonas gingivalis, and Candida albicans in human subjects.Highlights: VS and UT independe...

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Published in:Journal of the Indian Society of Pedodontics & Preventive Dentistry Vol. 40; no. 3; pp. 219 - 230
Main Authors: Jawdekar, Ashwin, Srivastava, Vatsala, Tank, Urvashi, Mistry, Laresh, Jawdekar, Ashwin M, Mistry, Laresh Naresh
Format: meta analysis research systematic review tables/charts Journal Article
Published: Wolters Kluwer India Pvt Ltd Jul-Sep2022
Online Access:View this record in EBSCOhost
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      dt: Jul-Sep2022
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      pub: Wolters Kluwer India Pvt Ltd
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        10.4103/jisppd.jisppd_226_22
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        atl: Effect of immunoglobulin Y formulations on oral microorganisms in human subjects - A systematic review and meta-analysis of clinical trials.
      aug:
        au:
          Jawdekar, Ashwin
          Srivastava, Vatsala
          Tank, Urvashi
          Mistry, Laresh
          Jawdekar, Ashwin M
          Mistry, Laresh Naresh
        affil: Department of Pediatric and Preventive Dentistry, Bharati Vidyapeeth Deemed to be University Dental College and Hospital, Navi Mumbai, Maharashtra
      sug:
        subj:
          Immunoglobulins Pharmacodynamics
          Immunoglobulins Therapeutic Use
          Gram-Negative Anaerobic Bacteria
          Research Subjects
          Streptococcus Mutans
          Human
          Clinical Trials
          Comparative Studies
          Meta Analysis
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Scales
          Ferrans and Powers Quality of Life Index
          Systematic Review
      ab: Background: Passive immunization using egg yolk-based antibodies has been tested against oral microorganisms. Our study assessed the effect of immunoglobulin Y (IgY) formulations on Streptococcus mutans, Porphyromonas gingivalis, and Candida albicans in human subjects.Highlights: VS and UT independently searched articles using keyword combinations in four search engines; studies in English were selected. Either parallel-arm or split-mouth randomized controlled trials on healthy human subjects were considered. Ten studies remained in the selection; six studies compared the effect of IgY formulations on S. mutans, three on P. gingivalis, and one on C. albicans. Five studies (422 subjects) compared the effect of IgY formulations on S. mutans. When fixed-effect model (FEM) was applied, the risk ratio (RR) (confidence interval [CI]) was found to be 7.81 (6.00, 10.18). Three studies (167 subjects) compared the effect of IgY formulations on P. gingivalis. When FEM was applied, the RR (CI) was found to be 0.06 (-0.03, 0.15) in relation to reduction in probing depth. When FEM was applied, for percentage reduction in bleeding on probing (BOP), the RR (CI) was 1.99 (1.64, 2.41). Only one study (26 subjects) was available of IgY formulation and C. albicans; hence meta-analysis was not performed.The search was extended using Google Scholar, Semantic Scholar, cross-references and by contacting authors and researchers in the field which further yielded five articles. .Conclusions: IgY formulations were effective in the reduction of S. mutans. They were not effective on P. gingivalis in relation to probing depth but were effective in relation to reduction in BOP. No harms were reported. Evidence is of low quality due to high heterogeneity. The ROB was moderate and publication bias was low.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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