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The purpose of this meta\u2010analysis is to investigate the relationship between local\n                      <jats:styled-content style=\"fixed-case\">OS<\/jats:styled-content>\n                      biomarkers and\n                      <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This review was conducted through a systematic search from three databases. Studies on\n                      <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>\n                      participants were included as an experimental group, and studies on periodontally healthy (\n                      <jats:styled-content style=\"fixed-case\">PH<\/jats:styled-content>\n                      ) participants were included as a control. Mean effects were expressed as standardized mean difference with their associated 95% confidence intervals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From a total of 2,972 articles, 32 articles fulfilled the inclusion criteria. We found a significant decrease of total antioxidant capacity and a significant increase of malondialdehyde (\n                      <jats:styled-content style=\"fixed-case\">MDA<\/jats:styled-content>\n                      ), nitric oxide, total oxidant status (\n                      <jats:styled-content style=\"fixed-case\">TOS<\/jats:styled-content>\n                      ), and 8\u2010hydroxy\u2010deoxyguanosine levels in the saliva of\n                      <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>\n                      patients. Moreover, we also found an elevation of\n                      <jats:styled-content style=\"fixed-case\">MDA<\/jats:styled-content>\n                      level in\n                      <jats:styled-content style=\"fixed-case\">GCF<\/jats:styled-content>\n                      of\n                      <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>\n                      group when compared with the\n                      <jats:styled-content style=\"fixed-case\">PH<\/jats:styled-content>\n                      group. There were no significant differences of salivary and\n                      <jats:styled-content style=\"fixed-case\">GCF<\/jats:styled-content>\n                      superoxide dismutase levels, salivary glutathione peroxidase level, and\n                      <jats:styled-content style=\"fixed-case\">GCF TOS<\/jats:styled-content>\n                      level between two groups. However, a high heterogeneity was observed among evaluated studies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Despite the limitations of this study, the result of our meta\u2010analysis supported the rationale that there was a direct link between\n                      <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">OS<\/jats:styled-content>\n                      \u2010related biomarkers\u2019 levels in the local site, indicating the important role of\n                      <jats:styled-content style=\"fixed-case\">OS<\/jats:styled-content>\n                      in the onset and development of\n                      <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>\n                      .\n     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