Garan Aysun, Akyüz Serap, Oztürk Leyla Koç, Yarat Ayşen
Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, Istanbul, Turkey.
J Clin Pediatr Dent. 2012 Spring;36(3):285-8. doi: 10.17796/jcpd.36.3.21466m672t723713.
Black tooth stain in children has been associated commonly with a low caries experience. The present study aimed to to compare salivary factors and caries indices in children with and without black tooth stain and to investigate the relationship between caries and caries associated salivary factors in these children.
Salivary flow rate, pH, buffering capacity, total calcium and phosphorus were determined. Calcium and phosphorus levels were assayed by Inductive Coupled Plasma with Atomic Emission Spectrometry. DMFT and dft indices were evaluated according to WHO criteria.
Significantly higher levels of salivary buffering capacity and calcium, and lower flow rate were found in children with black tooth stain compared with those of without black tooth stain (p < 0.01, p = 0.044 and p = 0.037, respectively). The differences in phosphorus and pH were not significant between the groups. The dft index was found to be significantly lower in children with black tooth stain than children without black tooth stain (p = 0.030). However, DMFT did not change between the groups. There is no relationship between salivary parameters and caries indices in children with black tooth stain.
It is suggested that low caries tendency seen in children with black tooth stain may be associated with high salivary calcium and buffering capacity.
儿童牙齿黑斑通常与低龋患率相关。本研究旨在比较有和没有牙齿黑斑的儿童的唾液因素和龋病指数,并调查这些儿童中龋病与龋病相关唾液因素之间的关系。
测定唾液流速、pH值、缓冲能力、总钙和磷。钙和磷水平通过电感耦合等离子体原子发射光谱法测定。根据世界卫生组织标准评估DMFT和dft指数。
与没有牙齿黑斑的儿童相比,有牙齿黑斑的儿童唾液缓冲能力和钙水平显著更高,流速更低(分别为p < 0.01、p = 0.044和p = 0.037)。两组之间磷和pH值的差异不显著。发现有牙齿黑斑的儿童的dft指数显著低于没有牙齿黑斑的儿童(p = 0.030)。然而,两组之间DMFT没有变化。有牙齿黑斑的儿童唾液参数与龋病指数之间没有关系。
提示有牙齿黑斑的儿童中所见的低龋倾向可能与高唾液钙和缓冲能力有关。