Shaila Mulki, Pai G Prakash, Shetty Pushparaj
Department of Oral Pathology & Microbiology, K V G Dental College, Sullia, Karnataka, India.
J Indian Soc Periodontol. 2013 Jan;17(1):42-6. doi: 10.4103/0972-124X.107473.
To evaluate the salivary protein concentration in gingivitis and periodontitis patients and compare the parameters like salivary total protein, salivary albumin, salivary flow rate, pH, buffer capacity and flow rate in both young and elderly patients with simple methods.
One hundred and twenty subjects were grouped based on their age as young and elderly. Each group was subgrouped (20 subjects) as controls, gingivitis and periodontitis. Unstimulated whole saliva was collected from patients and flow rate was noted down during collection of the sample. Salivary protein estimation was done using the Biuret method and salivary albumin was assessed using the Bromocresol green method. pH was estimated with a pHmeter and buffering capacity was analyzed with the titration method. Student's t-test, Fisher's test (ANOVA) and Tukey HSD (ANOVA) tests were used for statistical analysis.
A very highly significant rise in the salivary total protein and albumin concentration was noted in gingivitis and periodontitis subjects of both young and elderly. An overall decrease in salivary flow rate was observed among the elderly, and also the salivary flow rate of women was significantly lower than that of men.
Significant associations between salivary total protein and albumin in gingivitis and periodontitis were found with simple biochemical tests. A decrease in salivary flow rate among elderly and among women was noted.
采用简单方法评估牙龈炎和牙周炎患者的唾液蛋白浓度,并比较年轻和老年患者唾液总蛋白、唾液白蛋白、唾液流速、pH值、缓冲能力和流速等参数。
120名受试者按年龄分为年轻组和老年组。每组再分为对照组、牙龈炎组和牙周炎组(每组20名受试者)。收集患者的非刺激性全唾液,并在采集样本时记录流速。采用双缩脲法进行唾液蛋白测定,采用溴甲酚绿法评估唾液白蛋白。用pH计测定pH值,用滴定法分析缓冲能力。采用学生t检验、Fisher检验(方差分析)和Tukey HSD检验(方差分析)进行统计分析。
年轻和老年牙龈炎和牙周炎受试者的唾液总蛋白和白蛋白浓度均显著升高。老年受试者的唾液流速总体下降,而且女性的唾液流速显著低于男性。
通过简单的生化检测发现,牙龈炎和牙周炎患者的唾液总蛋白和白蛋白之间存在显著关联。注意到老年和女性的唾液流速下降。