《对贝切特病患者唾液流量、pH 值、缓冲能力、微生物含量和龋齿、缺失和补牙指数的评估》。
The Evaluation of Saliva Flow Rate, pH, Buffer Capacity, Microbiological Content and Indice of Decayed, Missing and Filled Teeth in Behçet's Patients.
机构信息
Department of Dentistry, Atatürk University Dental Faculty, Erzurum, Turkey.
Department of Dermatology, Sakarya University Faculty of Medicine, Sakarya, Turkey.
出版信息
Balkan Med J. 2013 Jun;30(2):211-4. doi: 10.5152/balkanmedj.2013.7932. Epub 2013 Jun 1.
BACKGROUND
Several lines of evidence indicate that oral microbial flora play a critical role in the pathogenesis of Behçet disease. Saliva flow rate, buffer capacity and microorganism content are very important in the maintenance of oral health.
AIMS
We aimed to evaluate saliva flow rate, pH, buffer capacity and Streptococcus mutans and Lactobacilli content along with the decayed, missing, and filled tooth index in Behçet's patients.
STUDY DESIGN
Case-control study.
METHODS
Forty patients with active Behçet disease [female:male (F/M) 21/19, mean age 31.05±11.08 years] and forty healthy persons (F/M 21/19, mean age 31.03±9.14 years) were included in the study. The oral region was first examined, and the decayed, missing, and filled tooth index was calculated for each person. Stimulated saliva was collected and divided into two separate millimetric tubes to calculate the buffer capacity of the saliva, determine Streptococcus mutans and Lactobacilli levels and measure the pH of the saliva. A Caries Risk Test buffer strip was used to calculate the buffer capacity. Caries Risk Test bacterial kit was used to determine Streptococcus mutans and lactobacilli levels. A pH meter was used to measure the pH of the saliva.
RESULTS
The mean saliva pH of the patients was higher than the controls (7.76±0.51, 7.18±0.46, respectively) (p<0.001). The mean level of Streptococcus mutans and Lactobacilli in patients was higher than controls (p<0.05). The mean decayed, missing, and filled tooth index of patients was 9.82±6.59 (range 1-28), while the mean decayed, missing, and filled tooth index of the controls was 6.05±3.35 (range 1-16) (p<0.01). There were no significant differences between the patients and the controls with respect to saliva flow rate and saliva buffer capacity (p>0.05).
CONCLUSION
We think that the maintenance of oral health by effective, regular tooth brushing, regular dental check-ups and dental treatment for Behçet patients is very important for the prevention and therapy of Behçet disease.
背景
多项证据表明，口腔微生物群在白塞病的发病机制中起着关键作用。唾液流量、缓冲能力和微生物含量对于维持口腔健康非常重要。
目的
我们旨在评估白塞病患者的唾液流量、pH 值、缓冲能力以及变形链球菌和乳杆菌含量，同时评估龋齿、缺失和填补的牙齿指数。
研究设计
病例对照研究。
方法
将 40 名患有活动期白塞病的患者（女性：男性 21:19，平均年龄 31.05±11.08 岁）和 40 名健康人（女性：男性 21:19，平均年龄 31.03±9.14 岁）纳入研究。首先检查口腔区域，并为每个人计算龋齿、缺失和填补的牙齿指数。收集刺激唾液并将其分成两个单独的毫米试管，以计算唾液的缓冲能力，确定变形链球菌和乳杆菌水平并测量唾液的 pH 值。使用 Caries Risk Test 缓冲条来计算缓冲能力。使用 Caries Risk Test 细菌试剂盒来确定变形链球菌和乳杆菌水平。使用 pH 计测量唾液的 pH 值。
结果
患者的平均唾液 pH 值高于对照组（7.76±0.51，7.18±0.46）（p<0.001）。患者的变形链球菌和乳杆菌水平高于对照组（p<0.05）。患者的龋齿、缺失和填补的牙齿指数平均值为 9.82±6.59（范围 1-28），而对照组的龋齿、缺失和填补的牙齿指数平均值为 6.05±3.35（范围 1-16）（p<0.01）。患者与对照组之间的唾液流量和唾液缓冲能力没有显著差异（p>0.05）。
结论
我们认为，通过有效、定期刷牙、定期口腔检查和对白塞病患者的口腔治疗来维持口腔健康对白塞病的预防和治疗非常重要。
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