Preoteasa E, Tâncu A M, Iosif L, Melescanu Imre M, Murariu-Măgureanu C, Preoteasa C T
Department of Prosthodontics, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest.
Department of Oral Diagnosis, Ergonomics, Scientific Research Methodology, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest.
J Med Life. 2014 Oct-Dec;7(4):577-80.
The relatively frequent systemic comorbidities of geriatric patients can be linked to salivary changes, which may induce oral alteration and discomfort with the removable prosthesis. The aim of the study was to evaluate the salivary parameters in completely edentulous patients treated by removable prosthesis, in relation to their general health status.
A cross-sectional study was performed on 30 completely edentulous patients, 53% male and 47% female, aged between 53 and 84. The evaluation of the salivary parameters (oral hydration index, pH and salivary flow, viscosity and saliva buffer capacity) was performed with the Saliva Check Buffer kit (GC Corporation).
The salivary changes encountered were the following: low hydration level (63%), high saliva viscosity (57%), below-average pH (27%), reduced salivary flow (77%) and low saliva buffer capacity (80%). A reduced salivary flow and saliva buffer capacity was found in women. A lower buffer capacity of the saliva was found in patients with respiratory and gastro-intestinal disease.
The alterations of the salivary flow are relatively frequent in geriatric patients, removable denture wearers, with compromised systemic status. These changes may be a risk factor for denture stomatitis and oral candidiasis, with a negative effect on the patient's comfort and quality of life.
老年患者相对常见的全身性合并症可能与唾液变化有关，这可能会导致口腔改变以及佩戴可摘义齿时出现不适。本研究的目的是评估接受可摘义齿治疗的全口无牙患者的唾液参数与其总体健康状况的关系。
对30名全口无牙患者进行了一项横断面研究，其中男性占53%，女性占47%，年龄在53岁至84岁之间。使用唾液检查缓冲试剂盒（GC公司）对唾液参数（口腔水合指数、pH值、唾液流量、粘度和唾液缓冲能力）进行评估。
所发现的唾液变化如下：水合水平低（63%）、唾液粘度高（57%）、pH值低于平均水平（27%）、唾液流量减少（77%）和唾液缓冲能力低（80%）。女性患者的唾液流量和唾液缓冲能力降低。患有呼吸道和胃肠道疾病的患者唾液缓冲能力较低。
在全身性状况不佳的老年可摘义齿佩戴者中，唾液流量改变相对常见。这些变化可能是义齿性口炎和口腔念珠菌病的危险因素，对患者的舒适度和生活质量产生负面影响。
