Hosseini-Yekani Amene, Nadjarzadeh Azadeh, Vossoughi Mehrdad, Reza Javad Zavvar, Golkari Ali
Department of Dental Public Health, Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Nutrition, Nutrition and Food Security Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
J Int Soc Prev Community Dent. 2018 Jan-Feb;8(1):48-55. doi: 10.4103/jispcd.JISPCD_391_17. Epub 2018 Feb 22.
There are inconsistent data about the association between saliva properties, dental caries, and periodontal status. In this study, we tried to examine the association between dental caries and periodontal status with salivary viscosity, flow rate, pH, and buffering capacity in adults.
In the present cross-sectional study, 450 female teachers were randomly selected from schools located in Yazd, Iran. Oral examinations were conducted, and unstimulated saliva samples were collected. Salivary viscosity, flow rate, pH, and buffering capacity were assessed. The salivary physicochemical properties were compared among teachers with different types of oral health. Analyses were done using the Statistical Package for the Social Sciences version 16.
In total, 431 female teachers aged 40.45 ± 8.18 years were included in the study. Salivary flow rate, buffering capacity, pH, and viscosity, community periodontal index status were not significantly different in participants with and without tooth caries. There was a reverse linear association between salivary pH and flow rate with the decayed, missed, and filled teeth index ( < 0.05). The saliva buffering capacity was not significantly related to dental properties. Those with bleeding on probing had lower salivary pH, and buffering capacity compared to those with healthy gum. However, the salivary resting flow rate was not different in participants with bleeding on probing and healthy participants.
Based on our results, saliva properties might be important predictors in oral health status. This means that any change in saliva combination might affect periodontal and dental diseases. Future prospective studies are recommended to confirm these results.
关于唾液特性、龋齿和牙周状况之间的关联,数据并不一致。在本研究中,我们试图探讨成年人龋齿和牙周状况与唾液粘度、流速、pH值及缓冲能力之间的关联。
在本次横断面研究中,从伊朗亚兹德的学校中随机选取450名女教师。进行口腔检查,并收集非刺激性唾液样本。评估唾液的粘度、流速、pH值及缓冲能力。比较不同口腔健康类型教师的唾液理化特性。使用社会科学统计软件包第16版进行分析。
本研究共纳入431名年龄为40.45±8.18岁的女教师。有龋齿和无龋齿参与者的唾液流速、缓冲能力、pH值、粘度及社区牙周指数状况无显著差异。唾液pH值和流速与龋失补牙指数之间存在反向线性关联(P<0.05)。唾液缓冲能力与牙齿特性无显著相关性。探诊出血者的唾液pH值和缓冲能力低于牙龈健康者。然而,探诊出血者与健康参与者的唾液静息流速无差异。
根据我们的研究结果,唾液特性可能是口腔健康状况的重要预测指标。这意味着唾液成分的任何变化都可能影响牙周和牙齿疾病。建议未来进行前瞻性研究以证实这些结果。