Jain Sonal, Bansal Kalpana, Marwaha Mohita, Sehrawat Nidhi, Singla Shanal
Senior Lecturer, Jubesta Hospital, Raipur, Chhattisgarh, India.
Assistant Professor, Department of Pedodontics and Preventive Dentistry, All India Institute of Medical Sciences, New Delhi, India.
Int J Clin Pediatr Dent. 2018 Jan-Feb;11(1):34-39. doi: 10.5005/jp-journals-10005-1480. Epub 2017 Feb 1.
This study was aimed to assess the salivary parameters and caries activity test (Oratest) in high-caries-risk individuals and effect of diet modification and parental education on salivary parameters and Oratest.
Forty-five children aged between 5 and 8 years and decayed, extracted due to caries, filled teeth (deft)/decayed, missing, filled teeth (DMFT) scores >5 were selected and evaluated for salivary parameters, such as hydration status of oral mucosa, resting pH, unstimulated salivary flow rate (USFR) and stimulated salivary flow rate (SSFR), buffering capacity of stimulated saliva (BCSS) before and after diet counseling using GC India Saliva Check Kit. Oratest was performed to assess the caries activity. Children's parents were asked to record 5 to 7 days diet chart. Diet charts were collected and based on the evaluation of specific diet charts, diet counseling was provided. After 6 weeks, salivary parameters and Oratest were reevaluated. Baseline and postdiet counseling salivary parameters were subjected to statistical analysis using Student's t-test (paired) and Wilcoxon signed rank test.
From baseline to 6 weeks, USFR and SSFR were increased which were statistically significant. Buffering capacity and resting pH increased slightly but was not statistically significant. The reading of Oratest increased significantly, indicating a decreased caries activity in individuals.
It can be concluded that diet counseling, parental education, and regular motivation can positively alter salivary parameters, such as USFR and SSFR. Jain S, Bansal K, Marwaha M, Sehrawat N, Singla S. Effect of Diet Modification on Salivary Parameters and Oratest in High-caries-risk Individuals. Int J Clin Pediatr Dent 2018;11(1):34-39.
本研究旨在评估高龋风险个体的唾液参数和龋活性试验（奥瑞斯特试验），以及饮食调整和家长教育对唾液参数和奥瑞斯特试验的影响。
选取45名年龄在5至8岁之间、因龋齿导致牙齿龋坏、拔除或充填（乳牙龋失补牙面数/deft）/恒牙龋失补牙面数（DMFT）评分>5的儿童，使用印度GC唾液检测试剂盒在饮食咨询前后评估唾液参数，如口腔黏膜水合状态、静息pH值、非刺激性唾液流速（USFR）和刺激性唾液流速（SSFR）、刺激性唾液缓冲能力（BCSS）。进行奥瑞斯特试验以评估龋活性。要求儿童家长记录5至7天的饮食图表。收集饮食图表并根据特定饮食图表的评估提供饮食咨询。6周后，重新评估唾液参数和奥瑞斯特试验。使用配对t检验和Wilcoxon符号秩检验对基线和饮食咨询后的唾液参数进行统计分析。
从基线到6周，USFR和SSFR升高，具有统计学意义。缓冲能力和静息pH值略有升高，但无统计学意义。奥瑞斯特试验读数显著升高，表明个体龋活性降低。
可以得出结论，饮食咨询、家长教育和定期激励可以积极改变唾液参数，如USFR和SSFR。贾恩S、班萨尔K、马尔瓦哈M、塞拉瓦特N、辛格拉S。饮食调整对高龋风险个体唾液参数和奥瑞斯特试验的影响。《国际临床儿科牙科学杂志》2018年；11(1):34 - 39。
