根据成年患者当前口腔状况对椅旁唾液检测的比较评估
Comparative Evaluation of Chair-Side Saliva Tests According to Current Dental Status in Adult Patient.
作者信息
Rahiotis Chris, Mitropoulos Panagiotis, Kakaboura Afrodite
机构信息
Department of Operative Dentistry, National Kapodistrian University of Athens, 11527 Athens, Greece.
出版信息
Dent J (Basel). 2021 Jan 19;9(1):10. doi: 10.3390/dj9010010.
BACKGROUND
this cross-sectional study evaluated the correlation of commercial chair-side saliva tests with caries status in adults.
METHODS
teeth in 87 adults (20-40 years old) were clinically examined for carious lesions according to International Caries Detection and Assessment System (ICDAS) criteria. The Decayed-Missing-Filling-Tooth (DMFT) and Decayed-Missing-Filling-Surface (DMFS) indexes at D1 (lesions 1-6 according to ICDAS criteria) and D3 (lesions 4-6 according to ICDAS criteria threshold and the number of active lesions, according to the Lesion Activity Assessment (LAA)) criteria were measured. The saliva parameters measured by chair-side tests were stimulated and non-stimulated saliva flow rate, saliva consistency, saliva pH, saliva buffer capacity, and lactic acid production. The statistical analyses performed were Student t-test and Mann-Whitney U test at a = 0.05 significant level.
RESULTS
the low resting saliva pH was related to a high value of DMFT (D1) index ( = 0.007).
CONCLUSIONS
among the saliva parameters measured, the values of low resting pH are associated with increased DMFT at threshold D1. None of the chair-side available saliva tests evaluated can accurately underline the tooth carious status.
背景
这项横断面研究评估了成人临床椅旁唾液检测与龋病状况的相关性。
方法
根据国际龋病检测与评估系统（ICDAS）标准，对87名年龄在20至40岁的成年人的牙齿进行龋损临床检查。测量了D1（根据ICDAS标准为1至6级病变）和D3（根据ICDAS标准阈值为4至6级病变以及根据病变活动评估（LAA）标准的活跃病变数量）时的龋失补牙数（DMFT）和龋失补牙面数（DMFS）指数。通过椅旁检测测量的唾液参数包括刺激和非刺激唾液流速、唾液黏稠度、唾液pH值、唾液缓冲能力和乳酸生成。所进行的统计分析为在α = 0.05显著水平下的学生t检验和曼-惠特尼U检验。
结果
静息唾液pH值低与DMFT（D1）指数高相关（P = 0.007）。
结论
在所测量的唾液参数中，静息pH值低与阈值D1时DMFT增加相关。所评估的任何一种椅旁唾液检测均不能准确反映牙齿龋病状况。
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