更年期对唾液及口腔健康状况影响的评估

Assessment of Effect of Menopause on Saliva and Oral Health Status.

作者信息

Mishra Richa, Haider Khushtar, Rizwan Ramsha, Monga Shamim, Pritam Amrita, Singh Padam

机构信息

Department of Oral Medicine and Radiology, School of Dental Sciences, Sharda University, Greater Noida, Uttar Pradesh, India.

Department of Dentistry, Government Medical College, Datia, Madhya Pradesh, India.

出版信息

J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1535-S1537. doi: 10.4103/jpbs.jpbs_276_21. Epub 2021 Nov 10.

DOI:10.4103/jpbs.jpbs_276_21

PMID:35018024

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8686993/

Abstract

BACKGROUND

Women at menopausal period may frequently develop several oral mucosal disorders. Xerostomia is also a common finding among postmenopausal women. The present study was conducted to assess effect of menopause on saliva and dental health.

MATERIALS AND METHODS

Forty postmenopausal women (Group I) and 40 control (Group II) underwent Oral Hygiene Index Simplified (OHIS), Decayed, Missing and Filled Teeth (DMFT index), Community periodontal index (CPI), and Loss of attachment (LOA), salivary pH and flow measurement.

RESULTS

Oral symptoms were normal in 22 and 40, xerostomia in 18 and 0 in Group I and II respectively, salivary pH was normal in 20 and 40, below acidic in 20 and 0, salivary flow was normal in 21 and 40, hyposalivation in 19 and 0 in group I and II, respectively. The difference was significant ( < 0.05). OHI-S was good in 4 and 25, fair in 6 and 10, poor in 30 and 5, DMFT index was decayed was 1.42 and 0.65, missing was 2.84 and 0.26 and filled was 1.06 and 0.52 seen in Group I and II respectively. CPI index mean value was 3.26 in Group I and 1.02 in Group II and mean LOA was 1.42 and 0.46 in Group I and II respectively. The difference was significant ( < 0.05).

CONCLUSION

There was decrease in the salivary pH and flow rate in postmenopausal women which in turn leads to increased OHI-S, DMFT, CPI, and LOA.

摘要

背景

处于更年期的女性可能经常出现多种口腔黏膜疾病。口干症在绝经后女性中也很常见。本研究旨在评估更年期对唾液和牙齿健康的影响。

材料与方法

40名绝经后女性（第一组）和40名对照者（第二组）接受了简化口腔卫生指数（OHIS）、龋失补牙指数（DMFT指数）、社区牙周指数（CPI）、附着丧失（LOA）、唾液pH值和流量测量。

结果

第一组和第二组分别有22例和40例口腔症状正常，18例和0例有口干症；唾液pH值正常者分别为20例和40例，低于酸性者分别为20例和0例；唾液流量正常者分别为21例和40例，唾液分泌减少者分别为19例和0例。差异具有统计学意义（<0.05）。OHI-S评分为良好者分别为4例和25例，中等者分别为6例和10例，差者分别为30例和5例；DMFT指数中，龋坏数在第一组和第二组分别为1.42和0.65，缺失数分别为2.84和0.26，补牙数分别为1.06和0.52。第一组CPI指数平均值为3.26，第二组为1.02；第一组和第二组的平均LOA分别为1.42和0.46。差异具有统计学意义（<0.05）。