Ghafourifard Roya, Rashidi Maybodi Fahimeh, Mousavi Seyed Ali, Pourmirjafari Azadeh
Department of Pediatrics, Dental Faculty, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Department of Periodontics, Dental Faculty, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Front Dent. 2023 Jul 9;20:24. doi: 10.18502/fid.v20i24.13168. eCollection 2023.
Enlarged adenoids can lead to obstruction of the nasopharyngeal airway and subsequent oral respiration. Oral breathing can cause dry mouth, dehydration in gingival tissue, and resistance to plaque accumulation. This study aimed to evaluate the impact of tonsillectomy on oral health status, salivary pH and flow rate, and common complications caused by tonsillar hypertrophy in children. An analytical before-and-after study was conducted on 60 children aged 5-12 years who required tonsillectomy. We gathered data through a questionnaire and collected unstimulated saliva using the spitting method for five minutes. Salivary pH was measured by a pH meter and its volume was determined with a calibrated test tube. The plaque index, bleeding index and modified gingival index were determined using a disclosing tablet, Williams' probe and observational examination, respectively. All measurements were repeated one month after tonsillectomy. Paired t-test was used for data analysis. We found a significant increase in mean pH and salivary flow rate after tonsillectomy and observed a decrease in oral health indices among the children one month after surgery. Over half of the children who reported complications such as dry mouth, itchy nose and throat, snoring, night sweats, and sleep disturbances experienced complete recovery after tonsillectomy. Based on the results obtained in the present study, children with enlarged adenoids showed significant improvements in salivary pH, salivary flow rate, and oral health indices, one month after tonsillectomy.
腺样体肥大可导致鼻咽气道阻塞，进而引起口呼吸。口呼吸会导致口干、牙龈组织脱水以及菌斑堆积阻力增加。本研究旨在评估扁桃体切除术对儿童口腔健康状况、唾液pH值和流速以及扁桃体肥大引起的常见并发症的影响。对60名年龄在5至12岁需要进行扁桃体切除术的儿童进行了一项前后分析研究。我们通过问卷调查收集数据，并采用吐唾法收集5分钟的非刺激性唾液。用pH计测量唾液pH值，并用校准试管测定其体积。分别使用显影片、威廉姆斯探针和观察检查来确定菌斑指数、出血指数和改良牙龈指数。所有测量在扁桃体切除术后1个月重复进行。采用配对t检验进行数据分析。我们发现扁桃体切除术后平均pH值和唾液流速显著增加，并观察到术后1个月儿童的口腔健康指数下降。超过一半报告有口干、鼻喉瘙痒、打鼾、盗汗和睡眠障碍等并发症的儿童在扁桃体切除术后完全康复。基于本研究获得的结果，腺样体肥大的儿童在扁桃体切除术后1个月，唾液pH值、唾液流速和口腔健康指数有显著改善。
