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Salivary changes related to systemic diseases in the edentulous patients

Identifieur interne : 001E69 ( Pmc/Curation ); précédent : 001E68; suivant : 001E70

Salivary changes related to systemic diseases in the edentulous patients

Auteurs : E. Preoteasa ; Am Tâncu ; L. Iosif ; M. Melescanu Imre ; C. Murariu-M Gureanu ; Ct Preoteasa

Source :

RBID : PMC:4316143

Abstract

Introduction: The relatively frequent systemic comorbidities of geriatric patients can be linked to salivary changes, which may induce oral alteration and discomfort with the removable prosthesis. The aim of the study was to evaluate the salivary parameters in completely edentulous patients treated by removable prosthesis, in relation to their general health status.

Material and method: A cross-sectional study was performed on 30 completely edentulous patients, 53% male and 47% female, aged between 53 and 84. The evaluation of the salivary parameters (oral hydration index, pH and salivary flow, viscosity and saliva buffer capacity) was performed with the Saliva Check Buffer kit (GC Corporation).

Results: The salivary changes encountered were the following: low hydration level (63%), high saliva viscosity (57%), below-average pH (27%), reduced salivary flow (77%) and low saliva buffer capacity (80%). A reduced salivary flow and saliva buffer capacity was found in women. A lower buffer capacity of the saliva was found in patients with respiratory and gastro-intestinal disease.

Conclusions: The alterations of the salivary flow are relatively frequent in geriatric patients, removable denture wearers, with compromised systemic status. These changes may be a risk factor for denture stomatitis and oral candidiasis, with a negative effect on the patient’s comfort and quality of life.


Url:
PubMed: 25713626
PubMed Central: 4316143

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E. Preoteasa
<affiliation>
<nlm:aff id="A1">Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest</nlm:aff>
<wicri:noCountry code="subfield">Bucharest</wicri:noCountry>
</affiliation>
Am Tâncu
<affiliation>
<nlm:aff id="A1">Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest</nlm:aff>
<wicri:noCountry code="subfield">Bucharest</wicri:noCountry>
</affiliation>
L. Iosif
<affiliation>
<nlm:aff id="A1">Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest</nlm:aff>
<wicri:noCountry code="subfield">Bucharest</wicri:noCountry>
</affiliation>
M. Melescanu Imre
<affiliation>
<nlm:aff id="A1">Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest</nlm:aff>
<wicri:noCountry code="subfield">Bucharest</wicri:noCountry>
</affiliation>
C. Murariu-M Gureanu
<affiliation>
<nlm:aff id="A1">Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest</nlm:aff>
<wicri:noCountry code="subfield">Bucharest</wicri:noCountry>
</affiliation>
Ct Preoteasa
<affiliation>
<nlm:aff id="A2">Department of Oral Diagnosis, Ergonomics, Scientific Research Methodology, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest</nlm:aff>
<wicri:noCountry code="subfield">Bucharest</wicri:noCountry>
</affiliation>

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<bold>Introduction:</bold>
The relatively frequent systemic comorbidities of geriatric patients can be linked to salivary changes, which may induce oral alteration and discomfort with the removable prosthesis. The aim of the study was to evaluate the salivary parameters in completely edentulous patients treated by removable prosthesis, in relation to their general health status.</p>
<p>
<bold>Material and method:</bold>
A cross-sectional study was performed on 30 completely edentulous patients, 53% male and 47% female, aged between 53 and 84. The evaluation of the salivary parameters (oral hydration index, pH and salivary flow, viscosity and saliva buffer capacity) was performed with the Saliva Check Buffer kit (GC Corporation).</p>
<p>
<bold>Results:</bold>
The salivary changes encountered were the following: low hydration level (63%), high saliva viscosity (57%), below-average pH (27%), reduced salivary flow (77%) and low saliva buffer capacity (80%). A reduced salivary flow and saliva buffer capacity was found in women. A lower buffer capacity of the saliva was found in patients with respiratory and gastro-intestinal disease.</p>
<p>
<bold>Conclusions:</bold>
The alterations of the salivary flow are relatively frequent in geriatric patients, removable denture wearers, with compromised systemic status. These changes may be a risk factor for denture stomatitis and oral candidiasis, with a negative effect on the patient’s comfort and quality of life.</p>
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<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Med Life</journal-id>
<journal-id journal-id-type="iso-abbrev">J Med Life</journal-id>
<journal-id journal-id-type="publisher-id">JMedLife</journal-id>
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<journal-title>Journal of Medicine and Life</journal-title>
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<issn pub-type="epub">1844-3117</issn>
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<publisher-name>Carol Davila University Press</publisher-name>
<publisher-loc>Romania</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25713626</article-id>
<article-id pub-id-type="pmc">4316143</article-id>
<article-id pub-id-type="publisher-id">JMedLife-07-577</article-id>
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<subject>Case Presentations</subject>
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<title-group>
<article-title>Salivary changes related to systemic diseases in the edentulous patients</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Preoteasa</surname>
<given-names>E</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tâncu</surname>
<given-names>AM</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Iosif</surname>
<given-names>L</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
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<name>
<surname>Melescanu Imre</surname>
<given-names>M</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Murariu-Măgureanu</surname>
<given-names>C</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Preoteasa</surname>
<given-names>CT</given-names>
</name>
<xref ref-type="aff" rid="A2">**</xref>
</contrib>
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<aff id="A1">
<label>*</label>
Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest</aff>
<aff id="A2">
<label>**</label>
Department of Oral Diagnosis, Ergonomics, Scientific Research Methodology, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest</aff>
<author-notes>
<corresp>
<bold>Correspondence to:</bold>
Elena Preoteasa, Professor, DMD, PhD, „Carol Davila” University of Medicine and Pharmacy, Bucharest 12 Ionel Perlea Street, District 1, Bucharest Mobile phone: 0040 745 159 036, E-mail: dr_elena_preoteasa@yahoo.com </corresp>
<fn>
<p>
<bold>All the authors have equally contributed to the article</bold>
</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<season>Oct-Dec</season>
<year>2014</year>
</pub-date>
<volume>7</volume>
<issue>4</issue>
<fpage>577</fpage>
<lpage>580</lpage>
<history>
<date date-type="received">
<day>19</day>
<month>4</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>18</day>
<month>10</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>©Carol Davila University Press </copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>
<bold>Introduction:</bold>
The relatively frequent systemic comorbidities of geriatric patients can be linked to salivary changes, which may induce oral alteration and discomfort with the removable prosthesis. The aim of the study was to evaluate the salivary parameters in completely edentulous patients treated by removable prosthesis, in relation to their general health status.</p>
<p>
<bold>Material and method:</bold>
A cross-sectional study was performed on 30 completely edentulous patients, 53% male and 47% female, aged between 53 and 84. The evaluation of the salivary parameters (oral hydration index, pH and salivary flow, viscosity and saliva buffer capacity) was performed with the Saliva Check Buffer kit (GC Corporation).</p>
<p>
<bold>Results:</bold>
The salivary changes encountered were the following: low hydration level (63%), high saliva viscosity (57%), below-average pH (27%), reduced salivary flow (77%) and low saliva buffer capacity (80%). A reduced salivary flow and saliva buffer capacity was found in women. A lower buffer capacity of the saliva was found in patients with respiratory and gastro-intestinal disease.</p>
<p>
<bold>Conclusions:</bold>
The alterations of the salivary flow are relatively frequent in geriatric patients, removable denture wearers, with compromised systemic status. These changes may be a risk factor for denture stomatitis and oral candidiasis, with a negative effect on the patient’s comfort and quality of life.</p>
</abstract>
<kwd-group>
<kwd>saliva</kwd>
<kwd>edentulous</kwd>
<kwd>denture</kwd>
<kwd>medication</kwd>
</kwd-group>
</article-meta>
</front>
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