Saliva characteristics, diet and carioreceptivity in dental students.
Identifieur interne : 000210 ( Main/Exploration ); précédent : 000209; suivant : 000211Saliva characteristics, diet and carioreceptivity in dental students.
Auteurs : Ioana Chifor [Roumanie] ; Iulia Badea [Roumanie] ; Radu Chifor [Roumanie] ; Dan Popa ; Liviu Staniste ; Dragos Tarmure ; Ramona Avram [Roumanie]Source :
- Clujul medical (1957) [ 1222-2119 ] ; 2014.
Abstract
BACKGROUND AND AIMS
The use of sugar by dental plaque microorganisms leads to acid formation from the bacteria metabolism, which determines a decrease of pH onto teeth surfaces. The value of the critical pH is 5.2-5.5. We aimed to evaluate the capacity of patients to change their diet towards caries prevention after acknowledging the values of saliva parameters (pH, buffer capacity).
MATERIAL AND METHODS
A group of 52 subjects were clinically examined according to the International Caries Assessment and Detection System protocol. They were required to complete a diet questionnaire and salivary tests were made for the oral mucosa hydration level, pH, buffer capacity, salivary flow rate at rest and upon stimulation. 4 pre-calibrated 6th year students and 2 dentists performed the tests and the ICDAS examination. One week after the tests, the subjects were asked to complete the diet questionnaire again. The studied group consisted of students aged between 23-26 years, randomly selected among 6(th) year students of the Faculty of Dentistry from Cluj-Napoca.
RESULTS AND DISCUSSION
The mean DMF-S index was 18.39. Most of the patients (65%) had a DMF-S index between 9 and 21. Just 2.5% had an index of 3, which was the lowest value recorded. 5% of the patients had a DMFS of 35, which was the maximal value recorded. The distribution of DMF-S was normal. 50% of the patients had no active caries. Even though most subjects (19.23%) had a pH within the normal interval, most of them were at the bottom value of the interval (6.8). Most subjects had a pH of 6.4, which is moderately acid. The mean pH was 6.7, therefore, a moderately acid one. The Pearson correlation coefficient between DMFS and pH was 0.255. A mild negative correlation (-0.275) was found between the cariogenic food and buffer capacity. A week later we noticed a statistically significant decrease of cariogenic foods and drinks in students with acid pH and with low buffer capacity.
CONCLUSIONS
A regular intake of cakes, bonbons and chocolate was reported by subjects who had a high DMF-S value and a low saliva buffer capacity. Only after the patients were aware of their caries risk, did they change their diet towards a non-cariogenic one, even though they had had the theoretical knowledge regarding caries prevention for at least 3 years. We conclude that the use of the chair-side salivary test should be highly recommended for cario-receptive patients.
DOI: 10.15386/cjm.2014.8872.871.ic1ib2
PubMed: 26527994
PubMed Central: PMC4462414
Affiliations:
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Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca</wicri:regionArea><wicri:noRegion>University of Medicine and Pharmacy from Cluj-Napoca</wicri:noRegion></affiliation></author><author><name sortKey="Chifor, Radu" sort="Chifor, Radu" uniqKey="Chifor R" first="Radu" last="Chifor">Radu Chifor</name><affiliation wicri:level="1"><nlm:affiliation>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca, Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca</wicri:regionArea><wicri:noRegion>University of Medicine and Pharmacy from Cluj-Napoca</wicri:noRegion></affiliation></author><author><name sortKey="Popa, Dan" sort="Popa, Dan" uniqKey="Popa D" first="Dan" last="Popa">Dan Popa</name><affiliation><nlm:affiliation>Clinical Emergency Hospital of Targu-Mures.</nlm:affiliation><wicri:noCountry code="no comma">Clinical Emergency Hospital of Targu-Mures.</wicri:noCountry><wicri:noCountry code="no comma">Clinical Emergency Hospital of Targu-Mures.</wicri:noCountry></affiliation></author><author><name sortKey="Staniste, Liviu" sort="Staniste, Liviu" uniqKey="Staniste L" first="Liviu" last="Staniste">Liviu Staniste</name><affiliation><nlm:affiliation>Chifor Meddent Dental Office.</nlm:affiliation><wicri:noCountry code="no comma">Chifor Meddent Dental Office.</wicri:noCountry><wicri:noCountry code="no comma">Chifor Meddent Dental Office.</wicri:noCountry></affiliation></author><author><name sortKey="Tarmure, Dragos" sort="Tarmure, Dragos" uniqKey="Tarmure D" first="Dragos" last="Tarmure">Dragos Tarmure</name><affiliation><nlm:affiliation>Clinical Emergency Hospital of Sibiu county.</nlm:affiliation><wicri:noCountry code="no comma">Clinical Emergency Hospital of 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Pharmacy from Cluj-Napoca</wicri:noRegion></affiliation></author><author><name sortKey="Badea, Iulia" sort="Badea, Iulia" uniqKey="Badea I" first="Iulia" last="Badea">Iulia Badea</name><affiliation wicri:level="1"><nlm:affiliation>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca, Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca</wicri:regionArea><wicri:noRegion>University of Medicine and Pharmacy from Cluj-Napoca</wicri:noRegion></affiliation></author><author><name sortKey="Chifor, Radu" sort="Chifor, Radu" uniqKey="Chifor R" first="Radu" last="Chifor">Radu Chifor</name><affiliation wicri:level="1"><nlm:affiliation>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca, Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca</wicri:regionArea><wicri:noRegion>University of Medicine and Pharmacy from Cluj-Napoca</wicri:noRegion></affiliation></author><author><name sortKey="Popa, Dan" sort="Popa, Dan" uniqKey="Popa D" first="Dan" last="Popa">Dan Popa</name><affiliation><nlm:affiliation>Clinical Emergency Hospital of Targu-Mures.</nlm:affiliation><wicri:noCountry code="no comma">Clinical Emergency Hospital of Targu-Mures.</wicri:noCountry><wicri:noCountry code="no comma">Clinical Emergency Hospital of Targu-Mures.</wicri:noCountry></affiliation></author><author><name sortKey="Staniste, Liviu" sort="Staniste, Liviu" uniqKey="Staniste L" first="Liviu" last="Staniste">Liviu Staniste</name><affiliation><nlm:affiliation>Chifor Meddent Dental Office.</nlm:affiliation><wicri:noCountry code="no comma">Chifor Meddent Dental Office.</wicri:noCountry><wicri:noCountry code="no comma">Chifor Meddent Dental Office.</wicri:noCountry></affiliation></author><author><name sortKey="Tarmure, Dragos" sort="Tarmure, Dragos" uniqKey="Tarmure D" first="Dragos" last="Tarmure">Dragos Tarmure</name><affiliation><nlm:affiliation>Clinical Emergency Hospital of Sibiu county.</nlm:affiliation><wicri:noCountry code="no comma">Clinical Emergency Hospital of Sibiu county.</wicri:noCountry><wicri:noCountry code="no comma">Clinical Emergency Hospital of Sibiu county.</wicri:noCountry></affiliation></author><author><name sortKey="Avram, Ramona" sort="Avram, Ramona" uniqKey="Avram R" first="Ramona" last="Avram">Ramona Avram</name><affiliation wicri:level="1"><nlm:affiliation>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca, Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca</wicri:regionArea><wicri:noRegion>University of Medicine and Pharmacy from Cluj-Napoca</wicri:noRegion></affiliation></author></analytic><series><title level="j">Clujul medical (1957)</title><idno type="ISSN">1222-2119</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND AIMS</b></p><p>The use of sugar by dental plaque microorganisms leads to acid formation from the bacteria metabolism, which determines a decrease of pH onto teeth surfaces. The value of the critical pH is 5.2-5.5. We aimed to evaluate the capacity of patients to change their diet towards caries prevention after acknowledging the values of saliva parameters (pH, buffer capacity).</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>A group of 52 subjects were clinically examined according to the International Caries Assessment and Detection System protocol. They were required to complete a diet questionnaire and salivary tests were made for the oral mucosa hydration level, pH, buffer capacity, salivary flow rate at rest and upon stimulation. 4 pre-calibrated 6th year students and 2 dentists performed the tests and the ICDAS examination. One week after the tests, the subjects were asked to complete the diet questionnaire again. The studied group consisted of students aged between 23-26 years, randomly selected among 6(th) year students of the Faculty of Dentistry from Cluj-Napoca.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS AND DISCUSSION</b></p><p>The mean DMF-S index was 18.39. Most of the patients (65%) had a DMF-S index between 9 and 21. Just 2.5% had an index of 3, which was the lowest value recorded. 5% of the patients had a DMFS of 35, which was the maximal value recorded. The distribution of DMF-S was normal. 50% of the patients had no active caries. Even though most subjects (19.23%) had a pH within the normal interval, most of them were at the bottom value of the interval (6.8). Most subjects had a pH of 6.4, which is moderately acid. The mean pH was 6.7, therefore, a moderately acid one. The Pearson correlation coefficient between DMFS and pH was 0.255. A mild negative correlation (-0.275) was found between the cariogenic food and buffer capacity. A week later we noticed a statistically significant decrease of cariogenic foods and drinks in students with acid pH and with low buffer capacity.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>A regular intake of cakes, bonbons and chocolate was reported by subjects who had a high DMF-S value and a low saliva buffer capacity. Only after the patients were aware of their caries risk, did they change their diet towards a non-cariogenic one, even though they had had the theoretical knowledge regarding caries prevention for at least 3 years. We conclude that the use of the chair-side salivary test should be highly recommended for cario-receptive patients.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">26527994</PMID><DateCompleted><Year>2015</Year><Month>11</Month><Day>03</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1222-2119</ISSN><JournalIssue CitedMedium="Print"><Volume>87</Volume><Issue>1</Issue><PubDate><Year>2014</Year></PubDate></JournalIssue><Title>Clujul medical (1957)</Title><ISOAbbreviation>Clujul Med</ISOAbbreviation></Journal><ArticleTitle>Saliva characteristics, diet and carioreceptivity in dental students.</ArticleTitle><Pagination><MedlinePgn>34-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.15386/cjm.2014.8872.871.ic1ib2</ELocationID><Abstract><AbstractText Label="BACKGROUND AND AIMS" NlmCategory="OBJECTIVE">The use of sugar by dental plaque microorganisms leads to acid formation from the bacteria metabolism, which determines a decrease of pH onto teeth surfaces. The value of the critical pH is 5.2-5.5. We aimed to evaluate the capacity of patients to change their diet towards caries prevention after acknowledging the values of saliva parameters (pH, buffer capacity).</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">A group of 52 subjects were clinically examined according to the International Caries Assessment and Detection System protocol. They were required to complete a diet questionnaire and salivary tests were made for the oral mucosa hydration level, pH, buffer capacity, salivary flow rate at rest and upon stimulation. 4 pre-calibrated 6th year students and 2 dentists performed the tests and the ICDAS examination. One week after the tests, the subjects were asked to complete the diet questionnaire again. The studied group consisted of students aged between 23-26 years, randomly selected among 6(th) year students of the Faculty of Dentistry from Cluj-Napoca.</AbstractText><AbstractText Label="RESULTS AND DISCUSSION" NlmCategory="CONCLUSIONS">The mean DMF-S index was 18.39. Most of the patients (65%) had a DMF-S index between 9 and 21. Just 2.5% had an index of 3, which was the lowest value recorded. 5% of the patients had a DMFS of 35, which was the maximal value recorded. The distribution of DMF-S was normal. 50% of the patients had no active caries. Even though most subjects (19.23%) had a pH within the normal interval, most of them were at the bottom value of the interval (6.8). Most subjects had a pH of 6.4, which is moderately acid. The mean pH was 6.7, therefore, a moderately acid one. The Pearson correlation coefficient between DMFS and pH was 0.255. A mild negative correlation (-0.275) was found between the cariogenic food and buffer capacity. A week later we noticed a statistically significant decrease of cariogenic foods and drinks in students with acid pH and with low buffer capacity.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A regular intake of cakes, bonbons and chocolate was reported by subjects who had a high DMF-S value and a low saliva buffer capacity. Only after the patients were aware of their caries risk, did they change their diet towards a non-cariogenic one, even though they had had the theoretical knowledge regarding caries prevention for at least 3 years. We conclude that the use of the chair-side salivary test should be highly recommended for cario-receptive patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chifor</LastName><ForeName>Ioana</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca, Romania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Badea</LastName><ForeName>Iulia</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca, Romania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chifor</LastName><ForeName>Radu</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca, Romania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Popa</LastName><ForeName>Dan</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Clinical Emergency Hospital of Targu-Mures.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Staniste</LastName><ForeName>Liviu</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Chifor Meddent Dental Office.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tarmure</LastName><ForeName>Dragos</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Clinical Emergency Hospital of Sibiu county.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Avram</LastName><ForeName>Ramona</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Prevention in Dental Medicine, University of Medicine and Pharmacy from Cluj-Napoca, Romania.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>01</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>Romania</Country><MedlineTA>Clujul Med</MedlineTA><NlmUniqueID>101653053</NlmUniqueID><ISSNLinking>1222-2119</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">buffering capacity of saliva</Keyword><Keyword MajorTopicYN="N">caries experience</Keyword><Keyword MajorTopicYN="N">diet</Keyword><Keyword MajorTopicYN="N">pH</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>01</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>02</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>02</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>11</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26527994</ArticleId><ArticleId IdType="doi">10.15386/cjm.2014.8872.871.ic1ib2</ArticleId><ArticleId IdType="pii">cm-87-34</ArticleId><ArticleId IdType="pmc">PMC4462414</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Caries Res. 1996;30(1):22-8</Citation><ArticleIdList><ArticleId IdType="pubmed">8850579</ArticleId></ArticleIdList></Reference><Reference><Citation>Microbiol Rev. 1986 Dec;50(4):353-80</Citation><ArticleIdList><ArticleId IdType="pubmed">3540569</ArticleId></ArticleIdList></Reference><Reference><Citation>Coll Antropol. 2013 Sep;37(3):999-1001</Citation><ArticleIdList><ArticleId IdType="pubmed">24308249</ArticleId></ArticleIdList></Reference><Reference><Citation>Acta Odontol Scand. 1993 Feb;51(1):31-7</Citation><ArticleIdList><ArticleId IdType="pubmed">8451921</ArticleId></ArticleIdList></Reference><Reference><Citation>Caries Res. 2014;48(2):147-53</Citation><ArticleIdList><ArticleId IdType="pubmed">24401692</ArticleId></ArticleIdList></Reference><Reference><Citation>Int J Dent. 2012;2012:569327</Citation><ArticleIdList><ArticleId IdType="pubmed">22505903</ArticleId></ArticleIdList></Reference><Reference><Citation>Caries Res. 2013;47(6):548-52</Citation><ArticleIdList><ArticleId IdType="pubmed">23774653</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Roumanie</li></country></list><tree><noCountry><name sortKey="Popa, Dan" sort="Popa, Dan" uniqKey="Popa D" first="Dan" last="Popa">Dan Popa</name><name sortKey="Staniste, Liviu" sort="Staniste, Liviu" uniqKey="Staniste L" first="Liviu" last="Staniste">Liviu Staniste</name><name sortKey="Tarmure, Dragos" sort="Tarmure, Dragos" uniqKey="Tarmure D" first="Dragos" last="Tarmure">Dragos Tarmure</name></noCountry><country name="Roumanie"><noRegion><name sortKey="Chifor, Ioana" sort="Chifor, Ioana" uniqKey="Chifor I" first="Ioana" last="Chifor">Ioana Chifor</name></noRegion><name sortKey="Avram, Ramona" sort="Avram, Ramona" uniqKey="Avram R" first="Ramona" last="Avram">Ramona Avram</name><name sortKey="Badea, Iulia" sort="Badea, Iulia" uniqKey="Badea I" first="Iulia" last="Badea">Iulia Badea</name><name sortKey="Chifor, Radu" sort="Chifor, Radu" uniqKey="Chifor R" first="Radu" last="Chifor">Radu Chifor</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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