Abstract
AimThis study was aimed to assess the salivary parameters and caries activity test (Oratest) in high-caries-risk individuals and effect of diet modification and parental education on salivary parameters and Oratest.Materials and methodsForty-five children aged between 5 and 8 years and decayed, extracted due to caries, filled teeth (deft)/decayed, missing, filled teeth (DMFT) scores >5 were selected and evaluated for salivary parameters, such as hydration status of oral mucosa, resting pH, unstimulated salivary flow rate (USFR) and stimulated salivary flow rate (SSFR), buffering capacity of stimulated saliva (BCSS) before and after diet counseling using GC India Saliva Check Kit. Oratest was performed to assess the caries activity. Children’s parents were asked to record 5 to 7 days diet chart. Diet charts were collected and based on the evaluation of specific diet charts, diet counseling was provided. After 6 weeks, salivary parameters and Oratest were reevaluated. Baseline and postdiet counseling salivary parameters were subjected to statistical analysis using Student’s t-test (paired) and Wilcoxon signed rank test.ResultsFrom baseline to 6 weeks, USFR and SSFR were increased which were statistically significant. Buffering capacity and resting pH increased slightly but was not statistically significant. The reading of Oratest increased significantly, indicating a decreased caries activity in individuals.ConclusionIt can be concluded that diet counseling, parental education, and regular motivation can positively alter salivary parameters, such as USFR and SSFR.How to cite this article: Jain S, Bansal K, Marwaha M, Sehrawat N, Singla S. Effect of Diet Modification on Salivary Parameters and Oratest in High-caries-risk Individuals. Int J Clin Pediatr Dent 2018;11(1):34-39.
Highlights
The association between sugar intake and dental caries is widely accepted, but the effect of other ingredients or fiber content of the diet has been scarcely studied
It can be concluded that diet counseling, parental education, and regular motivation can positively alter salivary parameters, such as unstimulated salivary flow rate (USFR) and stimulated salivary flow rate (SSFR)
Diets requiring mechanical chewing are known to be beneficial for dental health because of the resulting increase in salivary flow rate
Summary
The association between sugar intake and dental caries is widely accepted, but the effect of other ingredients or fiber content of the diet has been scarcely studied. Diets requiring mechanical chewing are known to be beneficial for dental health because of the resulting increase in salivary flow rate. When the salivary flow rate increases, the buffering capacity increases.[1] Bioactive compounds found in some foods, e.g., bioactive casein phosphopeptides in dairy products, tea, and cranberry-derived polyphenols may protect teeth, e.g., from erosion[2,3] and caries.[4,5]. The etiology and pathogenesis of dental caries are known to be multifactorial involving internal defense factors, such as saliva, tooth surface morphology, general health, nutritional and hormonal status, and a number of external factors—e.g., diet, the microbial flora colonizing the teeth, oral hygiene, and fluoride availability.[6] Alterations in the physicochemical properties of saliva, such as decreased salivary flow rate, pH, buffering capacity, play a major role in the development of caries.[7]
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