Abstract
Background: Gastroesophageal Reflux Disease (GERD) is a condition of irreversibility (reflux) of stomach contents into the esophagus exceeds the normal amount and causes a variety of complaints. Reduction in salivary flow and decreased secretion of bicarbonate in the saliva cannot be avoided so that the patient is symptomatic GERD in the oral cavity in the form of halitosis and tooth erosion. Paraffin wax and chewing xylitol gum can be an alternative to increase the rate of saliva and neutralize the acid in patients with GERD. This study aimsto observes salivary flow rate differences between paraffin wax and xylitol gum patient - indicated GERD at RSUDZA in Banda Aceh.Method: This research is an analytic study with cross sectional approach and a subject of 17 people. Data were analyzed by statistical tests using Wilcoxon test.The results of this study, the salivary flows by chewing paraffin wax at the low category (52.9%), whereas salivary flows by chewing xylitol gum is the normal category (76.5%).Result: The data obtained P = 0.001 (P <0.05) for the difference between chewing paraffin wax and chewing xylitol gum.Conclusion: The conclusion from this study is a significant difference between salivary flows chewing paraffin wax and chewing xylitol gum in patient-indicated GERD at RSUDZA in Banda Aceh
Highlights
Gastroesophageal Reflux Disease (GERD) is a condition of irreversibility of stomach contents into the esophagus exceeds the normal amount and causes a variety of complaints
This study aims to observes salivary flow rate differences between paraffin wax and xylitol gum patient - indicated GERD at RSUDZA in Banda Aceh
Salivary factors and microbial analysis in patients with active gastro-esophageal reflux disease
Summary
Jenis penelitian ini adalah analitik dengan menggunakan desain cross sectional yaitu mengukur antar variabel dalam suatu waktu dan menentukan hubungan antara keduanya. Populasi dalam penelitian ini adalah semua pasien yang mengeluhkan heartburn dan regurgitasi dan berobat di Poliklinik Gastroenterohepatologi RSUD dr. Sampel dalam penelitian ini adalah pasien dengan nilai total kuisioner GERDQ berbahasa Indonesia ≥ 8 yang berobat di Poliklinik Gastroenterohepatologi RSUD dr. Zainoel Abidin Banda Aceh pada bulan Februari-Maret 2016 yang memenuhi kriteria inklusi dan eksklusi. Kriteria inklusi pada penelitian ini adalah pasien dengan keluhan heartburn dan regurgitasi serta nilai total kuisioner GERDQ berbahasa Indonesia ≥ 8.22 Sedangkan, kriteria eksklusi yaitu pasien yang tidak bersedia dijadikan subjek penelitian, alergi terhadap bahan permen karet, merokok, pengangkatan kelenjar saliva, yang sedang atau pernah terapi radiasi kepala dan leher, penyakit seperti diabetes melitus/HIV/AIDS/ Sjogren syndrom. Alat dan bahan dalam penelitian ini yaitu gelas ukur (merk GC Saliva Check Buffer Kit), Stopwatch, lembar kuisioner GERDQ, checklist form, informed consent, masker, sarung tangan, permen karet xylitol, parafin wax, tisu, pulpen dan kertas. Hasil data penelitian akan dianalisa mengunakan uji Wilcoxon untuk membandingkan laju aliran saliva terstimulasi antara pengunyahan parafin wax dengan permen karet xylitol
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