Unstimulated Saliva Collection Research Articles

Phase I study of copaiba aqueous mouthwash in patients with head and neck cancer undergoing radiotherapy.

e24103 Background: Due to the contraindication of low-power laser therapy in the tumor region, the use of copaiba for the management of oral mucositis was proposed, given its anti-inflammatory, antimicrobial and healing properties. This study aimed to evaluate the dose-limiting toxicity/maximum tolerated dose of copaiba aqueous mouthwash solution. Methods: This is a phase I study including patients with cavity or oropharynx cancer (CID-10 C00-C06,10), undergoing radiotherapy alone or associated with chemotherapy. Six successive cohorts were proposed, with a minimum of 3 patients each. The copaiba aqueous mouthwash was used daily starting on the first day of radiotherapy and up to 37 days, associated with Low Power Laser applications (100Mw, 660nm, beam area 0.09842 cm²,1J) in non-tumoral areas. In cohorts 1, 2, and 3, a 10% solution was used, and in cohorts 4, 5, and 6, 15%, 2, 3 and 4 times a day, respectively. Daily assessment was carried out evaluating the presence of oral mucositis lesions (World Health Organization and Oral Mucositis Assessment Scale) and complaints of pain (CTCAE v5.0 and Visual Analogue Pain Scale) and xerostomia (presence or absence). Sialometry was carried out through the collection of unstimulated saliva (by Davies (2002) criteria), once a week. Results: Twenty patients were included (cohort 1 = 5, cohort 2 = 3, cohort 3 = 3, cohort 4 = 3, cohort 5 = 3, cohort 6 = 3) - 1 patient was excluded and 1 discontinued from cohort 1 (due to changes in radiotherapy planning and non-adherence to dentistry appointments). A total of 19 participants used the mouthwash. Most of the participants were women (57.9%), with a median age of 63.2 years, and performance status 1 (84.2%). Most tumors were squamous cell carcinomas (84.2%), 47.4% of them in the palate; 57.9% were staged as IVA. Themedian total radiotherapy dose was 68.0 (60.0-70.0) Gy delivered in 33.0 (30.0-34.5) fractions. Pain in the oral cavity (73.7%) and oropharynx (52.6%) were referred, graded respectively as 4.5 (0.75-7) and 1.5 (0-6). Oral mucositis was classified as grade 3 at most; none of the patients developed grade 4 or had to have radiotherapy interrupted due to toxicity. Ulcerated lesions of oral mucositis developed in the tumor area in 68.4% of patients and non-tumor areas in 84.2%. Patients complained of xerostomia in 73.7% of cases and the median unstimulated sialometry was 0.17mL/min. None of the patients experienced dose-limiting toxicity related to the copaiba solution. Conclusions: Copaiba mouthwash did not trigger dose-limiting toxicity in any of the patients throughout the study, leading to amaximum tolerated dose of 15%, 4 times/day. None of the patients complained of pain or burning related to the use of mouthwash in the absence of oral mucositis lesions, suggesting that it is safe and non-toxic for this use. In this sense, considering the obtained results, the development of a phase II study becomes the next logical step in this research area. Clinical trial information: ID - 34635020.5.0000.5274.

Pengaruh Pola Makan Vegetarian Lakto-Ovo terhadap pH Saliva

Background: Lacto-ovo vegetarian has been associated with a higher risk of nutritional deficiencies. Some studies have reported that nutritional deficiencies could affect salivary pH. Objective: The purpose of this study was to determine the effect of a lacto-ovo vegetarian diet on salivary pH differences. Method: This study used an observational analytic study with a cross sectional approach. This study involved 40 healthy subjects aged 17-44 years consisting of 2 groups: lacto-ovo vegetarian (n= 20) for at least 1 year and non vegetarian (n = 20) as a control group. Pregnant women, anticholinergic and alcohol consumption, smoking habits and DMFT > 5 are exclude from this study. The collection of unstimulated saliva was done using the spitting method. Saliva pH was measured using a digital pH meter. The data obtained were statistically tested using the Mann-Whitney test. Results: The mean salivary pH values in the lacto-ovo vegetarian diet group were lower than those of the non vegetarian group. There is a significant difference in salivary pH between lacto-ovo and non vegetarian group (p<0,05). Conclusion: Individuals with lacto-ovo vegetarian diet have a low salivary pH which might influence their oral health.

The effects of maternal environmental tobacco smoke exposure on periodontal health and mother-infant bonding in relation to salivary cotinine level

Background: Environmental tobacco smoking is produced by active smokers burning the tip of a cigarette and breathed by nonsmokers and measured by cotinine level. It has the potential to raise the risk of periodontal disease. One of the most frequent chronic diseases in adults is periodontal disease. The lower maternal-fetal attachment has been found to predict smoking status in previous studies, but no research has examined whether maternal-fetal attachment predicts environmental tobacco smoking. This study assessed the effects of maternal environmental tobacco smoke exposure on periodontal health and mother-infant bonding concerning salivary cotinine levels. Materials and methods: This is a comparative cross-sectional study comparing environmental tobacco smoke on exposed and non-exposed mothers aged between 20-35 years with their infants aged up to one year who attended primary health care centers in rural areas of AL-Karkh sector/Baghdad. Along with the essential socio-demographic data, a secondhand smoke exposure scale and postpartum bonding questionnaire were employed. Collection of unstimulated saliva from mothers was done according to Navazesh and Kumer in 2008. After that, the clinical Assessment of gingival bleeding and periodontal pockets was performed by using Community Periodontal Index according to the world health organization in 1997. Results: Out of 150 subjects,67(44.66%) were exposed to environmental tobacco whereas the non-exposed mothers were composed of 83 (55.33%). The highest mean number of CPI0(healthy gingiva) and CPI1(gingival bleeding) were among the non-exposed mothers while the highest mean number of CPI2(dental calculus), CPI3 (shallow pocket 4-5mm) and CPI4(deep pocket 6mm or more) were among the exposed mothers. The mean value of cotinine level among the non-exposed mothers was lower than exposed mothers with significant results. A higher salivary cotinine level was linked to a lower maternal-fetal bonding score. Conclusions: Mother’s exposure to environmental tobacco smoke significantly negatively impacts periodontal disease. Furthermore, mothers who have a stronger sense of attachment and affiliation to their fetus have lower salivary cotinine concentrations than mothers who have a less sense of fetal attachment.

Influence of Vitamin D Deficiency on the Level of Salivary cathelicidin LL-37 in relation to Dental Caries Experience: A Case-Control Study

Background: Vitamin D improves innate immunity by enhancing the expression of antimicrobial peptides. The antimicrobial action of cathelicidin is widespread and effective against cariogenic bacteria. This research aimed to investigate the effect of vitamin D deficiency on the level of salivary cathelicidin concerning dental caries experience. Subjects and Methods: A case-control study was carried out, and the sample was composed of 80 females; the study group involved 40 females with a serum vitamin D concentration of less than 10 ng/ml. In addition to the control group involving 40 females who matched the case in number and age but serum vitamin D concentration of 30 ng/mol or more, their age range was 20-30 years. WHO 2013 index was used for the assessment of dental caries experience, and collection of unstimulated saliva was done to measure salivary cathelicidin. Results: Data from the current study showed that the mean values of the Decayed, Missing, and Filled Teeth index and its components (Decayed Teeth, Missing Teeth) were higher in the study group than those in the control one, with a significant difference for Decayed Teeth. Salivary cathelicidin was higher in the control group with a statistically significant difference. Conclusion: It was confirmed that serum vitamin D status and salivary cathelicidin levels are related. Vitamin D deficient patients who had higher Decayed, Missing, and Filled Teeth index values expressed a lower level of salivary cathelicidin than the control group.

A call for further research on the relation between type 2 diabetes and oral candidiasis

This study aimed to evaluate the relationship between oral candidiasis with salivary features, neutrophil function, and glycemic control in type 2 diabetes (T2D). Twenty-nine individuals were included, 16 with T2D and 13 without the disease. The participants underwent clinical examination, neutrophilic function tests, fasting glycemia and glycated hemoglobin (A1c), stimulated and unstimulated saliva collection, and swab and exfoliative cytology. Salivary flow, pH, and total fungi count were evaluated on saliva, and identification of the Candida species was performed in saliva and swab samples. There was no difference in unstimulated salivary flow and pH of the stimulated and unstimulated saliva for participants with T2D and controls (P > .05). Individuals from both groups presented no candidal lesions. The salivary fungal growth in the T2D group was higher than that in controls (P < .05). Only individuals with T2D presented alterations in the neutrophilic functions (14/16; 87.5%; P < .05). There was no relationship between high A1c values and neutrophil dysfunction with the presence of Candida spp. in both saliva and mucosa (P > .05). High A1c level, reduction in neutrophil activity, salivary flow and pH, and increase in total salivary Candida spp. counts were not related to oral candidiasis in patients with T2D.

Effect of second-hand smoke on systemic, oral and psychological health of primary school children in Western Uttar Pradesh: a biochemical analysis.

Secondhand smoke (SHS) exposure causes several systemic problems like asthma, dental problems like caries and effects overall wellbeing. This study was conducted to study the impact of SHS on primary school children by associating it with dental caries, cotinine level, asthma severity and overall wellbeing. A case control study was conducted amongst 200 children (9-15 years old) that came to the Dental College in Muradnagar-Ghaziabad, India. Children who lived in smoking households were identified as SHS subjects-100 children and those who lived in nonsmoking households were identified as control group-100 children. Parents completed questionnaire regarding their smoking status. In children's questionnaire severity of asthma was determined by using expert panel report (EPR3), dental caries was recorded by dmft Index and psychological assessment of children was done using WHO-5 Wellbeing Index. Collection of unstimulated saliva of children was done in sterile plastic tubes and cotinine level was measured using Enzyme-Linked-Immunosorbent Assay (ELISA). Students' t-test and One-Way Analysis of Variance (ANOVA) were used to analyze data. Mean number of children suffering from asthma was higher in SHS subjects in comparison to control group i.e. 348.9±166.509 and 247.3±15.86 respectively. dmft and WHO wellbeing scores increased as level of cotinine increased. Mean cotinine level was higher in SHS subjects than control group i.e. 348.9±166.509 and 247.3±15.86 respectively. SHS has an adverse impact on young children reflected by poor dmft scores and psychological wellbeing, increased cotinine levels and asthma severity in comparison to control group.

The Use of Saliva as a Biosample in the Light of COVID-19.

Saliva is easy to collect and a biofluid that is readily available without the need for special equipment for its collection. The collection process, which is non-invasive and inexpensive, leads to obtaining a biomaterial that can serve as a source of information for molecular diagnostics of diseases in general medicine, genetics and dentistry. Unfortunately, many of the salivary methodologies are lacking important parameters to provide for not only the safety of the operator, but also the quality and reproducibility of the research. Since the COVID-19 pandemic, salivary diagnostics demonstrate a great potential for research of SARS-CoV 2. In this review, good practice for unstimulated saliva collection and patient preparation was provided, based on the latest literature and available guidelines. Schemes for saliva collection procedures were presented following an extended literature search. Descriptions of salivary probes/cups, techniques of saliva collection, and the use of specific buffering solutions for the stability of collected samples for SARS-CoV-2 detection were also evaluated.

Salivary Cortisol as a Stress Biomarker and Total Viable Count of Salivary Bacterial Microbiome among COVID-19 Patients

Background: The COVID-19 virus outbreak had a massive effect on many parts of people's lives, as they were advised to quarantine and lockdown to prevent the virus from spreading, which had a big impact on people's mental health, anxiety, and stress. Many internal and external factors lead to stress. This negatively influences the body's homeostasis. As a result, stress may affect the body's capacity to use energy to defend against pathogens. Many recent investigations have found substantial links between human mental stress and the production of hormones, prohormones, and/or immunological chemicals. some of these researches have verified the link between stress and salivary cortisol levels. The aim of this study is to measure salivary cortisol as a stress biomarker as well as a total viable count of salivary bacterial microbiome among COVID-19 patients. Materials and methods: a sample of 84 adults patients was collected who were divided into two groups: the COVID-19 group consists of 42 patients and the COVID-19 free group which consists of 42 subjects. All subjects undergo a PCR test to confirm their health status. The collection of Un-stimulated saliva was done. Laboratory investigations were carried out to measure the total viable count of the salivary bacterial microbiome by culturing on Brain Heart Infusion Agar and to evaluate the salivary cortisol level using cortisol kit (Elecsys Cortisol II). Results: SPSS version 21 was used for statistical analysis. According to the statistical analysis, the salivary cortisol and total viable count of salivary bacterial microbiome values were substantially greater in the COVID-19 group than in the COVID-19 free group. Conclusion: A positive association was found between salivary cortisol and the total viable count of the salivary bacterial microbiome. So, when the concentration of salivary cortisol is elevated in the COVID-19 group, the level of the total viable count of the salivary bacterial microbiome is also elevated.

Suitability of saliva stimulants for valid assessment of steroid hormones via radioimmunoassay

Salivary steroid measurement is a popular way to assess endocrine hormone levels, but efficient sample collection can be challenging because the use of stimulants can interfere with valid measurement. The aim of this study was therefore to identify a stimulant that can be used in assessment of the steroid hormones cortisol (C), testosterone (T), progesterone (P) and estradiol (E2) without impairing their quantification by radioimmunoassay. Study 1 and 2 explored the suitability of potential stimulants in comparison to unstimulated saliva collection. Study 3 tested stimulants under standardized conditions in water. Across all three studies, Parafilm® wax foil performed best and was therefore tested once more and validated as a saliva stimulant in Study 4. No significant differences between unstimulated saliva and Parafilm®-stimulated saliva could be found for any of the four hormones assayed. Therefore, Parafilm® appears to be a suitable saliva flow stimulant for assaying the salivary steroid hormones C, T, P and E2 by radioimmunoassay.

Stress/Immune Biomarkers in Saliva among Children with ADHD Status.

Background. This cross-sectional study aimed to evaluate stress and immune biomarkers in saliva samples of attention-deficit/hyperactivity disorder ADHD compared to healthy non-ADHD children. Material and methods. A total of 132 children under 11 years old (8.5 ± 1.1) enrolled in a cross-sectional study: with confirmed ADHD (n = 60) and healthy controls (n = 72). The clinical evaluation included physical measurements (height, waist, hip circumference, body weight, body mass index BMI, BMI z-score) and unstimulated saliva collection and measurements of free cortisol, salivary alpha-amylase (sAA), and secreted immunoglobulins (sIgA, IgG, and IgM) with quantitative assay (ELISA) analysis. Unpaired t-test, Welch test, or Mann–Whitney U test were applied for group comparisons when appropriate, and the correlation between variables was analyzed with Spearman’s rank coefficient. Results were considered significant at p < 0.05. Results. In the ADHD group, body weight (p ≤ 0.01), BMI (p ≤ 0.009), and hip circumference (p ≤ 0.001) significantly differed, while waist size and BMI z-score did not (p > 0.05). Significant elevation of the salivary sAA (p = 0.03), sIgA (p = 0.02), and IgM (p ≤ 0.001) biomarkers were detected, without differences in the morning cortisol (p > 0.05). Significant correlations between cortisol and BMI, hip size, and IgA, as well as between IgG and sAA and IgA were obtained. Conclusions. Saliva can be used to monitor ADHD status with regard to biomarkers indicating the hypothalamus–pituitary–adrenal axis, as HPA axis, and sympathetic activity. The results indicate that morning collection of saliva in contrast to unchanged salivary cortisol, may evaluate mentioned above system dysregulations by measurements of sAA and immunoglobulins among ADHD children.

Serum vitamin D/25(OH)D associated with toll-like receptor (TLR) 2 expression of immune cells in the saliva of Systemic Lupus Erythematosus: a preliminary study

Objective: Vitamin D deficiency may contribute to Systemic Lupus Erythematosus (SLE) development. Vitamin D may involve in pathogen recognition through Toll-like receptor (TLR) 2 in immune cells in saliva. This study aimed to determine the correlation between serum vitamin D/25(OH)D and TLR2 expression of immune cells in the saliva of SLE. Materials and methods: This cross-sectional study conducted at the the SLE patients who met the inclusion and exclusion criteria. Those who had signed informed consent involved to underwent unstimulated saliva collection and blood samples for TLR2 and vitamin D/25(OH)D examination. The correlation between serum vitamin D/25(OH)D concentration and salivary TLR2 expression was analyzed using the correlation test, linear regression with 95% confidence level. Results: Thirty SLE patients had a mean serum vitamin D/25(OH)D concentration of 9.98 ± 4.64 ng/ml. The mean of TLR2 expression of CD11b+ cells in saliva was 26.03 ± 20.92%. There was a significant positive correlation between serum vitamin D/25(OH)D concentration and TLR 2 expression of CD11b+ cells in the saliva. (r = 0.434; P &lt; 0.05). Vitamin D/25(OH)D was the only predictor for TLR 2 expression. Conclusion: Serum vitamin D/25(OH)D concentrations associated with TLR2 expression of CD11b+ cells in the saliva of SLE.

Comparison of DNA Extracted from Pediatric Saliva, Gingival Crevicular Fluid and Site-Specific Biofilm Samples.

(1) Introduction: Due to the non-invasive nature of saliva, many methods have been used to isolate and collect DNA from saliva samples for microbial screening. Many oral microbes also inhabit the oral biofilm, which may represent significantly different microbial constituents that may contribute to oral health and disease, including caries and periodontal disorders. Moreover, the biofilm may vary within the same patient at different sites. Few studies have evaluated the comparison between DNA isolated from saliva and DNA from site-specific biofilm, with virtually no studies addressing this analysis among pediatric patients. (2) Methods: An existing repository of paper point derived biofilm, gingival crevicular fluid (GCF), and unstimulated saliva samples previously collected from pediatric patients (n = 47) was identified. DNA was isolated from biofilm sites (tongue, upper buccal molar, mandibular lingual incisor), and GCF and saliva were used for quantitative DNA comparison using a phenol:chloroform extraction. A quantitative and qualitative analysis was performed using the NanoDrop 2000 spectrophotometer using absorbance readings at A230 nm, A260 nm and A280 nm. (3) Results: These data demonstrated the successful isolation of DNA from all of the patient samples, with the highest concentrations observed among unstimulated saliva (4264.1 ng/μL) and the lowest derived from GCF (1771.5 ng/μL). No differences were observed between males and females or minorities and non-minority patients. In addition, comparison of the overall concentrations of DNA obtained from adult samples was slightly higher than, but not significantly different from, the concentrations obtained from pediatric samples (p = 0.2827). A real-time quantitative qPCR screening revealed that all of the samples evaluated harbored bacterial and human DNA of sufficient quantity and quality for a molecular screening greater than the limit of detection (ΔRn = 0.01). (4) Conclusions: Many methods are currently available to provide the sampling and screening of saliva and specific sites within the oral cavity, but the validation and comparison of simple and low-cost methods, that include paper point sampling and unstimulated saliva collection, may suggest these methods and protocols provide sufficient DNA quality and quantity for molecular screening and other comparison applications. In addition, although heterogeneity will be a constant and consistent feature between patient samples, standardized methods that provide similar and consistent DNA from various oral sites may provide needed consistency for screening and molecular analysis.

Effect of silver diammine fluoride on micro-ecology of plaque from extensive caries of deciduous teeth - in vitro study

BackgroundThe mechanism of action of silver diammine fluoride (SDF) on plaque micro-ecology is seldom studied. This study investigated micro-ecological changes in dental plaque on extensive caries of deciduous teeth after topical SDF treatment.MethodsDeciduous teeth with extensive caries freshly removed from school children were collected in clinic. Unstimulated saliva collection and initial plaque sampling were done before tooth extraction, then each caries was topically treated with 38% SDF in vitro. After intervention, each tooth was stored respectively in artificial saliva at 37 °C. Repeated plaque collections were done at 24 h and 1 week post-intervention. Post-intervention micro-ecological changes including microbial diversity, microbial metabolism function as well as species correlations were analyzed and compared after pyrosequencing of the DNA from the plaque sample using Illumina MiSeq platform.ResultsAfter SDF application, microbial diversity decreased (P > 0.05), although not statistically significant. Microbial community composition post-intervention was noticeably different from that of supragingival and pre-intervention plaque as well as saliva. At 1 week post-intervention, the relative content of Pseudomonas, Fusobacterium and Pseudoramibacter were higher than before, while most of the other bacteria were reduced, although the changes were not statistically significant (P > 0.05). The inter-microbial associations became more complex, much more positive associations among survived bacteria were observed than negative ones. COG function classification diagram showed carbohydrate transportation and metabolic functions in the plaque were significantly reduced at 24 h and 1 week post-intervention.ConclusionsSDF has extensive antimicrobial effect on dental plaque, which may reduce carbohydrate metabolism in dental plaque and help promote new balance of the plaque flora.

Evaluation of salivary gamma-glutamyl transpeptidase as a biomarker in oral squamous cell carcinoma and precancerous lesions.

Background:Oral cancer is such a common malignancy, but its manifestations are usually asymptomatic, and by the time the lesion is diagnosed its invasion is deep. This makes the survival rate poor and also the treatment rendered during such stages is extensive and debilitating. In this regard, a novel approach has been advocated in the estimation of biomarkers in the body fluids. Gamma-glutamyl transpeptidase (GGT)/gamma-glutamyl transferase is an enzyme that is essential for the absorption of amino acids, especially in the degradation of glutathione. Its activity is increased in oral cancer and precancerous lesions.Aims and Objectives:The purpose of this study was to assess the activity and concentration of GGT in precancerous and cancerous patients in comparison with normal patients and also to assess its efficacy as an effective tumor marker.Materials and Methods:The study population comprised a total of 75 patients who were categorized into three groups as normal patients (25 cases in Group A), patients with precancerous lesions (25 patients in Group B) and patients with oral squamous cell carcinoma (25 cases in Group C). 5 ml of whole unstimulated saliva collection was done, it was centrifuged at 3000 rpm for 15 min and the supernatant thus obtained was used for the estimation of GGT levels. The detection was done by photometric method reading the absorbance at 405 nm.Results:Group A patients had values of GGT ranging from 4 to 30U/L with a mean of 16.7 ± 1.94U/L. Group B had activity of GGT ranging from 39 to 65 U/L with a mean of 50.4 ± 1.67U/L. In group C, the evaluated GGT activity was between 53 and 86 U/L and the mean was 70 ± 2.37 U/L. Statistical analysis using Chi-square test was conducted. Correlations between Group A and Group B and between Groups A and C showed a statistically significant relation (P < 0.005).Conclusion:Salivary gamma-glutamyl transferase activity can be used effectively as a tumor marker, and further studies with a larger sample size can be done to correlate this finding.

Quantitative Comparison of Oral Site-specific DNA Isolates Reveals Differential Outcomes

Introduction: More and more evidence has accumulated that suggests salivary sampling may provide direct analysis of oral conditions and microbial constituents, but may also be useful in the diagnosis and early detection of other chronic diseases. Although multiple methods of oral sampling currently exist, some methods are prohibitively expensive or based upon technologies not ubiquitously available at public health centers or state-funded colleges. This study provides a comparative analysis of DNA concentrations and quality from five specific oral sites derived using sterile paper points, including the gingival crevice between the upper central incisors, biofilm of the upper first molar, lingual incisor, and the dorsum of the tongue for comparison with unstimulated saliva collection.&#x0D; Methods: This study analyzed previously collected unstimulated saliva and paper point samples. In brief, DNA was isolated from each using TRIzol (phenol: Chloroform) extraction and DNA quantification and quality was measured using a NanoDrop spectrophotometer at 260 and 280 nm.&#x0D; Results: Analysis of Paper Point (PP) biofilm sampling sites from upper first molar, lower incisor, and dorsum of the tongue revealed similar average DNA concentrations, ranging between 14,342 ng/uL and 14,402 ng/uL (p=0.9851). Although variations were observed between different patients, samples from different oral sites within the same patient were strikingly similar, R=0.8355. Comparison of DNA isolated from fluids, gingival crevicular fluid (GCF) and unstimulated saliva revealed average DNA concentrations that were similar to the biofilm sampling sites (14,686 ng/uL and 13,743 ng/uL, respectively), which were not significantly different from one another (p=0.7893). DNA concentrations ranged considerably between patients (low = 4,410 ng/uL; high = 48,783 ng/uL), but were most similar with different samples (GCF, saliva) from the same patient (Pearson’s R=0.6979). In addition, DNA purity measured by A260:A280 nm absorbance did not reveal any significant difference among sampling sites (range 1.62 – 1.70; p=0.427).&#x0D; Discussion: Although many methods are available to provide oral sampling, simple and low-cost methods such as paper point sampling, unstimulated saliva collection and buccal swabs may represent tools that provide sufficient DNA quality and quantity for molecular screening. In addition, although heterogeneity between patient samples will always be present – samples from various oral sites within the same patient may provide roughly equivalent DNA samples for further screening and molecular analysis.

The Role of Salivary Cortisol and Mutans Streptococci in the Development of Early Childhood Caries

Hypothalamic-pituitary-adrenal system release salivary cortisol hormone, which may encourage the proliferation of Mutans Streptococci. The aim of this study was to assess the impact of salivary cortisol and Mutans streptococci on the development of early childhood caries. Eighty children aged 4-5 years old were selected randomly were divided into two groups (forty for each), early childhood caries group and caries free group. Dental caries was determined by measuring the dmfs according to WHO (1987), collection of unstimulated saliva was done and laboratory investigations was carried out to measure the viable count of Mutans Streptococci. Salivary cortisol was measured using cortisol kit (electrochemiluminescence immunoassay “ECLIA”). Statistical analysis was done using SPSS version 23. The statistical analysis showed that salivary cortisol and the viable count of Mutans Streptococci were significantly higher among the early childhood caries group than that found among the caries free group. Moreover, a significant positive association was found between salivary cortisol and the viable count of Mutans Streptococci. Salivary cortisol level was increased in children with early childhood caries so as the viable count of Mutans Streptococci, so it may play a role and has an impact on the bacterial proliferation in those children.

Testosterone, androstenedione, cortisol and cortisone levels in human unstimulated, stimulated and parotid saliva

BackgroundRecently, measurements of steroids like testosterone, androstenedione, cortisol and cortisone in saliva are more and more applied in diagnostics and scientific studies. This is mainly due to the simple and non-invasive collection of saliva. We aimed to evaluate the optimal way to collect saliva for steroid hormone measurement. MethodsWe investigated in twenty volunteers whether there is a difference between steroid hormone concentrations in unstimulated and stimulated saliva collected while chewing, using cotton and synthetic Salivettes®, citric acid or chewing gum. Furthermore, total unstimulated saliva was compared to parotid gland saliva. Testosterone, androstenedione, cortisol and cortisone were measured using Liquid-Chromatography Tandem Mass Spectrometry (LC-MS/MS). ResultsSalivary testosterone, androstenedione and cortisol concentrations were unaffected by stimulation upon mouth and tongue movements, cortisone levels were on average 16% lower. Concentrations of all hormones were lower in parotid gland saliva compared to total unstimulated saliva (on average 51%, 26%, 66% and 49% lower, for testosterone, androstenedione, cortisol and cortisone, respectively). Concentrations of testosterone as well as androstenedione were lower when using synthetic Salivettes® (58% and 41%, respectively) and were higher when using cotton Salivettes® (217% and 46%, respectively). Cortisol levels in saliva were unaffected by using Salivettes®. However, cortisol and testosterone levels were higher in with chewing gum stimulated saliva (16% and 55%, respectively). Cortisone concentrations were lower in all types of stimulations (on average 25%–35%). ConclusionThe way saliva is collected should be considered when analysing and interpreting salivary hormone concentrations. We advocate unstimulated saliva collection in simple polypropylene tubes for all steroid measurements.

КЛІНІКО-ЛАБОРАТОРНЕ ОБҐРУНТУВАННЯ ВПЛИВУ СЛИННИХ ЗАЛОЗ НА СТОМАТОЛОГІЧНИЙ СТАТУС У ХВОРИХ ІЗ ГЕПАТОБІЛІАРНОЮ ПАТОЛОГІЄЮ

Слинні залози відіграють значну роль у підтриманні нормального гомеостазу тканин і органів порожнини рота. Захворювання гепатобіліарної системи займають центральне місце серед усіх соматичних патологій людського організму. В разі ушкодження бар’єрної та антимікробної функцій печінки із кишечника через портальну кров відбувається транслокація умовно патогенних бактерій. Як наслідок, відомі гепаторенальний, гепатопульмональний, гепатомукозальний та гепатооральний симптоми. Встановлено, що ризик виникнення порушення стану слинних залоз при гепатобіліарній патології значно вищий. У таких хворих обов’язково присутні такі стоматологічні захворювання, як катаральний та атрофічний гінгівіт, пародонтит, глосит, гіпосалівація та гіперестезія емалі та дентину.Мета дослідження вивчити стан слинних залоз та їх вплив на стоматологічний статус у хворих із гепатобіліарною патологією.Матеріали і методи Було обстежено 40 осіб, яких поділили на 3 групи. Першу групу – контрольну (здорові люди) склали 11 осіб. Другу групу – хворі (10 осіб) із хронічним запаленням жовчного міхура. Третя група (19 осіб) – пацієнти з хронічним холециститом у поєднанні з гострим гіалоденітом. Вік обстежуваних – 20–45 років. Обстеження складалось із збору анамнезу, об’єктивного обстеження порожнини рота та визначення індексів гігієни (Гріна–Вермільйона, Федорова–Володкіної). Проводили збір нестимульованої слини впродовж 15 хв натще. Стан гепатобіліарної системи оцінювали за допомогою біохімічного дослідження сироватки крові у пацієнтів гастроентерологічного відділення.Результати досліджень та їх обговорення. За даними проведених досліджень, доведено, що у пацієнтів із гепатобіліарною патологією збільшується ймовірність виникнення захворювання слинних залоз та стоматологічної патології.Висновки. За допомогою проведених клініко-лабораторних досліджень ми переконались, що при гіпосалівації збільшується ймовірність виникнення стоматологічних захворювань. У результаті зменшення об’єму слини, знижується її кількість у порожнині рота, як наслідок мікробний фактор перемагає над захисними властивостями з розвитком патологічних процесів.

The influence of sampling method on electrolyte concentrations, pH and buffer capacity of saliva in healthy individuals

Abstract Introduction Saliva is a complex secretion, which plays an important role in maintenance of oral health. Analysis of saliva is fast, simple and non-invasive, and it is increasingly used as a biological sample for determination of various biochemical markers. The aim was to determine the influence of unstimulated saliva collection methods for measuring electrolytes concentration (sodium, potassium, calcium), pH and buffer capacity of saliva in healthy subjects. Material and methods 30 healthy subjects, males and females, aged 18 to 20 years, without oral and systemic diseases were included in the study. Unstimulated saliva samples were taken using a special tube (Salivette) and via direct spitting into the test tube. The concentrations of sodium and potassium were determined by flame emission photometry while spectrophotometry was used for calcium concentration. For the analysis of pH value of saliva pH-meter was used, while saliva buffer capacity was determined by titration with HCl (0.005 mol/L). Results The level of sodium in unstimulated saliva collected in test tubes was 8.43 ± 3.92 mmol/L and in special tubes 7.90 ± 4.33 mmol/L. Potassium level in unstimulated saliva collected in test tubes was 13.62 ± 0.99 mmol/L while in special tubes it was 13.54 ± 0.94 mmol/L. Mean values of sodium and potassium in unstimulated saliva didn’t show statistically significant difference in their concentrations between the two methods of collecting saliva. In contrast to these electrolytes, calcium concentration was higher in the samples of saliva collected with special tubes (2.04 ± 1.05 mmol/L) compared to the samples taken by direct spitting into the test tube (1.38 ± 1.18 mmol/L) with statistically significant difference (p &lt; 0.05). By analyzing the pH of unstimulated saliva it was found that the average pH value of saliva collected with special tubes was 7.05 ± 0.32, and after direct spitting into test tubes it was 7.35 ± 0.41. Buffer capacity of saliva in healthy subjects was lower after taking with special tubes (5.18 ± 0.74) compared to test tubes (5.36 ± 0.85), but without statistical difference. Conclusion Unstimulated saliva collecting methods using cotton pads (salivette) and direct spitting in the test tube did not affect the value of pH, buffer capacity, the concentrations of sodium and potassium, but affected the concentration of calcium in saliva from healthy subjects.

Erosive Potential Of Various Commercially Available Lollipops

ABSTRACT OBJECTIVES • To measure pH and neutralisable acidity of lollipops. • To determine salivary pH and salivary secretion. METHODS Chocolate, strawberry and mango flavoured lollipops were selected based on differences in pH and neutralisable capacity and tested on 10 healthy volunteers. Each experimental session included collection of unstimulated saliva, stimulated saliva and post-stimulated saliva. Saliva secretion rates were determined gravimetrically and the salivary pH was measured by electronic pH meter. RESULTS The pH of chocolate, strawberry and mango flavoured lollipops were 5.2, 3.8 and 2.6 respectively. The nuetralisable acidity of chocolate, strawberry and mango flavoured lollipop were 500 μl, 2600 μl and 3300 μl respectively. All lollipops stimulated salivary flow. Strawberry and mango flavoured lollipops induced a significant decrease of the salivary pH at stimulated 5 minutes (p value &lt; 0.05). CONCLUSION Strawberry and mango flavoured lollipops have mild erosive potential. Chocolate flavoured lollipops seem to have no erosive potential.