Specific Sialochemical and Sialometric Changes and Cariogenic Risk in Patients with Primary Sjogren`s Syndrome

2017 ◽  
Vol 68 (9) ◽  
pp. 2135-2138
Author(s):  
Codrina Ancuta ◽  
Cristina Angela Ghiorghe ◽  
Rodica Chirieac ◽  
Alice Arina Ciocan Pendefunda ◽  
Cristina Iordache
Keyword(s):  
Biochemical Analysis ◽  
Salivary Flow ◽  
Flow Rates ◽  
Increased Risk ◽  
Whole Saliva ◽  
Tooth Surfaces ◽  
Potential Impact ◽  
Bacterial Plaque ◽  
Saliva Flow ◽  
Saliva Composition

The main aim of our study was to perform a biochemical analysis of the saliva and to assess potential impact on oral health, particularly cariogenic issues, in patients with salivary secretory dysfunction such as primary Sjogren�s syndrome (pSSj). Consecutive pSSj and healthy age-matched controls were prospectively assessed for (i) whole saliva flow rates (unstimulated, RFR, and stimulated, RFS), pH and composition; (ii) cariogenic scores - decayed, missing and filled tooth surfaces (DMFS index), Silnes and Loe bacterial plaque index (PI). Salivary flow rates were significantly lower in pSSj for both unstimulated and stimulated tests (p[0.05), with a drop in pH as compared to healthy controls (p[005). Abnormal inorganic and organic saliva composition was reported in all cases comprising higher sodium, lower potassium and chloride concentrations, higher amylase activity and lower total protein (p[0.05). Statistically significant higher cariogenic scores particularly DMFS, were demonstrated in all pSSj (p[0.05). In conclusion, patients with pSSj are at increased risk to develop cariogenic issues due to both quantitative and qualitative salivary changes.

Electrical Stimulation of Salivary Flow in Patients with Sjögren's Syndrome

1988 ◽  
Vol 67 (10) ◽  
pp. 1334-1337 ◽  
Author(s):  
M. Steller ◽  
L. Chou ◽  
T.E. Daniels
Keyword(s):  
Electrical Stimulation ◽  
Sjögren's Syndrome ◽  
Sjogren’S Syndrome ◽  
Salivary Flow ◽  
Sjogren's Syndrome ◽  
Flow Rates ◽  
Active Devices ◽  
Whole Saliva ◽  
Saliva Flow ◽  
Sjögren‘S Syndrome

Patients with the salivary component of Sjögren's syndrome (SS) develop chronic xerostomia, which causes oral symptoms and functional impairment in approximate proportion to its severity. The purpose of this double-blind study was to determine whether an electrical stimulus applied to the tongue and hard palate by a battery-operated device (SAL II, Biosonics, Inc.) could stimulate salivary flow in subjects with generally severe SS. Twenty-nine patients with the salivary component of SS (diagnosed as the presence of focal chronic sialadenitis in a labial salivary gland biopsy specimen with a focus score of > 1 focus/4 mm2) were randomly assigned active or placebo devices, which they used for three minutes, three times a day for four weeks. Whole saliva flow rates were measured at weeks 0, 2, and 4 by collection of whole saliva both before and after stimulation with the device. Twenty-four subjects completed the study. The change in mean post-stimulation flow rate from week 0 to week 4 was greater for the 13 subjects using an active device (0.08 ± S.D. 0.08 gl2 min, to 0.24 ± 0.33 gl2 min) than for the 11 subjects using a placebo device (0.11 ± 0.15 gl2 min, to 0.08 ± 0.18 gl2 min) (p = 0.04). However, the magnitude of the mean difference was small, because three subjects using active devices responded and others did not. Only five subjects, all using active devices, reported a subjective increase in the amount of their saliva. The results of this study indicate that some SS patients with residual salivary flow show a significant response to electrical stimulation, but others with low or absent whole saliva flow rates do not respond.

Comparison of Whole Saliva Flow Rates and Mucin Concentrations in Healthy Caucasian Young and Aged Adults

1992 ◽  
Vol 71 (6) ◽  
pp. 1275-1278 ◽  
Author(s):  
M. Navazesh ◽  
R.A. Mulligan ◽  
V. Kipnis ◽  
P.A. Denny ◽  
P.C. Denny
Keyword(s):  
Flow Rate ◽  
Salivary Flow ◽  
Young Group ◽  
Salivary Flow Rate ◽  
Flow Rates ◽  
Aged Group ◽  
Whole Saliva ◽  
Saliva Flow

Unstimulated and chewing-stimulated whole saliva samples were obtained from 42 healthy Caucasians; 21 were between 18 and 35 years of age, and 21 between 65 and 83 years of age. The unstimulated salivary flow rate was significantly lower in the aged group, but the stimulated flow rate was significantly higher in the aged than in the young group. Both groups showed significantly increased flow during salivary stimulation. MG1 and MG2 concentrations in unstimulated and stimulated saliva samples were significantly lower in the aged group. There were no significant correlations between salivary flow rates and MG1 and MG2 concentrations.

An Epidemiologic Perspective of Saliva Flow Rates as Indicators of Susceptibility to Oral Disease

1993 ◽  
Vol 4 (3) ◽  
pp. 351-356 ◽  
Author(s):  
Ronald J. Billings
Keyword(s):  
Salivary Flow ◽  
Root Surface ◽  
Oral Disease ◽  
Oral Diseases ◽  
Flow Rates ◽  
Relevant Effect ◽  
Whole Saliva ◽  
Pathologic Lesions ◽  
Saliva Flow ◽  
Study Participants

Catastrophic hyposalivation significantly increases susceptibility to dental caries in dentate individuals and may cause the expression or exacerbation of other oral diseases/disorders as well. The effect of subcatastrophic hyposalivation on susceptibility to caries or other diseases/disorders is less well understood. The aim of this study (part of a larger study on the prevalence of hyposalivation) was to determine the prevalence and to measure the association of oral pathologic conditions with unstimulated and stimulated whole saliva flow rates. Only 6.3% of all study participants had significantly diminished unstimulated (<0.05 ml/min) and stimulated (<0.50 ml/ min) saliva flow rates. A total of 15 individuals were encountered with oral pathologic lesions and none of these lesions were associated with hyposalivation. Although the prevalence of coronal caries, root surface caries, abrasion, and erosion tended to increase as salivary flow decreased, when the effect of age was considered no significant differences were present. These data suggest that low saliva flow rates alone, at least from an epidemiologic perspective, do not have a clinically relevant effect on susceptibility to oral diseases/disorders.

Preliminary Observations on the Effect of Mantle Field Radiotherapy on Salivary Flow Rates in Patients with Hodgkin's Disease

1988 ◽  
Vol 67 (2) ◽  
pp. 518-521 ◽  
Author(s):  
J.A. Bucher ◽  
T.J. Fleming ◽  
L.M. Fuller ◽  
H.J. Keene
Keyword(s):  
Flow Rate ◽  
Hodgkin's Disease ◽  
Hodgkin’S Disease ◽  
Salivary Flow ◽  
Mean Flow ◽  
Flow Rates ◽  
Whole Saliva ◽  
Preliminary Study ◽  
Saliva Flow ◽  
Therapeutic Doses

Changes in stimulated and non-stimulated whole saliva flow rates were measured in 11 Hodgkin's disease patients who received therapeutic doses of radiation to a mantle field at the M. D. Anderson Hospital in Houston, Texas. Salivary flow rates were examined before, during, and after radiotherapy. Mean flow rate reductions of 54% for non-stimulated saliva and 55.7% for paraffin-stimulated saliva were observed post-radiotherapy. Flow rates had not returned to pre-irradiation levels in any of the patients who were observed for two to three months after completion of therapy. Results obtained from this preliminary study indicate that most patients who receive therapeutic doses of radiation to a mantle field experience a significant reduction in salivary output which is manifest during the period of treatment and persists for a period of at least two to three months post-radiotherapy.

scholarly journals Sialochemical and oxidative analyses in radioactive I131-treated patients with thyroid carcinoma

2008 ◽  
Vol 158 (5) ◽  
pp. 677-681 ◽  
Author(s):  
Sophia Ish-Shalom ◽  
Lena Durleshter ◽  
Elena Segal ◽  
Rafael M Nagler
Keyword(s):  
Oral Cavity ◽  
Salivary Glands ◽  
Salivary Flow ◽  
Flow Rates ◽  
The Past ◽  
Whole Saliva ◽  
High Doses ◽  
Saliva Composition ◽  
Harmful Effects

BackgroundI131 in relatively high doses has been shown in the past to cause damaging salivary effects and oral discomfort in patients. Although lower dosage is now widely accepted, I131 may still be the source of salivary damage over the long-term and subsequent harmful effects on both the oral cavity and the gastrointestinal tract, into which the saliva is swallowed. This study examined the effects of radioactive I131 on salivary gland activity, saliva composition and oxidative profile, and related oral discomfort complaints following thyroidectomy due to carcinoma of thyroid gland.MethodsOut of 40 consenting female post-thyroidectomy patients, 23 (mean age 50±4 years old) were treated with I131 while 17 (mean age 46±4) were not. Whole saliva from all subjects was analyzed for antioxidant and biochemical composition and flow rate.ResultsThe salivary flow rates of both groups were similar but their composition differed considerably. Salivary superoxide dismutase enzyme (SOD), total protein, and albumin concentrations were significantly reduced in the treated patients by 40, 25, and 18% respectively (P<0.05), as were all other salivary antioxidants. Oral discomfort complaints were far more prevalent in the I131-treated patients.ConclusionsI131-dependent damage to the salivary glands was evidenced by a broad spectrum of compositional alterations and oral complaints. Reduction in salivary antioxidant status, SOD enzyme, and the uric acid molecule leaves the oral cavity less protected against oxidative stress. This is the first report of radioactive I131 treatment being harmful to salivary glands due to compromised salivary compositional and oxidative profile and oral discomfort complaints.

Association Between Salivary Flow Rate and the Use of Systemic Medication Among 76-, 81-, and 86-year-old Inhabitants in Helsinki, Finland

1992 ◽  
Vol 71 (12) ◽  
pp. 1875-1880 ◽  
Author(s):  
T.O. Narhi ◽  
J.H. Meurman ◽  
A. Ainamo ◽  
J.M. Nevalainen ◽  
K.G. Schmidt-Kaunisaho ◽  
...  
Keyword(s):  
Flow Rate ◽  
Age Groups ◽  
Salivary Flow ◽  
Salivary Flow Rate ◽  
Flow Rates ◽  
Systemic Medication ◽  
Younger Age ◽  
Significant Difference ◽  
The Difference ◽  
Saliva Flow

The aim of this study was to examine salivary flow rate and its association with the use of medication in a representative sample of 76-, 81-, and 86-year-old subjects, totaling 368. In this study, 23% (n = 80) of the subjects were unmedicated. From one to three daily medications were used by 47% (n = 168) and more than four medications by 30% (n = 104). The most commonly used medications were nitrates, digitalis or anti-arrhythmic drugs (47.7%), analgesics and antipyretics (32.6%), and diuretics (29.5%). The mean number used daily was significantly higher in 86-year-olds than in the two younger age groups (p < 0.01). No significant differences in this respect were found between genders. Among the unmedicated subjects, 76-year-olds had significantly higher stimulated salivary flow rates than did the 81-year-olds (p < 0.05). Unmedicated women showed significantly lower unstimulated (p < 0.01) and stimulated flow rates than did men (p < 0.05). Stimulated salivary flow rate was also significantly higher in the 76-year-old medicated subjects than in the medicated 86-year-old subjects (p < 0.05). No statistically significant differences were found in unstimulated salivary flow rates among the three age groups. Medicated women showed significantly lower unstimulated salivary flow rates than men (p < 0.001), although the difference in stimulated saliva flow was not significant. A statistically significant difference in unstimulated and stimulated salivary flow rates was found between unmedicated persons and those who took from four to six, or more than seven, prescribed medications daily.

scholarly journals Variations of salivary flow rates in Brazilian school children

2006 ◽  
Vol 20 (1) ◽  
pp. 8-12 ◽  
Author(s):  
Sandra Regina Torres ◽  
Marcio Nucci ◽  
Estevão Milanos ◽  
Renata Pessoa Pereira ◽  
Alessandra Massaud ◽  
...  
Keyword(s):  
Public Schools ◽  
Health Status ◽  
Flow Rate ◽  
School Children ◽  
Medical Records ◽  
Salivary Flow ◽  
Salivary Flow Rate ◽  
Healthy Individuals ◽  
Flow Rates ◽  
Whole Saliva

The salivary flow rate (SFR) in healthy individuals may vary according to different factors. There is a scarcity of studies from different geographical areas that analyze SFR variations in children. The aim of this study was to verify stimulated salivary flow rate (SFR) variations in 6 to 12-year-old children, from four different public schools of Rio de Janeiro and correlate these data to gender, age, type of dentition, and health status. Clinical data were taken from the children's medical records that were kept at those schools. Oral examination and sialometry were performed in every child. Salivary flow rate was obtained by chewing-stimulated whole saliva under standard conditions. There were significant differences in SFR according to age (p = 0.0003). Six and 12-year-old children showed the lowest SFR, and when they were excluded from the analysis, no significant differences were found (p = 0.21). There were also significant differences in SFR among children from different public schools (p = 0.0009). The gender did not show any correlation to SFR, even when children were stratified by age (p = 0.36). Correlation between SFR and deciduous, mixed or permanent dentition was not found as well. These results show that the analyzed clinical variables did not seem to influence SFR in this children population.

On the Relationship between the Rate of Salivary Flow and Salivary Fluoride Clearance

2015 ◽  
Vol 49 (2) ◽  
pp. 141-146 ◽  
Author(s):  
Ralph M. Duckworth ◽  
S. Jones
Keyword(s):  
Flow Rate ◽  
Salivary Flow ◽  
Salivary Flow Rate ◽  
Time Of Application ◽  
Saliva Flow Rate ◽  
Whole Saliva ◽  
Observed Behaviour ◽  
Saliva Flow ◽  
Unstimulated Whole Saliva ◽  
The Relationship

The amount of fluoride retained in the mouth following the application of dentifrices, mouthwashes, etc. may be important in determining their anticaries efficacy. In this study we investigated the relationship between the salivary flow rate and salivary fluoride clearance. Ten adults tested six mouthrinses, consisting of aqueous sodium fluoride solutions (0.013, 0.026 mol/l) with and without added sodium chloride (1.28 mol/l) or sucrose (0.44 mol/l), in a randomised order. Prior to each test, subjects swallowed, rinsed for 2 min with 2 ml water and then expectorated into a preweighed container to obtain a measure of initial saliva flow rate. Next, the procedure was repeated using one of the test rinses. Finally, samples of unstimulated whole saliva were collected for up to 3 h after each mouthrinse application and analysed for fluoride. Salivary fluoride concentrations were significantly lower after application of mouthrinses that contained either sucrose or NaCl, both of which compounds markedly enhanced salivary flow, than after the use of corresponding mouthrinses without any additive. Area under the salivary fluoride clearance curve (AUC) values were inversely correlated with salivary flow rate on an individual basis (p < 0.01). The observed behaviour could not be completely attributed to treatment dilution by saliva at the time of application.

Aging and Salivary Cytokine Concentrations as Predictors of Whole Saliva Flow Rates among Women

Gerontology ◽  
2002 ◽  
Vol 48 (5) ◽  
pp. 282-288 ◽  
Author(s):  
Charles Streckfus ◽  
Lenora Bigler ◽  
Tanya O’Bryan
Keyword(s):  
Flow Rates ◽  
Whole Saliva ◽  
Saliva Flow

Sialendoscopy enhances salivary gland function in Sjögren’s syndrome: a 6-month follow-up, randomised and controlled, single blind study

2018 ◽  
Vol 77 (7) ◽  
pp. 1025-1031 ◽  
Author(s):  
K Hakki Karagozoglu ◽  
Arjan Vissink ◽  
Tim Forouzanfar ◽  
Henk S Brand ◽  
Floor Maarse ◽  
...  
Keyword(s):  
Salivary Glands ◽  
Sjögren's Syndrome ◽  
Sjogren’S Syndrome ◽  
Salivary Flow ◽  
Sjogren's Syndrome ◽  
Control Group ◽  
Major Salivary Glands ◽  
Whole Saliva ◽  
Saliva Flow ◽  
Sjögren‘S Syndrome

ObjectivesTo assess the effect of sialendoscopy of the major salivary glands on salivary flow and xerostomia in patients with Sjögren’s syndrome (SS).MethodsForty-nine patients with SS were randomly assigned to a control group (n=15) and two intervention groups: irrigation of the major glands with saline (n=16) or with saline followed by triamcinolone acetonide (TA) in saline (n=18). Unstimulated whole saliva flow (UWS), chewing-stimulated whole saliva flow (SWS), citric acid-stimulated parotid flow (SPF), Clinical Oral Dryness Score (CODS), Xerostomia Inventory (XI) score and the European League Against Rheumatism (EULAR) SS Patient-Reported Index (ESSPRI) were obtained 1 week (T0) before, and 1 (T1), 8 (T8), 16 (T16) and 24 (T24) weeks after sialendoscopy.ResultsMedian baseline UWS, SWS and SPF scores were 0.14, 0.46 and 0.22 mL/min, respectively. After intervention, significant increases in UWS and SWS were observed in the saline group (at T8 (P=0.013) and T24 (P=0.004)) and the saline/TA group (at T24 (P=0.03) and T=16 (P=0.035)). SPF was increased significantly in the saline/TA group at T24 (P=0.03). XI scores declined after sialendoscopy in both intervention groups. Compared with the control group, CODS, XI and ESSPRI improved in the intervention groups. UWS, SWS and SPF were higher in the intervention groups compared with the control group, but these differences were not significant except for SPF in the saline/TA group at T24 (P=0.005).ConclusionsIrrigation of the major salivary glands in patients with SS enhances salivary flow and reduces xerostomia up to 6 months after sialendoscopy.

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