Stimulated salivary flow rate and composition in asthmatic and non-asthmatic adults

Lenander-Lumikari, M.; Laurikainen, Kari; Kuusisto, P; Vilja, Pekka

doi:10.1016/s0003-9969(97)00110-6

Cited by 57 publications

(46 citation statements)

References 29 publications

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“…The lower salivary secretion rate in asthmatics in the present study is in agreement with earlier studies [24,28] but differs from a study by Hyyppä et al [29], who found no difference in the salivary flow between asthmatics and healthy controls. This lower salivary secretion may be caused by the medication and may influence the plaque pH in these individuals.…”

Section: Discussionsupporting

confidence: 89%

Oral health in young adults with long-term, controlled asthma

Stensson

Wendt

Koch³

et al. 2011

Acta Odontologica Scandinavica

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Objectives. The aim of the present investigation was to study oral health in young adults with long-term, controlled asthma. Material and methods. Twenty 18-to 24-year-olds with a mean duration (SD) of asthma disease of 13.5 (5.4) years and 20 matched healthy controls were included. A clinical examination was performed and the prevalence of caries, erosions, gingival inflammation, cervicular fluid, periodontal pockets and plaque formation rate, were registered. The salivary flow rate, numbers of mutans streptococci and lactobacilli in saliva were determined. Plaque pH was measured after a sucrose rinse up to 40 min at two approximal sites. The participants were interviewed regarding dietary and oral hygiene habits. Results. The mean (SD) DFS, including manifest and initial caries, was 8.6 (10.6) in the asthma group and 4.0 (5.2) in the control group (p = 0.09). Initial caries lesions were more common in the asthma group than in the control group, 6.0 (8.1) and 1.3 (2.0 (p = 0.02). The asthma group had more gingivitis (p = 0.01) and lower stimulated salivary rate than the controls (p = 0.01). The asthmatics had also a somewhat, but not statistically significant, lower initial pH value in plaque and more pronounced pH drop compared with the controls. In the asthma group, 65% reported frequent mouthbreathing compared with 10% in the controls (p = 0.01). No differences were found in tooth-brushing and dietary habits between the groups. Conclusions. Young adults with long-term, controlled asthma had more initial caries, more gingival inflammation and lower stimulated salivary secretion rate than individuals without asthma.

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Section: Discussionsupporting

confidence: 89%

Oral health in young adults with long-term, controlled asthma

Stensson

Wendt

Koch³

et al. 2011

Acta Odontologica Scandinavica

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“…5,6 Lactobacillus and Streptococcus mutants counts in the whole saliva were also high in asthmatics. 7,8 The general concerns were that asthmatic children would be given interventive therapy for caries prevention. 9,10 More recent case-control studies have found that dental erosion, and associated tooth tissue loss, was increased in asthmatic cases, compared with controls.…”

Section: Introductionmentioning

confidence: 99%

“…11 Lack of buffering capacity due to reduced salivary flow rate was considered to be the most important risk factor in the cases. Cases of dental erosion in asthmatics were found to have similar reduced salivary buffering capacity and as high S. mutants count as high-risk caries subjects 8 and chewing gum was recommended to increase oral pH. 8 However, the sugar content and pH of the medications might also be factors.…”

Section: Introductionmentioning

confidence: 99%

Dental erosion in asthma: A case‐control study from south east Queensland

Sivasithamparam

Jirattanasopa

et al. 2002

Australian Dental Journal

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Background: Asthma medication places patients at risk of dental erosion by reducing salivary protection against extrinsic or intrinsic acids. But patterns of lesions in asthmatics may differ from patterns in non-asthmatics, because gastro-oesophageal reflux (GOR) is found in 60 per cent of asthmatics. Methods: The lesions in 44 asthma cases were compared to those of age and sex match controls with no history of asthma or medications drawn from the dental records of 423 patients referred concerning excessive tooth wear. The subjects were 70 males age range 15 to 55 years and 18 females age range 18 to 45. Anamnestic clinical data were compared between the two groups. Models of all 88 subjects were examined by light microscopy, and wear patterns were recorded on permanent central incisor, canine, premolar and first molar teeth. Results: Clinical differences were a higher incidence of tooth hypersensitivity, xerostomia, salivary gland abnormalities, gastric complaints, and self induced vomiting in the cases. No differences were found between the cases and controls on citrus fruit and acid soft drink consumption. More occlusal erosion sites were found in cases, whereas more attrition sites were found in the controls. There were no significant differences in palatal erosion on maxillary anterior teeth found between cases and controls. Lingual erosion of the mandibular incisors, found only in GOR patients, was not observed. Conclusions: A higher incidence of erosion was found in asthmatics. Gastro-oesophageal reflux symptoms were not associated with the sign of lingual mandibular incisor erosion. The clinical significance is that asthmatics are at risk of dental erosion from extrinsic acid, but GOR does not appear to contribute in a site-specific manner.

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“…7 Lenander_Lumikari ve ark. 31 astımlı hastalar ve sağlıklı kontrollerden toplanan uyarılmış tükürük örneklerindeki laktobasil, mutans streptokok ve kandida seviyeleri arasında farklılık olmadığını rapor etmişlerdir. Astımlı hastalarda saptanan yüksek tükürük myeloperoksidaz seviyesi ile periodontal hastalık arasında ilişki olduğu gösterilmiştir.…”

Section: Astım Ve Diş çüRüğüunclassified

“…Astımlı hastalarda saptanan yüksek tükürük myeloperoksidaz seviyesi ile periodontal hastalık arasında ilişki olduğu gösterilmiştir. 31 Literatürde astımlı çocuklarda plak ve diş taşı birikiminin sağlıklı bireylere göre daha fazla olduğu bildirilmiştir. 32,33 Bu durumun, parotis bezinin salgısındaki kalsiyum ve fosfor düzeyinin artmasından kaynaklanabileceği düşünülmektedir.…”

Section: Astım Ve Diş çüRüğüunclassified

Asthma and Oral Health

Aral¹,

Aral²,

Kalkan³

2016

EÜ Dişhek Fak Derg

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ÖZETAstım, dünyada 300 milyondan fazla insanı etkileyen küresel bir sağlık sorunudur. Astım ve astım ilaçlarının diş çürüğü, dental erozyon ve periodontal hastalıklar ile olan ilişkisi literatürde sık olarak araştırılan bir konudur. Bu derlemenin amacı, astım ve astım tedavisinde kullanılan ilaçların, ağız sağlığı üzerine olan etkilerinin incelenmesi ve bu konuda alınabilecek önlemlerin değerlendirilmesidir.

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Stimulated salivary flow rate and composition in asthmatic and non-asthmatic adults

Cited by 57 publications

References 29 publications

Oral health in young adults with long-term, controlled asthma

Oral health in young adults with long-term, controlled asthma

Dental erosion in asthma: A case‐control study from south east Queensland

Asthma and Oral Health

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