scholarly journals Assessment of Oral Health in Peritoneal Dialysis Patients with and without Diabetes Mellitus

2012 ◽  
Vol 32 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Abubekir Eltas ◽  
Ümmühan Tozoğlu ◽  
Mustafa Keleş ◽  
Varol Canakci

The incidence of chronic renal failure continues to rise worldwide, and although the oral and dental changes in individuals with this condition have been examined, investigations with diabetic peritoneal dialysis (PD) patients are limited. We therefore examined salivary pH, dry mouth, taste change, and mucosal ulceration in diabetic and nondiabetic uremic patients receiving PD. A total of 49 patients undergoing PD therapy were allocated to either the diabetic or the nondiabetic group. Salivary pH, dry mouth, taste change, and mucosal ulceration were determined for both groups. Salivary flow rate and pH were both lower in the diabetic group. Buffer capacity, dry mouth, taste change, and mucosal ulceration were all increased in that group. These findings were associated with level of glycosylated hemoglobin A1c. Our observations indicate that, compared with nondiabetic PD patients, patients with diabetes exhibit more severe oral uremic symptoms, including dry mouth, burning mouth syndrome, taste change, and mucosal ulcerations. The oral health in these patients should be followed.

2020 ◽  
Vol 27 (33) ◽  
pp. 41876-41884
Author(s):  
Nara Santos Araujo ◽  
Maria das Graças Alonso Oliveira ◽  
Antenor Vieira Borges Neto ◽  
Ynara Bosco de Oliveira Lima Arsati ◽  
Jean Nunes dos Santos ◽  
...  

e-GIGI ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Gracecylia R. Salampessy ◽  
Ni Wayan Mariati ◽  
Christy Mintjelungan

Abstack: A person who has entered the elderly group will experience a change in the composition of saliva, causing the production of saliva does not function normally and lead to a complaint of dry mouth or xerostomia. This study aimed to identify and clarify the picture of xerostomia in the elderly group who use denture in Minahasa district. Xerostomia is a common problem that many occur in the elderly. Clinically, patients with dry mouth will feel dry on the lips and the corners of the mouth become irritated. This was a descriptive study using a cross sectional design. This study was carried out in all elderly nursing homes in Minahasa district. The samples of this study were all elderly who used denture in nursing homes in Minahasa district. Salivary flow rate was measured with a measuring cup. The results showed that xerostomia was found in 93.75% of the elderly, more dominant in females (96.7%), and more frequent in the age group 65-69 years (63.3%). Conclusion: Xerostomia was more common in female elderly, therefore, it is expected that the elderly have to maintain their oral health by eating nutritious foods and vitamin C.Keywords: denture, elderly, xerostomia.Abstrak: Seseorang yang sudah memasuki kelompok lansia akan mengalami perubahan dalam komposisi saliva, sehingga menyebabkan produksi saliva tidak berfungsi dengan normal dan mengakibatkan keluhan mulut kering atau xerostomia. Penelitian ini bertujuan untuk mengetahui dan menjelaskan gambaran xerostomia pada kelompok lansia yang menggunakan gigi tiruan di kabupaten Minahasa. Xerostomia merupakan masalah umum yang banyak terjadi pada lansia. Secara klinis pasien dengan mulut kering akan terasa kering pada bibir dan bagian sudut mulut mengalami iritasi. Penelitian ini menggunakan desain penelitian deskriptif dengan pendekatan potong lintang. Penelitian ini dilakukan di seluruh panti werda di kabupaten Minahasa. Sampel penelitian ini ialah semua lansia yang menggunakan gigi tiruan di panti werda di kabupaten Minahasa. Pengukuran laju aliran saliva dilakukan dengan menggunakan metode gelas ukur. Hasil penelitian menunjukkan bahwa xerostomia ditemukan pada 93,75% dari populasi, kelamin lebih dominan pada perempuan (96,7%), dan tersering pada rentang usia 65-69 tahun (63,3%). Simpulan: Xerostomia sering terjadi pada lansia terutama yang berjenis kelamin perempuan. Diharapkan para lansia dapat menjaga kesehatan gigi dan mulut dengan mengonsumsi makanan bergizi dan kaya vitamin C.Kata kunci: gigi tiruan, lansia, xerostomia


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242832
Author(s):  
Nada Buranarom ◽  
Orapin Komin ◽  
Oranart Matangkasombut

Hyposalivation is an important problem in elders and could interfere with several oral functions and microbial ecology. While the number of independent elders who retain more natural teeth increases worldwide, few studies examined hyposalivation in this population. Thus, this study aims to examine relationships between hyposalivation, oral health conditions and oral Candida colonization in independent dentate elders and evaluate factors associated with salivary flow and Candida carriage. We conducted a cross-sectional study in fifty-three dentate elders (≥65 years old with at least 4 pairs of posterior occlusal contacts) with no, or well-controlled, systemic conditions. Participants were interviewed for medical history, subjective dry mouth symptoms, oral hygiene practices and denture information. Unstimulated and stimulated salivary flow rates, objective dry mouth signs, gingival, tongue-coating, and root-caries indices were recorded. Stimulated saliva was cultured on Sabouraud-dextrose agar for Candida counts. Candida species were identified using chromogenic Candida agar and polymerase chain reaction. Statistical significance level was set at p<0.05. The results showed that hyposalivation was associated with higher gingival and tongue-coating indices (p = 0.003 and 0.015, respectively), but not root-caries index. Hyposalivation was also associated with higher prevalence of oral Candida colonization (p = 0.010; adjusted OR = 4.36, 95% confidence interval = 1.29–14.72). These two indices and Candida load were negatively correlated with unstimulated and stimulated salivary flow rates. Interestingly, non-albicans Candida species were more prevalent in denture wearers (p = 0.017). Hence, hyposalivation is a risk factor for poorer oral health and oral Candida colonization in independent dentate elders. Because of its potential adverse effects on oral and systemic health, hyposalivation should be carefully monitored in elders.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P Poudel ◽  
R Griffiths ◽  
V W Wong ◽  
A Arora ◽  
J R Flack ◽  
...  

Abstract Background Diabetes increases the risk of periodontal disease, which in turn negatively impact on diabetes control and complications. Therefore, awareness about the diabetes-oral health link and dental problems is important for people with diabetes. This study aimed to assess self-reported oral health status and knowledge of people living with diabetes. Methods A survey was conducted among patients who attended four public diabetes clinics in Sydney, Australia. The questionnaire included 10 knowledge items and a validated Oral Health Impact Profile (OHIP-14) scale. A convenience sample of 200 patients were recruited. The data were analysed using SPSS software with descriptive and Pearson's Chi-Squared tests reported. Results The mean age of participants was 62.4(±13.5) years. More than half were males (54.5%), born overseas (64%), not working (73%) and had type 2 diabetes (88%). More than half (55.1%) of the patients reported having one or more dental problems and this was negatively associated with their oral health-related quality of life (p &lt; 0.001). The most common dental problems were: gaps between teeth, pain in teeth and dry mouth. Only 46.2% of the participants had adequate oral health knowledge (&gt; the mean correct score 5.2 (±2.6). The main areas with poor knowledge were around the impact of gum disease on blood glucose levels (29.6%), effects of dry mouth on tooth decay (33.8%) and the link between diabetes and teeth and gums (44.5%). Only 13% of the patients reported receiving oral health information from diabetes care providers (diabetes educator, general practitioner/diabetes specialist and dietitian/nutritionist). Receiving oral health information was found to be significantly associated with higher oral health knowledge scores (p &lt; 0.05). Conclusions Considering that a majority of patients with diabetes have dental problems and inadequate oral health knowledge, diabetes care providers should take the opportunity to educate patients about oral health risks. Key messages People living with diabetes found to have dental problems and inadequate oral health knowledge. Considering that diabetes and dental problems adversely affect each other, it is crucial to educate patients about good oral hygiene and regular dental visit.


2011 ◽  
Vol 81 (5) ◽  
pp. 901-906 ◽  
Author(s):  
Kristina Peros ◽  
Senka Mestrovic ◽  
Sandra Anic-Milosevic ◽  
Mladen Slaj

Abstract Objective: To determine the physiologic changes of salivary flow rate, pH, and buffer capacity and the levels of Streptococcus mutans and Lactobacillus spp in patients undergoing fixed orthodontic treatment. Materials and Methods: The study included 23 patients scheduled for fixed orthodontic therapy. All subjects received equal braces, bands, and brackets, bonded with the same material. Stimulated saliva samples were taken before placement of the appliance, and at weeks 6, 12, and 18 during the therapy. Salivary flow rate and salivary pH were measured, and the salivary buffer capacity was determined. Saliva samples were cultivated on selective microbial agar for microorganism detection. Results: A significant (P &lt; .05) increase in stimulated salivary flow rate and salivary pH was found. The salivary levels of S mutans and Lactobacillus spp also inscreased significantly (P &lt; .05), and the major peak was at week 12 of fixed orthodontic therapy. Conclusion: The 6th to 12th week of orthodontic therapy is the period of the most intensive intraoral growth of S mutans and Lactobacillus spp and a time of very intensive salivary functions and physiologic response.


2019 ◽  
Vol 5 (2) ◽  
pp. 51
Author(s):  
Nadia Rully Auliawati ◽  
Layung Sekar Prabarayi ◽  
Rais Aliffandy Damroni ◽  
Juni Handajani

The majority of Indonesian people are Muslim who perform the obligatory prayers five times each day known as salat. The series of activities in salat begins with wudu with a gargle movement that increases salivary secretion through mechanical stimulation. The movement of ruku and sujood when salat causes oxygen-rich blood to flow to the brain is well suited. When a person feels calmer and more psychically relaxed after performing salat and wudu, the parasympathetic nerves increase so normal cortisol levels can secrete more saliva which is aqueous with normal acidity (pH). Oral health will affect the overall health of the body. This study aimed to determine the effect of salat and wudu on the salivary flow rate, pH, and cortisol level as an indicator of oral health. The design of this study was the static group pretest and posttest design. The study was conducted by comparing the value of salivary flow rate, pH, and cortisol levels in 20 subjects consisting of 10 subjects as the treatment group and 10 subjects as the control. Saliva was collected without stimulation before and after salat activity for five minutes, followed by measurement of salivary flow rate and pH level. Salivary cortisol level was measured using Cortisol Assay Elisa kit with λ 540 nm. The results showed an increase in salivary pH, flow rate and cortisol level after the salat activity but there was no significant difference by Kruskal-Wallis test but there was a strong correlation using Kendall’s tau_b test. In conclusion, salat activity may have correlation with an increase in salivary pH, flow rate and cortisol level.


2009 ◽  
Vol 21 (3) ◽  
pp. 279-286 ◽  
Author(s):  
Haruhisa Ibayashi ◽  
Tomohiro Nishiyama ◽  
Masayuki Tanaka ◽  
Truong-Minh Pham ◽  
Junko Yano ◽  
...  

The purpose of this study is to evaluate the effects of the authors' oral health care program on the stimulated whole salivary flow rate and buffer capacity before and after a 6-month intervention. The authors conducted the intervention study among 25 participants with diabetes. The salivary flow rate and buffer capacity were evaluated before and after this intervention. Overall, the results showed a significant increase in salivary flow rate and no significant change in buffer capacity. Also, it was likely that salivary flow rate significantly increased among patients with more than 20 remaining teeth and patients with well-controlled diabetes. The findings suggest that this program for type 2 diabetes led to an increase in the stimulated whole salivary flow rate.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Lulëjeta Ferizi ◽  
Fatmir Dragidella ◽  
Lidvana Spahiu ◽  
Agim Begzati ◽  
Vjosa Kotori

Diabetes mellitus is the most common chronic disease that affects the oral health. The aim of the study is to evaluate the dental caries, salivary flow rate, buffer capacity, and Lactobacilli in saliva in children with type 1 diabetes mellitus compared to the control group.Methods.The sample consisted of 160 children of 10 to 15 years divided into two groups: 80 children with type 1 diabetes mellitus and 80 children as a control group. Dental caries was assessed using the DMFT index for permanent dentition. Stimulated saliva was collected among all children. Salivary flow rate and buffer capacity were measured, and the colonies ofLactobacillusin saliva were determined. The observed children have answered a number of questions related to their dental visits and parents’ education. The data obtained from each group were compared statistically using the chi-square test and Mann–WhitneyU-test. The significant level was set atp<0.05.Results. DMFT in children with type 1 diabetes was significantly higher than that in the control group (p<0.001). Diabetic children have a low level of stimulated salivary flow rate compared to control children (0.86 ± 0.16 and 1.10 ± 0.14). The buffer capacity showed statistically significant differences between children with type 1 diabetes and control group (p<0.001). Also, children with type 1 diabetes had a higher count and a higher risk ofLactobacilluscompared to the control group (p<0.05andp<0.001).Conclusion. The findings we obtained showed that type 1 diabetes mellitus has an important part in children’s oral health. It appears that children with type 1 diabetes are exposed to a higher risk for caries and oral health than nondiabetic children.


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