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INFLUENCE OF SYSTEMIC DISEASES AND REMOVABLE ORTHODONTIC APPLIANCES ON THE QUALITY OF SALIVA IN CHILDHOOD.

Keywords: salivary flow , saliva pH , buffer capacity , diabetes , asthma , local corticosteroids , healthy children , orthodontic treatment

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Abstract:

During the last 10 years numerous investigations using saliva as a diagnostic tool have been carried out. The aim of present study is to evaluate saliva qualities for various general diseases and conditions that influence its qualities. (1) Evaluation of salivary flow and saliva consistency of children. (2) Evaluation of saliva pH and buffer capacity of children. Material and Methods. The investigation was carried out with 126 children (age 6 to 17) selected by their general diseases and conditions influencing the oral risk environment. The children were divided into 4 groups: 30 children with diabetes, 25 children with asthma treated with local corticosteroids, 27 healthy children with orthodontic treatment, 34 children as a control group (healthy children). The saliva of the children was tested with the help of “Saliva Check” of GC company. The instructions of the company producer were followed.Results. Stimulated saliva current is reliably lower for children with asthma treated with local corticosteroids, diabetes and children with orthodontic appliances. Saliva pH is with lower values for children with diabetes and asthma – diseases predisposing to acid oral environment. The decreased saliva buffer capacity for children with diabetes and asthma is an indicator for the difficult regulation of the dynamically changing oral electrolytic balance of those children.Conclusion. The saliva parameters studied can be used as biomarkers of the liquid oral environment with regard to the risks for caries and periodontal diseases in children. General health status influences saliva qualities increasing thus indirectly the caries risk.

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