Are increased salivary carbonic anhydrase VI levels related to the amount of supragingival dental calculus formation and clinical periodontal scores?

Associations of the activity and concentration of carbonic anhydrase VI with susceptibility to dental caries: A systematic review and meta-analysis

OBJECTIVES

A number of studies have claimed that carbonic anhydrase VI (CA VI) is associated with dental caries. The aim of this systematic review and meta-analysis was to systematically review and analyze the literature on the association of CA VI (in terms of concentration and activity) with dental caries.

MATERIALS AND METHODS

A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Relevant search terms were employed to search the following databases: PubMed, Web of Science, Scopus, China National Knowledge Infrastructure (CNKI), and Cochrane Library databases. Eligible publications from inception to August 2022 were included. The relevant records were assessed independently by two reviewers, and a meta-analysis was performed using RevMan 5.3.

RESULTS

Out of 237 relevant records from the initial search, 9 met the criteria for this review. The 9 papers, including 477 participants, were qualitatively analyzed. Seven studies with 411 participants (203 caries-free) were included in the meta-analysis on CA VI activity, and 2 studies with 141 participants (71 caries-free) were included in the meta-analysis on CA VI concentration. The results showed that CA VI activity was significantly higher among participants with caries than their caries-free counterparts (standardized mean difference (SMD) = 0.894, 95% confidence interval (CI_95% ): 0.386 and 1.392; p < 0.001), whereas the CA VI concentration was significantly lower among participants with caries than their caries-free counterparts (SMD = -0.672, CI_95% : -1.011 and -0.332; p < 0.001).

CONCLUSIONS

This meta-analysis of a relatively small number of studies suggests that the CA VI concentration is lower and CA VI activity is higher in patients with dental caries than in caries-free individuals; however, further studies are needed to determine the exact role of CA VI in dental caries.

Dental anthropological report: Exploring plant-based treatments through the analysis of dental calculus and sediment of dental caries in a woman from the Late Preceramic period, Peru

Reconstructing plant-based healing treatments of past societies from a dental anthropological perspective is still challenging due to a wide range of plant species, many with both medicinal and nutritional properties, and limitations on plant-taxa identification. Starch grains and phytoliths retrieved in samples from dental calculus and sediment contained in the cavity of dental caries were examined to investigate the supply of a plant-based treatment in an individual buried in the Late Preceramic site of Huaca El Paraíso (2100-1500 BCE), whose osteological analysis reported the absence of any pathological condition at a bone tissue level. A variety of starch grains such as pumpkins, manioc, maize, and beans had an important role in the diet of the individual. The starch grains were embedded in their dental calculus, all of which, except for manioc, showed signs of cooking damage. Considering the context and characteristics of the crops, the nutritional properties of maize, pumpkins and beans are evident. However, parallel medicinal properties of manioc and maize could not be entirely denied. Phytoliths morphologically ascribed to the Asteraceae plant family, which suggest the consumption of medicinal plants of Andean vernacular use, were retrieved in the sediment of dental caries. Our results prove that the analysis of sediment obtained from dental caries is as valuable in tracing medicinal plant-based treatments as dental calculus in archaeological populations. There are still several limitations to approach this topic in dental anthropology, which are discussed in this report. The performance of both analyses -dental calculus and sediment of dental caries, is highly recommended.

Investigation of carbonic anhydrase 6 gene polymorphism rs2274327 in relation to the oral health status and salivary composition in type 2 diabetic patients

OBJECTIVE

The aim of the present study was to investigate the oral manifestations and salivary composition in type 2 diabetics with periodontitis and to evaluate their association with CA6 gene polymorphism rs2274327.

METHODS

Oral examination was performed by a single periodontist for 300 type 2 diabetics. Whole unstimulated saliva and blood were collected. The salivary pH, buffer capacity and flow rate were later measured. Immunoglobulin A and electrolytes were assessed using an autoanalyzer. CA6 gene polymorphism rs2274327 was screened by PCR-RFLP assay. The statistical analysis was performed using the SPSS 20.0 version.

RESULTS

The salivary pH, buffer capacity and flow rate were significantly lower in the patients carrying TT genotype compared to CC and CT genotype carriers (p < .05). Furthermore, the DMFT index, OHI-s, PI, PPD and CAL were significantly higher in the subjects with TT genotype (p < .05). Carrying at least one T allele seemed to increase the risk of dental caries (OR = 2.59, p < .001), xerostomia (OR = 2.11, p=.003) and taste impairment (OR = 1.97, p < .05).

CONCLUSION

CA6 gene polymorphism rs2274327 seemed to increase the risk of developing, dental caries, periodontitis, xerostomia and taste impairment in type 2 diabetics.

Oral physiological and biochemical characteristics of different dietary habit groups II: Comparison of oral salivary biochemical properties of Chinese Mongolian and Han Young adults

Saliva is an important component of food oral processing affecting the initial digestion and the formation of food bolus. It has been speculated that salivary biochemical properties could directly influence one's dietary habits, and vice versa. To date, there are few studies that investigate the possible relationships between dietary habits and salivary biochemical properties in Chinese participants from different dietary background. This study examined two Chinese ethnical groups of very different culture of food consumption, Han and Mongolian healthy young participants, as research participants to explore the differences in salivary biochemical properties and possible associations with dietary preferences. Chinese Mongolians tend to consume more red meat and dairy products, and Chinese Han tend to consume more carbohydrates as suggested by official data; therefore, a total of 304 healthy participants (200 Han and 104 Mongolian) were recruited for salivary compositional analysis. Results showed that for Mongolian participants' unstimulated salivary lipolytic activity (0.10 U/mL) and stimulated salivary lipolytic activity (0.09 U/mL) are significantly higher than those of the Han (0.03 U/mL, 0.04 U/mL) (p < 0.01), but their stimulated salivary α-amylase activity (2733 U/mL) was significantly lower than that of Han (3596 U/mL) (p < 0.01). Unstimulated and stimulated salivary total protein content of Chinese Han participants were significantly higher than those of Mongolian participants (p < 0.0001, p = 0.043). These findings have showed our initial hypothesis of possible associations between dietary habits and salivary biochemical properties.