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Jakavičė R, Žarovienė A. Changes in the pH and the Flow Rate of Saliva During Orthodontic Treatment with Fixed Orthodontic Appliances: A Systematic Review. Turk J Orthod 2023; 36:199-207. [PMID: 37782023 PMCID: PMC10548056 DOI: 10.4274/turkjorthod.2022.2022.66] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 10/09/2022] [Indexed: 10/03/2023]
Abstract
This systematic review aimed to assess salivary flow and pH changes at various stages of orthodontic treatment with fixed appliances. A comprehensive searches in electronic databases, including Medline, ResearchGate, Web of Science, SAGE Journals, Cochrane Oral Health Group's Trials Register, and ScienceDirect, without any publication date restrictions until January 2022 was conducted. The Pre-ferred Reporting Items for Reporting Systematic Reviews and Meta Analyses (PRISMA 2020 version) protocol was adopted and the risk of bias assessments were performed using the Cochrane ROBINS-I tool for non-randomized studies. Out of 4902 articles, 25 were fully evaluated, and seven studies that met the inclusion criteria were included in the review. The results showed that orthodontic treatment with fixed orthodontic appliances increased the stimulated salivary flow rate during various stages of treatment. However, the unstimulated salivary flow rate showed different changes. Furthermore, stimulated salivary pH increased, whereas unstimulated salivary pH significantly decreased, depending on the specific period of orthodontic treatment. Overall, fixed orthodontic appliances have an impact on salivary flow rate and pH during different stages of treatment. Nevertheless, the current literature is insufficient to draw definitive conclusions. More well-designedrandomized studies with larger sample sizes are necessary to confirm these findings.
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Affiliation(s)
- Reda Jakavičė
- Department of Orthodontics, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Alvyda Žarovienė
- Department of Orthodontics, Lithuanian University of Health Sciences, Kaunas, Lithuania
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Babaei M, Rezaei S, Saghafi Khadem S, Shirinbak I, Basir Shabestari S. The Role of Salivary C-Reactive Protein in Systemic and Oral Disorders: A Systematic Review. Med J Islam Repub Iran 2022; 36:138. [PMID: 36479533 PMCID: PMC9719583 DOI: 10.47176/mjiri.36.138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Indexed: 12/24/2022] Open
Abstract
Background: Blood sampling is expensive, time-consuming, invasive, and requires technical facilities, which can be replaced by more convenient samples such as saliva. C-reactive protein (CRP) is a widely used biomarker in the management of many disorders and plasma CRP (pCRP) is suggested to be replaced by salivary CRP (sCRP). This study aimed to systematically review all available literature on the sCRP levels in systemic and oral disorders and how sCRP and pCRP levels correlate among these patients and healthy individuals. Methods: In this systematic review, a PubMed, Embase, Scopus, and Google Scholar search was conducted on October-2021 to identify all research investigating sCRP levels in systemic and oral disorders. Results: A total of 130 publications were analyzed in the review. Most of the studies reported that sCRP and pCRP levels are correlated, and sCRP is a reliable alternative for pCRP level for the diagnosis and management of medical conditions. sCRP has been measured in many different medical and oral disorders and significantly correlated with disease activity in most cases. Conclusion: Salivary CRP is a good alternative for Plasma CRP levels in most cases.
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Affiliation(s)
- Mahsa Babaei
- Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Saeid Rezaei
- Iran University of Medical Sciences, Tehran, Iran
| | - Shadi Saghafi Khadem
- Department of Oral and Maxillofacial Pathology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Iman Shirinbak
- Oral and Maxillofacial Surgery, Alborz University of Medical Sciences, Karaj, Iran
| | - Samira Basir Shabestari
- Department of Oral Medicine, School of Dentistry, Firoozgar Clinical Research Development Center, Iran University of Medical Sciences, Tehran, Iran, Corresponding author:Samira Basir Shabestari,
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Jiménez-Gayosso SI, Morales-Luckie RA, Robles-Bermeo NL, Hernández-Martínez CT, Villalobos-Rodelo JJ, Islas-Zarazúa R, Navarrete-Hernández JDJ, Patiño-Marín N, Medina-Solís CE, Maupomé G. Changes in oral pH before and after placing preformed metal crowns in primary dentition of Mexican children. Technol Health Care 2022; 31:969-976. [PMID: 36442164 DOI: 10.3233/thc-220433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND: Prefabricated metal crowns (PMCs) have been widely used in pediatric dentistry due to their great success in various clinical situations. However, it is important to know the local effects, such as changes in pH in the oral environment. OBJECTIVE: To evaluate the pH variations before and after placement of PMCs. METHODS: A quasi-experimental study (before and after) was performed with 32 pediatric patients who needed rehabilitation with PMCs at a pediatric dentistry clinic in a public university. Measurements were made using a pH potentiometer before PMC placement, one week after, and one month after placement. ANOVA and Pearson correlation were performed in SPSS. RESULTS: The average age of the participants was 5.9 ± 1.6 years, and 53.1% were female. The average pH before, one week after, and one month after crown placement was 7.46 ± 0.37, 7.00 ± 0.32, and 7.1 ± 0.19, respectively. Significant differences (p< 0.05) were observed between the three pH measurements. We found differences when comparing the basal pH values to those at one week (p= 0.001) and one month (p= 0.002). CONCLUSION: Although there were statistically significant differences in the pH change values before and after the placement of crowns, these differences may not have a clinical impact.
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Affiliation(s)
- Sandra Isabel Jiménez-Gayosso
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
- Advanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
- School of Dentistry, Autonomous University of San Luis Potosí, San Luis Potosí, Mexico
| | - Raúl Alberto Morales-Luckie
- Sustainable Chemistry UAEMex-UNAM Research Center, Faculty of Chemistry, Autonomous University State of Mexico, Toluca, Mexico
| | - Norma Leticia Robles-Bermeo
- Advanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
| | - César Tadeo Hernández-Martínez
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
- Advanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
- School of Dentistry, Autonomous University of San Luis Potosí, San Luis Potosí, Mexico
| | | | - Rosalina Islas-Zarazúa
- Advanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
| | - José de Jesús Navarrete-Hernández
- Advanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
| | - Nuria Patiño-Marín
- School of Dentistry, Autonomous University of San Luis Potosí, San Luis Potosí, Mexico
| | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
- School of Dentistry, Autonomous University of San Luis Potosí, San Luis Potosí, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University-Purdue University, Indianapolis, IN, USA
- Indiana University Network Science Institute, Bloomington, IN, USA
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Mulimani P, Popowics T. Effect of Orthodontic Appliances on the Oral Environment and Microbiome. FRONTIERS IN DENTAL MEDICINE 2022. [DOI: 10.3389/fdmed.2022.924835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Orthodontic treatment is an appliance-intensive endeavor, where an array of mechanical devices is used to bring about tooth movement. By virtue of remaining in close proximity to the enamel, gingiva and periodontal ligament intra-orally over a prolonged period of time, orthodontic appliances have a significant impact on the paradental tissues, oral environment and oral microbiome. Orthodontic appliances by acting as anchors for biofilm and plaque formation, accumulate bacteria and other micro-organisms in amounts unfavorable for maintenance of healthy equilibrium. The resulting loss of balance in the oral microbiome causes dysbiosis which manifests clinically as increased enamel demineralization, dental caries and periodontal disease. Mechanical removal of the accumulated plaque by maintaining rigorous oral hygiene has been proven to be the single most important factor to mitigate the harmful effects of dysbiosis. This review investigates how each of the various components of the orthodontic appliances, different types of appliances and unique surface properties of biomaterials have contributory effects at the interface of orthodontic biomaterials and oral biology. The information thus obtained will be critical in instituting the best diagnostic and therapeutic measures at the clinical level. It will also be instrumental in devising improvements and providing new directions for future research in general and precision orthodontics in particular.
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Al-Haifi HAA, Ishaq RAA, Al-Hammadi MSA. Salivary pH changes under the effect of stainless steel versus elastomeric ligatures in fixed orthodontic patients: a single-center, randomized controlled clinical trial. BMC Oral Health 2021; 21:544. [PMID: 34686168 PMCID: PMC8539802 DOI: 10.1186/s12903-021-01906-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Accepted: 10/12/2021] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Fluctuations in pH of saliva during a prolonged treatment course influences the enamel demineralization progress, which is one of the complications of fixed orthodontic treatment. This randomized clinical trial aimed to evaluate and compare the short-term effects of stainless steel (SS) versus elastomeric (EM) ligatures on salivary pH in patients scheduled for fixed orthodontic treatment. METHODS Seventy participants were enrolled in the study (54 female, 16 male) aged 19-36 years who met specific inclusion criteria. They were randomly selected and allocated into two equal groups through computer-generated randomization. All patients received fixed orthodontic treatment using conventional orthodontic brackets. Two commonly used archwire ligature methods were used: SS and EMs. An unstimulated (resting) salivary sample was collected before tying of the ligatures at T0 (baseline), 2 weeks, 6 (weeks), and 12 (weeks). Salivary pH was measured using a digital pH meter. The level of significance was set at p value < 0.05. RESULTS The salivary pH level was stable between T0 and T1 (6.72 ± 0.14), then significantly and progressively increased from T1 to T2 (6.78 ± 0.13) and from T2 to T3 (6.81 ± 0.14) with (p < 0.05) in the SS group. In the EM group, the salivary pH level was significantly decreased in all follow-up periods; T0 (6.77 ± 0.16), T1 (6.72 ± 0.14), T2 (6.67 ± 0.13) and T3 (6.64 ± 0.13). CONCLUSION The EM ligatures showed a significant decrease in salivary pH to an unfavorable level, which increased the risk of enamel demineralization. Therefore, EMs as ligature material is preferably should not be recommended in patients with high caries index or inadequate oral hygiene. Trial registration ANZCTR.org. (ACTRN12618001647224) http://www.anzctr.org.au/ACTRN12618001647224.aspx . Registration Date: 5/10/2018, "Retrospectively registered".
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Affiliation(s)
- Hend Abulkarem Abdullah Al-Haifi
- Present Address: Department of Biological and Preventive Sciences, Faculty of Dentistry, University of Science and Technology, Sana’a, Republic of Yemen
| | - Ramy Abdulrahman Ali Ishaq
- Department of Orthodontics, Pedodontics, and Preventive Dentistry, Faculty of Dentistry, Sana’a University, Sana’a, Republic of Yemen
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Zgombić Popović V, Grgurević L, Trkulja V, Novak R, Negovetić-Vranić D. THE ROLE OF NEW TECHNOLOGIES IN DEFINING SALIVARY PROTEIN COMPOSITION FOLLOWING PLACEMENT OF FIXED ORTHODONTIC APPLIANCES - BREAKTHROUGH IN THE DEVELOPMENT OF NOVEL DIAGNOSTIC AND THERAPEUTIC PROCEDURES. Acta Clin Croat 2020; 59:480-488. [PMID: 34177058 PMCID: PMC8212653 DOI: 10.20471/acc.2020.59.03.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Human saliva is rich in proteins of variable functions (e.g., enzymes, immunoglobulins, cytokines) and origin (blood plasma, salivary glands, or oral microflora). Circadian dynamics, volume and composition (electrolytes, pH, protein, etc.) of secreted saliva vary with local and systemic physiological and pathophysiological conditions. Therefore, the composition of saliva, protein in particular, has been intensively investigated to identify the potential markers and/or mechanisms of systemic and local diseases. Proteomic techniques used for the analysis of biological fluids have enabled great advances in salivary protein stabilization (as the main precondition for their analysis) and detection of those found in saliva in very low concentrations, including small proteins and peptides. This review brings the main characteristics of current proteomic techniques such as liquid chromatography-mass spectrometry, two-dimensional electrophoresis-mass spectrometry, and surface-enhanced laser desorption ionization/time of flight/mass spectrometry. These techniques enable simultaneous identification of hundreds and thousands of protein molecules, as well as identifying those of a potential biological value in particular states. This literature review is focused on the state-of-the-art and possibilities offered by proteomic techniques in analyzing the effects of orthodontic appliances on salivary protein composition and searching for potential markers of therapeutic success/failure or for the molecules by which therapeutic effects are achieved.
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Affiliation(s)
| | - Lovorka Grgurević
- 1Orthonova Dental Polyclinic, Zagreb, Croatia; 2Drago Perović Department of Anatomy, School of Medicine, University of Zagreb, Zagreb, Croatia; 3Department of Pharmacology, School of Medicine, University of Zagreb, Zagreb, Croatia; 4Center for Translational and Clinical Research, Department of Proteomics, School of Medicine, University of Zagreb, Zagreb, Croatia; 5Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Vladimir Trkulja
- 1Orthonova Dental Polyclinic, Zagreb, Croatia; 2Drago Perović Department of Anatomy, School of Medicine, University of Zagreb, Zagreb, Croatia; 3Department of Pharmacology, School of Medicine, University of Zagreb, Zagreb, Croatia; 4Center for Translational and Clinical Research, Department of Proteomics, School of Medicine, University of Zagreb, Zagreb, Croatia; 5Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Ruđer Novak
- 1Orthonova Dental Polyclinic, Zagreb, Croatia; 2Drago Perović Department of Anatomy, School of Medicine, University of Zagreb, Zagreb, Croatia; 3Department of Pharmacology, School of Medicine, University of Zagreb, Zagreb, Croatia; 4Center for Translational and Clinical Research, Department of Proteomics, School of Medicine, University of Zagreb, Zagreb, Croatia; 5Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Dubravka Negovetić-Vranić
- 1Orthonova Dental Polyclinic, Zagreb, Croatia; 2Drago Perović Department of Anatomy, School of Medicine, University of Zagreb, Zagreb, Croatia; 3Department of Pharmacology, School of Medicine, University of Zagreb, Zagreb, Croatia; 4Center for Translational and Clinical Research, Department of Proteomics, School of Medicine, University of Zagreb, Zagreb, Croatia; 5Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
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RĀDUCANU ANAMĀDĀLINA, SEBASTIAN MIHAI, CARAIANE AURELIANA, BADEA VICTORIA. Studies regarding salivary total antioxidant activity in different types of orthodontic treatement. ROMANIAN BIOTECHNOLOGICAL LETTERS 2019. [DOI: 10.25083/rbl/24.2/332.339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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