Association of nutritional status on salivary flow rate, dental caries status and eruption pattern in pediatric population in India

Singh, Neetika; Bansal, Kalpana; Chopra, Radhika; Dharmani, Charan Kamal Kaur

doi:10.4103/ijds.ijds_69_17

Cited by 8 publications

(7 citation statements)

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“…36 Singh et al, in a 2018 study about salivary flow rates, revealed a decrease in stimulated and unstimulated salivary flow rate in children with growth stunting compared to well-nourished children. 21 Other studies also showed the same thing because there was a negative correlation between salivary flow rate and nutritional status. This negative correlation means that a decrease in salivary flow occurs with a worsening child’s malnutrition.…”

Section: Discussionmentioning

confidence: 80%

“…The population of the studies varied from 60 to 914 children depending on the article. Moreover, the types of studies were different: eight studies used a cross-sectional study design, [20][21][22][23][24][25][26][27][28] and one cohort study. 29 There were also different types of the parameter used to analyze oral health.…”

Section: Description Of the Study Characteristicsmentioning

confidence: 99%

“…28 Salivary flow rate also seen used by authors to measure oral health. 21,22,30,31 Assessing the quality of evidence contained within a systematic review is as important as analyzing the data within. NIH quality assessment tool, as shown in ►Table 1 revealed that four articles were of good quality, 22,27,32,33 two other articles were in the fair category, 13,20, while four articles were of poor quality or had high potential for bias.…”

Section: Description Of the Study Characteristicsmentioning

confidence: 99%

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Does Growth Stunting Correlate with Oral Health in Children?: A Systematic Review

2021

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Growth stunting is when children tend to be shorter than their peers through the World Health Organization child growth standard measurement. The condition may affect the development of the brain and other parts of the body, including the oral cavity, which manifests in oral hygiene and overall oral health. This systematic approach literature study aimed to evaluate the correlation between growth stunting and oral health in children. This study was conducted by using a literature review method with a systematic approach by searching for articles related to research topics on PubMed and Google Scholar. The search was adjusted to the inclusion category, which is research that discusses malnutrition and oral health published between 2010 and 2020—research conducted on boys and girls—from birth to 18 years. The exclusion categories used were articles that did not discuss growth stunting and oral health, and grey literature was excluded. The selection of articles was carried out by using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach and resulted in 10 selected articles with details as follows: the correlation between growth stunting and oral health in three articles. A high plaque index in growth stunting children was found in two articles, and a decrease in saliva composition in growth stunting children was also found in two articles. Four articles showed a relationship between growth stunting and salivary flow rate. Lastly, one article showed the relationship between growth stunting and the incidence of dental caries. Despite the limitation of the review, the correlation between growth stunting and overall oral health in children can be seen through the oral hygiene index as moderate to low, high plaque index, decreased salivary flow rate, salivary composition, and dental caries in children with growth stunting.

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Section: Discussionmentioning

confidence: 80%

Section: Description Of the Study Characteristicsmentioning

confidence: 99%

Section: Description Of the Study Characteristicsmentioning

confidence: 99%

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Does Growth Stunting Correlate with Oral Health in Children?: A Systematic Review

2021

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“…D to be able to absorb it (Sheetal et al 2013). A study done in a pediatric population in India reported that dental caries status and delayed eruption were found to be more in malnourished groups as compared to the normal group (Singh et al 2018).…”

Section: Discussionmentioning

confidence: 97%

Effect of Early Childhood Malnutrition on Tooth Eruption Sequence in Nepalese Children

Shrestha¹,

Acharya²

2020

Tribhuvan University Journal

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Child under-nutrition has effects which last a lifetime. The consequences can be both short term and long term. Malnourished children tend to be physically, emotionally and intellectually less productive and suffer more from chronic illnesses and disabilities compared to healthy children. The objective of this study was to determine prevalence of under-nutrition and investigate association between early childhood malnutrition and deciduous tooth eruption in children aged 0-59 months in Mugu district of Nepal. A structured questionnaire based on Nepal Demographic and Health Survey 2011 questionnaire was used. Weight and height of 246 children, aged 0-59 months were measured. Dental caries status and eruption sequence were noted. Among the total, 14 .1% had moderate/severe wasting of muscles, 25.2% were moderately stunted and 36.6% were severely stunted. From the total, 30 .5% were moderately underweight and 18.3% were severely underweight. A significantly higher proportion with wasting presented with delayed eruption sequence than those without wasting (p <0.05). From the total, 25.4% who presented with delayed eruption also had at least one decayed tooth (p><0.05). From this study, it was concluded that malnutrition causes delayed tooth eruption, affects the oral health of the child, and results in an increased caries experience.

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“…5 Salivary gland hypofunction and reduced salivary flow are caused by EED and PEM in stunted children. 12 Compared with normal children, children with stunted growth have a higher incidence of dental caries, reduced salivary flow, and delayed tooth eruption. Dysfunction of the salivary glands can cause decreased saliva flow in stunted children.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Saliva Composition: Parathyroid Hormone-Related Protein, Total Protein, and Secretory Immunoglobulin A (sIgA) in Rattus norvegicus with Stunted Growth

et al. 2022

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Objective This study aimed to determine total protein, secretory immunoglobulin A (sIgA) and parathyroid hormone-related protein (PTHrP) levels in the saliva of rats with stunted growth. Materials and Methods Experimental laboratory research with a pre-and posttest control group design was conducted. Seventeen albino rats (Rattus norvegicus) were divided into the control group (eight rats) and the treatment group (nine rats). Rats in the treatment group were exposed to aflatoxin B1 5µg/kg orally for 5 weeks. Anthropometry data (body length, body weight) and saliva of R. norvegicus were collected. The levels of PTHrP and sIgA in the saliva were measured using an enzyme-linked immunosorbent assay kit for rats and the Bradford test for total protein and analyzed using SPSS 25.0. Results Aflatoxin caused stunted growth in rats in the treatment group. There was a significant difference in body length, salivary flow, PTHrP, sIgA, and total protein in the treatment group compared with the control group. The average rat's body length change in the control group was 6.4 ± 1.1mm/5 weeks, while in the treatment group, the change was 3.7 ± 0.9 mm /5 weeks. There was no significant weight gain in the treatment group compared with the normal group. The average values of PTHrP, sIgA, and total protein in the control group were x̄0.9, x̄18, and x̄0.7 m./L, respectively, while in the treatment group, they measured x̄0.4, x̄10.7, and x̄0.5 mg/L, respectively. Conclusion This study showed that salivary flow, PTHrP, sIgA, and total protein levels in the saliva were significantly lower in stunted rats compared with normal rats.

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Association of nutritional status on salivary flow rate, dental caries status and eruption pattern in pediatric population in India

Cited by 8 publications

References 0 publications

Does Growth Stunting Correlate with Oral Health in Children?: A Systematic Review

Does Growth Stunting Correlate with Oral Health in Children?: A Systematic Review

Effect of Early Childhood Malnutrition on Tooth Eruption Sequence in Nepalese Children

Analysis of Saliva Composition: Parathyroid Hormone-Related Protein, Total Protein, and Secretory Immunoglobulin A (sIgA) in Rattus norvegicus with Stunted Growth

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