Clinical Parameters of Oral Cavity, Physical and Microbiological Properties of Saliva in Patients with Obesity

Abstract

A -koncepcja i projekt badania, B -gromadzenie i/lub zestawianie danych, C -analiza i interpretacja danych, D -napisanie artykułu, E -krytyczne zrecenzowanie artykułu, F -zatwierdzenie ostatecznej wersji artykułu StreszczenieWprowadzenie. Wyniki wielu badań wskazują na związek otyłości nie tylko z chorobami ogólnoustrojowymi, ale również ze zmianami w środowisku jamy ustnej. Cel pracy. Kliniczna ocena stanu jamy ustnej, ilości wydzielanej śliny, miana bakterii Streptococcus mutans i Lactobacillus spp. oraz analiza nawyków higienicznych u osób otyłych. Słowa kluczowe: otyłość, stan jamy ustnej, ślina, zapalenie przyzębia, próchnica zębów. AbstractBackground. The results of several studies show not only a relationship of obesity with systemic diseases, but also with changes in the oral environment. Objectives. The aim of this study was to carry out clinical evaluation of oral status, the amount of saliva, bacterial titers for Streptococcus mutans and Lactobacillus spp., and to analyze hygienic habits in people with obesity.

Oral consequences of obesity and metabolic syndrome in children and adolescents

“…26 Also, the results of the study conducted in a group of adults by Lehmann-Kalata et al confirmed decreased stimulated and unstimulated saliva secretion in obese people compared to those with normal body weight. 32 In the study conducted by Rodríguez et al, 67 the secretion of unstimulated saliva, and in the study of de Campos et al, 68 the secretion of both unstimulated and stimulated saliva did not differ significantly in the group of obese children and children with normal body weight. However, Rodríguez et al observed that unstimulated saliva secretion was considerably higher in obese girls than in obese boys, which was not observed in a group of adolescents with normal body weight.…”

“…The study by Lehmann-Kalata et al showed a statistically significant increase in the gingival index (GI) and sulcus bleeding index (SBI) values in obese people in comparison to those with normal body weight. 32 The study by Zeigler et al showed no correlation between BMI, dietary habits, hygiene, and oral hygiene in obese adolescents. 33 However, obese teenagers with gingival pocket depth (PD) ≥4 mm had significantly more points with BOP ≥ 25% and considerably higher systolic blood pressure than obese teenagers with PD < 4 mm.…”

“…42 Also, the study conducted by Lehmann-Kalata et al in a group of adults confirmed higher intensity of caries in obese people. 32 Pannunzio et al 52 suggest that decreased activity of salivary peroxidase (an enzyme responsible for the antibacterial and antioxidant properties of saliva 53 ) may be the cause of increased incidence of caries in obese children. The said reduction of salivary peroxidase activity and the observed raised content of protein and free sialic acid (SA) in the saliva of obese people may lead to increased bacterial adhesion and colonization of the oral cavity by carious bacteria (Lactobacillus acidophilus and Streptococcus mutans).…”

Obesity, salivary glands and oral pathology

“…The proportions of most of these pathogens, as well as Campylobacter rectus and Eikenella corrodens , increased at the disease sites of obese patients compared to those of normal weight. Lehmann-Kalata et al ( 58 , have reported a statistically significant correlation between increased levels of Streptococcus mutans and Lactobacillus spp. in obese patients compared to patients of normal weight.…”

“…Lehmann-Kalata et al . ( 58 , reported a higher incidence of dental caries, and a worse state of the gums and oral hygiene in obese patients than in those of normal weight. Additionally, the latter had a significantly greater amount of stimulated and non-stimulated saliva than the obese patients, there being a statistically significant correlation between the increase in Streptococcus mutans and Lactobacillus spp.…”