Effect of Diet Modification on Salivary Parameters and Oratest in High-caries-risk Individuals

Abstract

AimThis study was aimed to assess the salivary parameters and caries activity test (Oratest) in high-caries-risk individuals and effect of diet modification and parental education on salivary parameters and Oratest.Materials and methodsForty-five children aged between 5 and 8 years and decayed, extracted due to caries, filled teeth (deft)/decayed, missing, filled teeth (DMFT) scores >5 were selected and evaluated for salivary parameters, such as hydration status of oral mucosa, resting pH, unstimulated salivary flow rate (USFR) and stimulated salivary flow rate (SSFR), buffering capacity of stimulated saliva (BCSS) before and after diet counseling using GC India Saliva Check Kit. Oratest was performed to assess the caries activity. Children’s parents were asked to record 5 to 7 days diet chart. Diet charts were collected and based on the evaluation of specific diet charts, diet counseling was provided. After 6 weeks, salivary parameters and Oratest were reevaluated. Baseline and postdiet counseling salivary parameters were subjected to statistical analysis using Student’s t-test (paired) and Wilcoxon signed rank test.ResultsFrom baseline to 6 weeks, USFR and SSFR were increased which were statistically significant. Buffering capacity and resting pH increased slightly but was not statistically significant. The reading of Oratest increased significantly, indicating a decreased caries activity in individuals.ConclusionIt can be concluded that diet counseling, parental education, and regular motivation can positively alter salivary parameters, such as USFR and SSFR.How to cite this article: Jain S, Bansal K, Marwaha M, Sehrawat N, Singla S. Effect of Diet Modification on Salivary Parameters and Oratest in High-caries-risk Individuals. Int J Clin Pediatr Dent 2018;11(1):34-39.

Changes in the salivary electrolytic dynamic after sucrose exposure in children with Early Childhood Caries

“…From a pragmatic point of view, the speed and direction of the cariogenic partway (Demineralization ↔ Remineralization) are closely associated with the saliva's ability to maintain the mineral structure of the tooth after a cariogenic challenge with fermentable carbohydrate. Thus, saliva is considered the most important host-related factor that could shift the direction of dental caries activity to the arrested pattern, as well as to promote a significant impact on the maintenance of children's health 8,9 .…”

Biofilm Accumulation and Sucrose Rinse Modulate the Calcium and Fluoride Bioavailability in the Saliva of Children with Early Childhood Caries

“…Saliva plays an important role in maintaining the integrity of dental tissues due to the presence of Ca 2 +, Pi, and F − and other inorganic ions. These chemical components can facilitate the remineralization of early caries lesions (Featherstone, 2004;Pappa et al, 2019) and promote a supersaturation of minerals, acting strategically to mitigate the damage caused by saccharolytic bacteria (Lenander-Lumikari e Loimaranta, 2000; Jain et al, 2018). Thus, Ca 2 +, Pi, and F − levels in saliva form a natural defense mechanism against tooth enamel dissolution (García-Godoy e Hicks, 2008; Dawes, 2008).…”