Unstimulated whole saliva flow rate in relation to sicca symptoms in Hungary

Abstract

This cross sectional study, representative of the Hungarian population, clearly shows that one-third of the adult population suffers from xerostomia. The clinical severity of the xerostomia demonstrated a strong relationship with the lower levels of UWS flow rate. Reduced levels of UWS flow rate in this study were also shown to be associated with dysphagia, fatigue, and increased DMF-T numbers. The data show that oral dryness, its associated desiccation symptoms and its clinical manifestations are significant health problems in Hungary.

Stimulated salivary flow rate and oral health status

“…Although several studies have examined the relation between salivary flow and periodontal disease, a few reports have suggested that individuals with lower salivary flow rates have higher risks for periodontal disease (8,9,11). The present participants with a salivary flow rate ≤1.4 mL/min had a higher risk for extensive periodontal disease.…”

“…Yoshihiro Shimazaki 1,2) , Bohan Fu 1) , Koji Yonemoto 3,4) , Sumio Akifusa 1,5) , Yukie Shibata 1) , Toru Takeshita 1) , Toshiharu Ninomiya 6) , Yutaka Kiyohara 3) , and Yoshihisa Yamashita 1) decline in saliva secretion increased the risk of dental caries (7)(8)(9)(10). However, the extent to which caries risk increases because of decreased saliva production is unclear.…”

“…However, the extent to which caries risk increases because of decreased saliva production is unclear. A few studies have suggested that decreased saliva secretion affects periodontal disease (8,9,11), although others have questioned whether such an association exists (4,12,13). One study reported that few subjects with lower saliva secretion had deep periodontal pockets (14).…”

Impact of Hyperglycemia on Xerostomia and Salivary Composition and Flow Rate of Adolescents with Type 1 Diabetes Mellitus

“…This result agrees with a previous study, where it was suggested that it might be that the overall dehydration associated with hyperglycemia decreased the volume of saliva excreted (Karjalainen et al, 1996). Low salivary flow can influence increased caries experience in DM patients (Siudikiene et al, 2006, Márton et al, 2008. Furthermore, the subjective feeling of dry mouth (xerostomia) may result from a reduction in saliva secretion and was shown to have a negative impact on the quality of life of adolescents with DM1 (Busato et al, 2009).…”

Oral Aspects of Sjögren’s Syndrome

“…Studies have demonstrated a higher gingival bleeding and plaque index in subjects with hyposalivation but without shown a correlation between salivary flow rate and gingival bleeding index or plaque index (73,74).…”