摩苏尔市纺织厂 55-65 岁超重和肥胖成年人唾液成分(尿素、钙和磷)与龋齿根的关系

Baydaa A. Yas
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摘要

本研究旨在揭示摩苏尔市纺织厂 55-65 岁超重和肥胖成年人唾液中尿素、钙和磷水平与龋齿发生的关系。摩苏尔市纺织厂所有符合研究标准的 55-65 岁受试者(35 人)都参加了本次研究。体重状况通过身体质量指数(BMI)确定。根据世界卫生组织(1997 年)的标准记录龋齿情况。收集未经刺激的全唾液,然后对唾液样本进行生化分析。唾液中的尿素、钙和磷用分光光度计进行比色测定。结果显示,肥胖和超重受试者的唾液尿素和磷水平高于非肥胖受试者,差异非常显著。肥胖者的钙含量也明显高于非肥胖者。肥胖者的声根表面值高于非肥胖者和超重者,且差异显著。另一方面,超重和肥胖受试者的牙根表面朽坏值低于非肥胖受试者,但统计差异不明显。因此,总体健康状况良好的肥胖受试者的牙根龋坏严重程度可能会降低,这部分可能是由于唾液成分的变化造成的。因此,今后的研究应探讨哪些肥胖者特有的因素可能对龋齿有保护作用。此外,还需要进行样本量更大、样本分布更广(包括体重不足、体重正常、超重和肥胖)的进一步研究,以获得更精确、更明确的结果。
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The Relation of Salivary Constituents (Urea, Calcium and Phosphorous) to Root Caries among Overweight and Obese Adults Aged 55-65 Year-Old at Textile Factory in Mosul City
The purpose of this study was to disclose the relationship of salivary urea, calcium and phosphorous levels with root caries occurrence among overweight and obese adults aged 55-65 year-old at Textile Factory in Mosul City. All subjects aged 55-65 year-old (thirty five subjects) at Textile factory in Mosul city who fitted the study criteria took part in the current study. Weight status was determined by using the Body Mass Index (BMI). Root caries was recorded according to the criteria of WHO (1997). Unstimulated whole saliva was collected then salivary samples were subjected for biochemical analysis. Salivary urea, calcium, and phosphorous were determined colorimetrically by using the spectrophotometer. Results revealed that salivary urea and phosphorous levels were higher among obese and overweight subjects than non-obese with highly significant difference. Also calcium level was significantly elevated among obese compared with non-obese. Sound root surface value was higher among obese than non-obese and overweight subjects with significant difference. On the other hand overweight and obese subjects revealed lower decayed root surface value than non-obese though statistical difference was not significant. As a conclusion obese subjects with good general health might experience reduced root caries severity that might partly be due to changes in salivary constituents. Therefore future studies should address which factors specific to obese might be protective against root caries. Also there is a need for further studies with larger sample size and another sample distribution that include underweight, normal weight, overweight and obese to get more precise and clear results.
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