Korelasi laju aliran saliva dan penyakit periodontal pada penduduk lanjut usia di Yogyakarta, Indonesia
Iffah Mardhiyah(1*), Christia Aye Waindy Vega(2)
(1) Program Studi Higiene Gigi, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta
(2) Program Studi Higiene Gigi, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author
Abstract
hubungannya dengan penyakit periodontal. Penelitian potong lintang dilakukan pada 66 orang berusia ≥60 tahun di pos pelayanan terpadu (posyandu) lanjut usia di Yogyakarta, Indonesia. Karakteristik sosio-demografi, sosio-ekonomi dan perilaku didapatkan melalui kuesioner. Pemeriksaan klinis intra oral dilakukan oleh orang yang terlatih dan terstandarisasi. Saliva keseluruhan tidak terstimulasi dikumpulkan dengan metode draining, lalu diukur volume, pH
dan kapasitas buffernya. Analisis statistik diuji menggunakan uji korelasi Eta. Rerata usia subjek 69,42 + 3,55 tahun. Rerata laju aliran saliva tidak terstimulasi adalah 0,39 ± 0,1 ml/menit, pH dan kapasitas buffer saliva sebesar 6,45 ± 0,22 dan 4,26 ± 1,04. Sebagian besar subjek (77,3%) mengalami penyakit periodontal dan 72,7% memiliki laju aliran saliva normal. Hasil uji korelasi Eta menunjukkan hubungan positif antara laju aliran saliva dan penyakit periodontal
dengan nilai korelasi r = 0,210. Eksplorasi data ini menambah gambaran terkait parameter (laju aliran saliva, pH dan kapasitas buffer) saliva keseluruhan tidak terstimulasi pada orang lanjut usia di Yogyakarta dan terdapat korelasi positif yang lemah antara laju aliran saliva dan penyakit periodontal. Laju aliran saliva meningkat seiring dengan bertambahnya tingkat keparahan penyakit periodontal. Faktor lain yang dapat mempengaruhi keparahan penyakit
periodontal pada orang lanjut usia perlu dikaji lebih lanjut.
Keywords
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PDFReferences
1. Kementerian Kesehatan RI. Situasi Lanjut Usia (Lansia) di Indonesia. Hari Lanju. Jakarta: Pusat Data dan Informasi; 2016.
2. Badan Pusat Statistik. Statistik Penduduk Lanjut Usia 2020. Jakarta: Badan Pusat Statistik; 2020.
3. Kishore M, Panat SR, Choudhary A, Aggarwal A, Upadhyay N, Agarwal N, et al. Oral
diagnostics: an integral component to geriatric health care. Aging Male. 2013; 16(4): 159–163.
doi: 10.3109/13685538.2013.789014
4. Griffin SO, Jones JA, Brunson D, Griffin PM, Bailey WD. Burden of Oral Disease Among
Older Adults and Implications for Public Health Priorities. Am J Public Health. 2012; 102(3):
411–418. doi: 10.2105/AJPH.2011.300362
5. Asim FM. Analisis perbandingan tingkat kehilangan gigi pada pasien lansia yang datang
ke dokter gigi dan ke tukang gigi. J Ilm dan Teknol Kedokt Gigi. 2019; 15(2): 57.
6. Koistinen S, Olai L, Ståhlnacke K, Fält A, Ehrenberg A. Oral health-related quality of life
and associated factors among older people in short-term care. Int J Dent Hyg. 2020; 18(2):
163–172. doi: 10.1111/idh.12424
7. Närhi T, Syrjälä AM. Dental diseases and their treatment in the elderly. Nor Tann Tid. 2017;
127: 42–48. doi: 10.11261/iryo1946.39.352
8. Fabiola Díaz-García I, Munira Hernández-Santos D, Alberto Díaz-Ramos J, Ma. Mendoza-
Ruvalcaba N. Oral Health and Prevention in Older Adults. In: Ardelean L, Rusu L, Gehrke SA, editors. IntechOpen. Intech Open; 2022. 1–21.
9. Chan AKY, Tamrakar M, Jiang CM, Lo ECM, Leung KCM, Chu CH. Common medical and
dental problems of older adults: a narrative review. Geriatrics. 2021; 6(3): 76.
10. Sedghi LM, Bacino M, Kapila YL. Periodontal disease: the good, the bad, and the unknown. Front Cell Infect Microbiol. 2021; 11: 1–26. doi: 10.3389/fcimb.2021.766944/full
11. Ebersole JL, Dawson DR, Morford LA, Peyyala R, Miller CS, Gonzaléz OA. Periodontal
disease immunology: ‘double indemnity’ in protecting the host. Periodontol 2000. 2013;
62(1): 163–202. doi: 10.1111/prd.12005
12. Muhammad M, Tonnie KM, Evelyn W. Salivary flow rate in adult Kenyans and its relationship
with chronic periodontitis. J Dent Oral Hyg. 2016; 8(7): 37–42.
13. Pandey AK. Physiology of Saliva: An Overview. J Dent Indones. 2014; 21(1): 32–38.
14. Shaila M, Pai Gp, Shetty P. Salivary protein concentration, flow rate, buffer capacity and
pH estimation: A comparative study among young and elderly subjects, both normal and
with gingivitis and periodontitis. J Indian Soc Periodontol. 2013; 17(1): 42.
15. Amalina R, Mahdalena M, Aditya G. Differences in the salivary inorganic ions levels and salivary flow rate of the periodontitis and non-periodontitis patients. Padjadjaran J Dent. 2020 31; 32(2): 160–165.
16. Lăzureanu PC, Popescu F, Tudor A, Stef L, Negru AG, Mihăilă R. Saliva pH and flow rate in patients with periodontal disease and associated cardiovascular disease. Med Sci Monit. 2021; 27: 1–13.
17. Ayşe Rabia I, Seda Ç, Fevziye Burcu Ş, Özgür K, Zuhal Yetkin A. Salivary oxidative variables
affect the severity of periodontal disease in a geriatric population. J Geriatr Med Gerontol.
2021; 7(1): 109–117.
18. Satoh-Kuriwada S, Shoji N, Miyake H, Watanabe C, Sasano T. Effects and Mechanisms of tastants on the gustatorysalivary reflex in human minor salivary glands. Biomed Res Int. 2018; 2018: 1–12.
19. Bourdiol P, Hennequin M, Peyron MA, Woda A. Masticatory adaptation to occlusal
changes. Front Physiol. 2020; 11(April): 1–17. doi: 10.3389/fphys.2020.00263/full
20. Maruyama M, Morita K, Kimura H, Nishio F, Yoshida M, Tsuga K. Association between
masticatory ability and oral functions. J Clin Exp Dent. 2020; 12(11): e1011–4.
21. Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, Goisser S, Hooper L, et al. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin Nutr. 2019; 38(1): 10–47.
doi: 10.1016/j.clnu.2018.05.024
22. Indah Sari K, Maulida A, Tjahajawati S. Salivary flow rates in various occlusal support
zones in Elderly Individuals. J Indones Dent Assoc. 2021; 4(1): 1–6.
23. Baliga S, Muglikar S, Kale R. Salivary pH: A diagnostic biomarker. J Indian Soc
Periodontol. 2013; 17(4): 461.
24. Leal SC, Bittar J, Portugal A, Falcão DP, Faber J, Zanotta P. Medication in elderly people: its influence on salivary pattern, signs and symptoms of dry mouth. Gerodontology. 2010; 27(2): 129–133. doi: 10.1111/j.1741-2358.2009.00293.x
25. Sinaga NTA, Wihardja R, Sari KI. Differences in the salivary flow rate, buffer capacity, and
pH, based on the length of inhalants usage in bronchial asthma patients. Padjadjaran J
Dent. 2022; 34(1): 88.
26. Prodan A, Brand HS, Ligtenberg AJM, Imangaliyev S, Tsivtsivadze E, van der Weijden F, et al. Interindividual variation, correlations, and sex-related differences in the salivary biochemistry of young healthy adults. Eur J Oral Sci. 2015; 123(3): 149–157.
doi: 10.1111/eos.12182
27. Subbarao KC, Nattuthurai GS, Sundararajan SK, Sujith I, Joseph J, Syedshah YP. Gingival
crevicular fluid: an overview. J Pharm Bioallied Sci. 2019; 11(2): 135–139. doi: 10.4103/jpbs.JPBS
28. Sinor MZ, Ariffin A. Association between salivary parameters and periodontal disease.
Int Med J. 2013; 20(5): 605–609.
29. Nyvad B, Takahashi N. Integrated hypothesis of dental caries and periodontal diseases. J
Oral Microbiol. 2020; 12(1): 1710953.
doi: 10.1080/20002297.2019.1710953
DOI: https://doi.org/10.22146/mkgk.84435
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