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VOLUME 14 , ISSUE 12 ( December, 2023 ) > List of Articles

ORIGINAL RESEARCH

Effect of Brushing the Teeth after Meals on Salivary pH of Elderly People with Removable Dentures: A Quasi Experimental Study

Eko Fibryanto, Aldrich Victor Reiner Sutanto

Keywords : Elderly, Removable partial dentures, Salivary pH, Time to brush teeth

Citation Information : Fibryanto E, Sutanto AV. Effect of Brushing the Teeth after Meals on Salivary pH of Elderly People with Removable Dentures: A Quasi Experimental Study. World J Dent 2023; 14 (12):1027-1031.

DOI: 10.5005/jp-journals-10015-2340

License: CC BY-NC 4.0

Published Online: 31-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aims: To analyze differences in salivary pH before eating, and at 5, 30, and 60 minutes after eating before brushing teeth, and after brushing teeth in elderly using removable partial dentures. Materials and methods: This is a quasi-experimental study with a pretest–posttest control group design. The study included a total of 22 participants who were required to eat rice. The participant provided saliva samples before eating, and for 3 consecutive days after eating with different time intervals before and after brushing the teeth. The time intervals were categorized as 5 minutes after eating (T0), 30 minutes after eating (T1), and 60 minutes after eating (T2). On the first day, saliva samples were taken before eating, at T0 before brushing teeth, and after brushing teeth. The exact process was repeated on the 2nd and 3rd days with T1 and T2. Saliva was collected in sterile tubes, stored in a cooler box, and measured with a pH meter. The data were analyzed using the general linear model (GLM) repeated measures analysis of variance (ANOVA) (p < 0.05), one-way ANOVA test (p < 0.05), and independent t-test (p > 0.05). Results: There was a significant difference in the group after eating before brushing their teeth with an average pH of 5.86 ± 0.22 (T0); 6.48 ± 0.12 (T1); and 6.64 ± 0.15 (T2) and after eating after brushing your teeth with an average pH of 7.26 ± 0.07 (T0); 7.30 ± 0.06 (T1); and 7.32 ± 0.04 (T3), respectively. There wasn't any significant difference in the pH between the upper and lower jaw of removable partial dentures in each time group. Conclusion: Salivary pH is typically acidic in the morning. Eating causes a decline in saliva pH, and the elderly have limited saliva buffering capacity to restore pH to neutral. Brushing teeth 5 minutes after eating brings salivary pH back to neutral. There were no significant differences in salivary pH between elderly individuals using upper or lower-jaw removable partial dentures. These findings emphasize the crucial role of timely toothbrushing in preserving oral health among the elderly. Clinical significance: There were significant findings in the acidity of salivary pH in the elderly using removable partial dentures and the correct time to brush their teeth after meals. Understanding this could help prevent carries and determine the right time to brush their teeth.

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  1. Sugiantari A, Budiantara I. Analysis of factors influencing life expectancy in East Java using semiparametric spline regression. J Sains dan Seni ITS 2013;2(1):2337–3520. DOI: 10.12962/j23373520.v2i1.3132
  2. Mahdi M. Indonesia's Life Expectancy Reaches 73.5 Years in 2021 [Internet]. 2022. [cited 2022 April 30]. Available from: https://dataindonesia.id/ragam/detail/angka-harapan-hidup-indonesia-capai-735-tahun-pada-2021. Indonesian.
  3. Ministry of Health Republic of Indonesia. Indonesia Enters the. Aging Population Period [Internet]. 2019. [cited 2022 April 30]. Available from: https://www.kemkes.go.id/article/view/19070500004/indonesia-masuki-periode-aging-population.html. Indonesian.
  4. Pindobilowo. The influence of oral hygiene on malnutrition in the elderly (Literature. Review). JITEKGI 2018;14(1):1–5.
  5. Ministry of Health Republic of Indonesia. Basic Health Research. Indonesia; 2018. 206–207. Indonesian.
  6. Singh KA, Brennan DS. Chewing disability in older adults attributable to tooth loss and other oral conditions. Gerodontology 2012;29(2):106–110. DOI: 10.1111/j.1741-2358.2010.00412.x
  7. Chiappin S, Antonelli G, Gatti R, et al. Saliva specimen: a new laboratory tool for diagnostic and basic investigation. Clin Chim Acta 2007;383(1-2):30–40. DOI: 10.1016/j.cca.2007.04.011
  8. Kubala E, Strzelecka P, Grzegocka M, et al. A review of selected studies determining the physical and chemical properties of saliva in the field of dental treatment. Biomed Res Int 2018;2018:6572381. DOI: 10.1155/2018/6572381
  9. Wimardhani Y, Annisa W, Rahmayanti F. Medication intake and its influence on salivary profile of geriatric outpatients at Cipto Mangunkusumo Hospital. Dent J (Maj Ked Gigi) 2012;45(3):138–143. DOI: 10.20473/j.djmkg.v45.i3.p138-143
  10. Paes Leme AF, Koo H, Bedi G, et al. The role of sucrose in cariogenic dental biofilm formation-new insight. J Dent Res 2006;85(10):878–887. DOI: 10.1177/154405910608501002
  11. Baliga S, Muglikar S, Kale R. Salivary pH: a diagnostic biomarker. J Indian Soc Periodontol 2013;17(4):461–465. DOI: 10.4103/0972-124X.118317
  12. Cury JA, de Oliveira BH, dos Santos AP, et al. Are fluoride releasing dental materials clinically effective for caries control? Dent Mater 2016;32(3):323–333. DOI: 10.1016/j.dental.2015.12.002
  13. Sekele IB, Naert I, Lutula PS, et al. Influence of removable partial dentures made of acrylic resin on oral health and quality of life. Odontostomatol Trop 2016;39(153):36–46. PMID: 27434918.
  14. Campbell SD, Cooper L, Craddock H, et al. Removable partial dentures: the clinical need for innovation. J Prosthet Dent 2017;118(3):273–280. DOI: 10.1016/j.prosdent.2017.01.008
  15. Augustin MM, Joke D, Bourleyi SI, et al. Risk factors of caries and periodontal diseases in patients after 5 years use of a partial removable denture. Open J Stomatol 2016;6(8):185–192. DOI: 10.4236/ojst.2016.68024
  16. Barbe AG, Al-Barwari A, Hamacher S, et al. Effectiveness of brushing teeth in patients with reduced oral hygiene by laypeople: a randomized, controlled study. BMC Oral Health 2021;21(1):225. DOI: 10.1186/s12903-021-01590-4
  17. Hidayat S, Adhani R, Arya IW. Difference in salivary pH before and after consuming sweet and sticky foods measured using a pH meter in 10-12 year old children at SDN Melayu 2 Banjarmasin. Dent (Jur Ked Gigi) 2014;2(1):39–45.
  18. Fibryanto E, Widyastuti W. Effect of brushing teeth before and after meals on salivary pH: a quasi-experimental study. J Int Oral Health 2022;14:163–167.
  19. Iorgulescu G. Saliva between normal and pathological important factors in determining systemic and oral health. J Med Life. 2009;2(3):303–307. PMID: 20112475.
  20. Pedersen AML, Sorensen CE, Proctor GB, et al. Salivary functions in mastication, taste and textural perception, swallowing and initial digestion. Oral Dis 2018;24(8):1399–1416. DOI: 10.1111/odi.12867
  21. Thie NMR, Kato T, Bader G, et al. The significance of saliva during sleep and the relevance of oromotor movements. Sleep Med Rev 2002;6(3):213–227. DOI: 10.1053/smrv.2001.0183
  22. Sabirin IPR, Widyasari R, Putri NDA. Relationship between suboptimal sleep duration and salivary flow rate in young doctors. J Kedokteran Gigi Universitas Padjadjaran 2020;32(3):220–225. DOI: 10.24198/jkg.v32i3.28958
  23. Amarya S, Singh K, Sabharwal M. Changes during aging and their association with malnutrition. J Clin Gerontol Geriatr 2015;6:78–84. DOI: 10.1016/j.jcgg.2015.05.003
  24. Razak PA, Richard KMJ, Thankachan RP, et al. Geriatric oral health: a review article. J Int Oral Health 2014;6(6):110–116. PMID: 25628498.
  25. Amarya S, Singh K, Sabharwal M. Ageing process and physiological changes. Gerontology. London: IntechOpen; 2018. pp. 3–24.
  26. Suryadinata A. Salivary bicarbonate levels in patients with and without dental caries. Sainstis 2011;1(1):35–42. DOI: 10.18860/sains.v0i0.1868
  27. Soyfa PA, Rahmayani L, Fatmawati F. The level of partial removable acrylic resin denture hygiene reviewed from the frequency and methods of cleaning. J Syiah Kuala Dent Soc 2016;1(1):91–95.
  28. Noor TNE, Binti TA. Burning mouth syndrome caused by xerostomia secondary to amlodipine. Dent J (Majalah Kedokteran Gigi) 2020;53(4):187–190. DOI: 10.20473/j.djmkg.v53.i4.p187-190
  29. Nishtala PS, Salahudeen MS, Hilmer SN. Anticholinergics: theoretical and clinical overview. Expert Opin Drug Saf 2016;15(6):753–768. DOI: 10.1517/14740338.2016.1165664
  30. Kyaw PP, Nyan M, Ko K. A study on the effectiveness of different cleansing methods for removable dentures. Myanmar Dent J 2014;21(1):22–30.
  31. Setiawan S, Haroen ER, Hadidjah D. The difference in salivary pH before and after brushing with fluoride-containing toothpaste and without toothpaste. Padjadjaran J Dent 2008;20(3):139–142. DOI: 10.24198/pjd.vol20no3.14118
  32. Rahma A, Dewi N, Putri DKT. The effect of 2% sodium fluoride application on plaque pH and saliva pH in 7-9-year-old children. Dent (Jur Ked Gigi) 2020;4(3):69–74. DOI: 10.20527/dentin.v4i3.2593
  33. Mayasari Y, Kusuma LRI. The sodium lauryl sulfate content in toothpaste in relation to saliva pH and plaque maturation level. Cakradonya Dent J 2021;13(1):63–71. DOI: 10.24815/cdj.v13i1.20917
  34. Suhasini J, Valiathan M. Brushing techniques. Eur J Mol Clin Med 2020;7(2):6601–6611.
  35. Bok HJ, Lee CH. Proper tooth-brushing technique according to the patient's age and oral status. Int J Clin Prev Dent 2020;16(4):149–153. DOI: 10.15236/ijcpd.2020.16.4.149
  36. Tsuda Y, Kitasako Y, Sadr A, et al. Effects of brushing timing after an erosive challenge on enamel loss in situ: white light interferometer and nanoindentation study. Dent Mater J 2016;35(4):613–620. DOI: 10.4012/dmj.2015-405
  37. Lussi A, Lussi J, Carvalho TS, et al. Toothbrushing after an erosive attack: will waiting avoid tooth wear? Eur J Oral Sci 2014;122(5):353–359. DOI: 10.1111/eos.12144
  38. Bartlett DW, Lussi A, West NX, et al. Prevalence of tooth wear on buccal and lingual surfaces and possible risk factors in young European adults. J Dent 2013;41(11):1007–1013. DOI: 10.1016/j.jdent.2013.08.018
  39. World Health Organization. Ageing and health [Internet]. 2021. [cited 2022 May 26]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.
  40. Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet 2007;369(9555):51–59. DOI: 10.1016/S0140-6736(07)60031-2
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