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The Pharma Innovation Journal 2017; 6(11): 608-610
ISSN (E): 2277- 7695
ISSN (P): 2349-8242
NAAS Rating 2017: 5.03
TPI 2017; 6(11): 608-610
© 2017 TPI
www.thepharmajournal.com
Received: 01-09-2017
Accepted: 02-10-2017
Anuradha Kanhere
Department of Biochemistry,
T.N. Medical College, Mumbai,
Maharashtra, India
Smita Swami
Department of Biochemistry,
Mumbai D.Y. Patil School of
Medicine, Navi Mumbai,
Maharashtra, India
Sanjay Swami
Department of Biochemistry,
T.N. Medical College, Mumbai,
Maharashtra, India
Correspondence
Smita Swami
Department of Biochemistry,
Mumbai D.Y. Patil School of
Medicine, Navi Mumbai,
Maharashtra, India
Salivary total protein and amylase levels in patients
with gingivitis and chronic periodontitis
Anuradha Kanhere, Smita Swami and Sanjay Swami
Abstract
Inflammation of gums and its supporting structure is known as periodontitis. As this is strictly related to
oral health, it will ultimately be useful to study oral secretion with some of its biochemical parameters,
which are usually studied in serum. The usefulness of this parameters to gauge oral health especially with
reference to periodontitis was determined in present study. The study was conducted in Mumbai based
dental college. The aim of the study was to evaluate the changes in the levels of total proteins and
salivary amylase with increase in dental carries and to compare the same with healthy subjects. Students
‘t’ test was applied. The study comprised of total 90 subjects, out of which 30 had gingivitis , 30 had
periodontitis and 30 normal healthy individuals respectively. Both were age and sex matched. The result
showed response of salivary glands to periodontal disease by enhancing synthesis of some protein,
thereby increasing the protective potential of saliva.
Keywords: periodontitis, chronic periodontitis, gingivitis, salivary total protein, salivary amylase
Introduction
In recent years people have become more conscious about oral health. Periodontitis (gum
disease/ pyorrhoea), which is very common among people, is a set of inflammatory diseases
affecting the tissues surrounding the teeth. Gingivitis is a non-destructive, reversible
inflammatory condition whereas chronic periodontitis is irreversible condition leading to
destruction of connective tissues and alveolar bone. These occur as a result of the interaction
between a pathogenic bacterial biofilm and host derived inflammatory cells and molecules
[1]
.
Therefore, diverse researches are being performed to evaluate the severity of the disease as
well as to pinpoint the risk of the disease
[2]
.
Saliva is a body fluid, secreted by three pairs of major salivary glands (parotid, submandibular
and sublingual) and by many of minor salivary glands. Saliva contributes to digestion of food
and to the maintenance of oral hygiene. Absence of normal salivary function leads to dental
caries, gum disease (gingivitis and periodontitis) and other oral problems
[3]
. Various
microorganisms are inhibited by salivary amylase
[4]
. Alteration in protein composition of
whole saliva is also observed in patients with periodontal disease
[5]
.
There is very scanty literature available regarding the relation between total protein and
amylase. Therefore, this study was designed to assess and compare the levels of salivary total
protein and amylase in healthy, gingivitis and chronic periodontitis subjects.
Materials and Methods
The study compromised of total 90 subjects, out of which 30 had gingivitis, 30 had
periodontitis and 30 normal healthy individuals respectively. Both age and sex matched. The
groups were divided based on the clinical and radiographic examination of the periodontal
tissues.
Inclusion and exclusion criteria
Subjects with gingivitis and periodontitis without any systemic disease were included.
Subjects with systemic disease like diabetes mellitus, HIV, etc. were excluded from the study.
Subjects who consumed tobacco in any forms (smoking, chewing) and who had mumps, oral
tumours etc. were also excluded from the study. The study was approved by the Institutional
ethics committee. Written informed consents were obtained from the subjects.
Saliva Collection
The subjects were given prior information regarding collection of saliva.