“Evaluation of the effect of Transcutaneous Electrical Nerve Stimulation on whole saliva flow in normal and xerostomia patients: a capital aftermath of cancer”- anin vivo study.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Background: Saliva is a critical fluid necessary for oral health. Xerostomia & salivary gland hypofunction are associated with advancing age, autoimmune diseases such as Sjögren’s syndrome, head & neck radiation, smoking and recreational drug usage. It increases the patient’s risk for caries and other oral infections. Palliative management of xerostomia includes topical agents such as ice chips, saliva substitutes, increasing water intake, paraffin and citric acid containing lozenges. Systemic agents stimulate salivary flow but often have unfavorable side effects. Aims and objectives: The present study was undertaken to compare and evaluate the unstimulated salivary flow with stimulated salivary flow after TENS therapy in normal healthy individuals and xerostomia patients and to compare the stimulated salivary flow rate in normal healthy individuals and xerostomia patients. Materials and methods: The study design comprised of 50 individuals taken up as study subjects and 50 individuals as controls. The study group consisted of subjects who were complaining of dry mouth or who were clinically diagnosed to have xerostomia by performing tongue blade test. TENS electrode pads were placed externally on the skin overlying the parotid glands. Unstimulatedwhole saliva was collected for five minutes in a graduated tube, using a standardized collection technique. The TENS unit was then activated for 30 mins and stimulated saliva was collected for an additional five minutes. Results: All the subjects in study and control groups showed increased stimulated salivary flow rates after stimulation. There was no significant difference in the rate of TENS stimulated salivary flow noticed based on the gender, age of the individual, treatment group allotted and the number of sessions of radiotherapy completed. Conclusions: Transcutaneous electric nerve stimulation (TENS) as an extra-oral device is effective in stimulating whole salivary flow in all the individuals. Sequential stimulation by TENS would be beneficial to the patient to improve their quality of life.
Authors and Affiliations
Praveena Talasila, Ponnaganti SC, Samata Yalamanchili, Alaparthi RK, Hanumanthu Narni
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