Macroscopic evaluation of the oral mucosa and analysis of salivary pH in patients with anorexia nervosa
Journal Title: Psychiatria Polska - Year 2014, Vol 48, Issue 3
Abstract
Psychiatr. Pol. 2014; 48(3): 453–464 PL ISSN 0033-2674 www.psychiatriapolska.pl Macroscopic evaluation of the oral mucosa and analysis of salivary pH in patients with anorexia nervosa Elżbieta Paszyńska 1 , Agnieszka Słopień 2 , Zuzanna Ślebioda 3 , Marta Dyszkiewicz-Konwińska 1 , Monika Węglarz 4 , Andrzej Rajewski 2 1 Department of Biomaterials and Experimental Dentistry, Poznan University of Medical Sciences, Poland Head: prof. UM dr hab. n. med. B. Czarnecka 2 Department of Child and Adolescent Psychiatry, Poznan University of Medical Sciences, Poland Head: prof. dr hab. med. A. Rajewski 3 Department of Oral Mucosa Diseases, Poznan University of Medical Sciences, Poland Head: dr hab. n. med. B. Dorocka-Bobkowska 4 Psychiatric Genetics Unit, Department of Psychiatry; Poznan University of Medical Sciences, Poland Head: prof. dr hab. med. J. Twarowska-Hauser Summary The aim of the study was to evaluate the status of the oral mucosa, to assess the prevalence of Candida in the oral cavity and to analyze the pH values of total saliva in patients with anorexia nervosa (AN) in comparison to the general population. Method . A controlled clinical trial was designed for two, age-matched, female groups: patients with AN (Group A, n=31) and healthy women (Group 0, n=40). Total saliva was collected at rest and after stimulation by chewing paraffin wax. Salivary pH was measured and macroscopic evaluation of the oral mucosa was performed with a qualitative and quantita - tive mycological analysis. The smear layer was collected from three different areas in the oral cavity. Selected Candida broths were used for incubation. Results . Changes in the macroscopic structure of the oral mucosa due to multifactorial etiologies were observed. The prevalence of Candida in patients with AN was comparable to that in the general population. Salivary pH values were significantly lower in the AN patients than in the control group. Conclusions . The incidence of pathological changes in the oral mucosa is associated with the loss of the salivary protective barrier. This is shown by the significant reduction in the pH values of stimulated and non-stimulated saliva of the AN patients. In these patients, the moni - toring of salivary parameters such as salivary flow rate and pH is indicated, and a regular dental checkup, together with soft tissue evaluation, is advised.
Authors and Affiliations
Elżbieta Paszyńska, Agnieszka Słopień, Zuzanna Ślebioda, Marta Dyszkiewicz-Konwińska, Monika Węglarz, Andrzej Rajewski
Keywords
Related Articles
- EP ID EP163142
- DOI -
- Views 89
- Downloads 0
Schizofrenia i jadłowstręt psychiczny – wzajemne powiązania. Przegląd literatury
Pomiędzy objawami tak pozornie od siebie odrębnych zaburzeń psychicznych jakimi są schizofrenia oraz jadłowstręt psychiczny istnieją różnego typu zależności. W artykule dokonano przeglądu literatury i podsumowano pogl...
Rola zjawiska przedwczesnego wnioskowania w powstawaniu urojeń
Wyniki wielu badań wskazują, że u osób doświadczających urojeń występują zaburzenia wnioskowania polegające na podejmowaniu decyzji na podstawie niewielkiej liczby informacji. Osoby z urojeniami formułują wnioski w oparc...
Iatrogenic influence of testosterone therapy among persons with Klinefelter Syndrome 87-95
Summary The purpose of this work is a presentation of cases of persons with Klinefelter Syndrome where, most probably – as a result of testosterone supplementation therapy, some aggressive behaviours occurred requirin...
Terapia poznawczo-behawioralna w leczeniu bezsenności przewlekłej
Cel. Ocena skuteczności terapii poznawczo-behawioralnej (CBT-I) w leczeniu bezsenności przewlekłej. Metoda. Spośród 236 pacjentów z bezsennością nieorganiczną (ICD-10), skierowanych na CBT-I (6 sesji w grupach 6–10 osób...
Psychometric properties of the Polish version of the Metacognitions Questionnaire-30
Summary Aim. The aim of the present study was to examine basic psychometric properties as well as to confirm the five-factor structure of the Polish version of the Metacognitions Questionnaire-30 (MCQ-30), a short instr...