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
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