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Effect of gummy candy containing ubiquinol on secretion of saliva: A randomized, double-blind, placebo-controlled parallel-group comparative study and an in vitro study.
Ushikoshi-Nakayama, R, Ryo, K, Yamazaki, T, Kaneko, M, Sugano, T, Ito, Y, Matsumoto, N, Saito, I
PloS one. 2019;(4):e0214495
Abstract
A randomized, double-blind, placebo-controlled, parallel-group comparative clinical study was conducted to examine the effects of ubiquinol (the reduced form of Coenzyme Q10) on secretion of saliva. This interventional study enrolled 40 subjects aged 65 years or younger who were healthy, but noted slight dryness of the mouth. Subjects were randomized with stratification according to gender and age to ingestion of gummy candy containing 50 mg of ubiquinol or placebo twice daily for 8 weeks. At the end of study, along with a significant increase of the CoQ10 level in saliva (p = 0.025*, d = 0.65), there was a significant increase of the saliva flow rate (p = 0.048*, d = 0.66) in the ubiquinol candy group (n = 18; 47.4±6.2 years; 6 men and 12 women) compared to the placebo group (n = 20; 52.2±7.7 years; 4 men and 16 women). The strength of the stomatognathic muscles was not significantly enhanced by ingestion of ubiquinol candy. Compared with baseline, significant improvement of the following four questionnaire items was observed in the ubiquinol group at the end of the study: feeling tired (p = 0.00506, d = -0.726), dryness of the mouth (p = 0.04799, d = -0.648), prone to catching a cold (p = 0.00577, d = -0.963), and diarrhea (p = 0.0166, d = -0.855). There were no serious adverse events. An in vitro study revealed that ubiquinol stimulated a significant and concentration-dependent increase of ATP production by a cell line derived from human salivary gland epithelial cells (p<0.05), while 1 nM ubiquinol significantly suppressed (p = 0.028) generation of malondialdehyde by cells exposed to FeSO4-induced oxidative stress. These findings suggest that ubiquinol increases secretion of saliva by suppressing oxidative stress in the salivary glands and by promoting ATP production. Trial Registration: UMIN-CTR UMIN000024406.
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Effect of implant-supported mandibular overdentures versus reline on masticatory performance and salivary flow rates in very old adults-A randomized clinical trial.
Maniewicz, S, Duvernay, E, Srinivasan, M, Perneger, T, Schimmel, M, Müller, F
Clinical oral implants research. 2019;(1):59-67
Abstract
PURPOSE To compare the masticatory efficiency (ME), maximum voluntary bite force (MBF), masseter muscle thickness (MMT), and salivary flow rates (SFR) in completely edentulous dependent elders treated either with a conversion of their existing mandibular complete removable dental prostheses (CRDPs) into a two-implant overdenture (IOD) or a conventional reline of the CRDP. MATERIAL AND METHODS Participants were randomly allocated into intervention (IG) and control (CG) groups. The IG received two implants in the mandibular canine regions, and their CRDPs were transformed into IODs. The CG received a conventional reline of their mandibular CRDPs. Outcomes were recorded at each recall visit (baseline, immediately, 3 months, 12 months after intervention, and subsequently on an annual basis). Statistical analyses used mixed linear regression models (level of significance: p < 0.05). RESULTS The IG comprised 16 participants (age = 85.0 ± 6.2 years), while the CG comprised 16 (age = 84.8 ± 5.4 years), with a mean follow-up of 2.7 ± 2.2 years (range: 3 months-7 years). A significant increase of MBF in the IG was observed with an overall gain of 80 N (p < 0.001) compared with the reline group. There were no significant long-term changes in SFR, MMT, or ME within/between groups. CONCLUSION Since dependent elders with mandibular IODs present a significant gain in MBF, but no relative increase in SFR, MMT, and ME, it seems that this increased capacity of MBF is not exploited by the elders during their habitual chewing.
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Short-term changes in daily movement behaviour influence salivary C-reactive protein in healthy women.
Truba, TN, Doan, J, Currie, CL, Copeland, JL
Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme. 2018;(8):854-856
Abstract
This study assessed the effect of changing daily movement behaviour on C-reactive protein (CRP) measured in saliva. Two groups of women either reduced daily movement or increased physical activity for 10 days. Salivary CRP increased by 31% in the sedentary group (0.378 ± 0.596 to 0.487 ± 0.793 μg·L-1) and decreased by 22% in the active group (0.414 ± 0.640 to 0.259 ± 0.284 μg·L-1). These results suggest short-term changes in daily movement behaviour can affect salivary CRP, a marker of systemic inflammation.
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Evaluation and review of body fluids saliva, sweat and tear compared to biochemical hydration assessment markers within blood and urine.
Villiger, M, Stoop, R, Vetsch, T, Hohenauer, E, Pini, M, Clarys, P, Pereira, F, Clijsen, R
European journal of clinical nutrition. 2018;(1):69-76
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Abstract
Evaluating and testing hydration status is increasingly requested by rehabilitation, sport, military and performance-related activities. Besides commonly used biochemical hydration assessment markers within blood and urine, which have their advantages and limitations in collection and evaluating hydration status, there are other potential markers present within saliva, sweat or tear. This literature review focuses on body fluids saliva, sweat and tear compared to blood and urine regarding practicality and hydration status influenced by fluid restriction and/or physical activity. The selected articles included healthy subjects, biochemical hydration assessment markers and a well-described (de)hydration procedure. The included studies (n=16) revealed that the setting and the method of collecting respectively accessing body fluids are particularly important aspects to choose the optimal hydration marker. To obtain a sample of saliva is one of the simplest ways to collect body fluids. During exercise and heat exposures, saliva composition might be an effective index but seems to be highly variable. The collection of sweat is a more extensive and time-consuming technique making it more difficult to evaluate dehydration and to make a statement about the hydration status at a particular time. The collection procedure of tear fluid is easy to access and causes very little discomfort to the subject. Tear osmolarity increases with dehydration in parallel to alterations in plasma osmolality and urine-specific gravity. But at the individual level, its sensitivity has to be further determined.
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Detection of Salivary Insulin Following Low versus High Carbohydrate Meals in Humans.
Myette-Côté, É, Baba, K, Brar, R, Little, JP
Nutrients. 2017;(11)
Abstract
Developing non-invasive alternatives to monitor insulin levels in humans holds potential practical value for identifying individuals with, or at risk of developing, insulin resistance. The aims of this study were: (1) to determine if saliva insulin can be used to delineate between low and high postprandial insulin levels following the ingestion of mixed breakfast meals; and (2) to determine if expected differences in postprandial hyperinsulinemia between young lean and young overweight/obese participants could be detected in saliva. Sixteen individuals (n = 8 classified as normal weight (NW); BMI 20.0-24.9 kg/m², and n = 8 classified as overweight/obese (OO); BMI ≥ 28.0 kg/m²) completed two isocaloric mixed-meal tolerance tests following an overnight fast, consisting of a low-carbohydrate (LC) breakfast or a high-carbohydrate (HC) breakfast. Blood and saliva samples were collected at regular intervals for two hours postprandially. In both groups, plasma and saliva insulin total area under the curve (AUC) and incremental AUC (iAUC) were significantly higher after the HC as compared to the LC meal (all p ≤ 0.005). Insulin AUC and iAUC in both plasma and saliva were higher in OO than in NW after the HC meal (all p ≤ 0.02) but only plasma and saliva total AUC were higher in OO after the LC meal (both p ≤ 0.01). Plasma insulin AUC was significantly correlated with salivary insulin AUC in LC (r = 0.821; p < 0.001) and HC (r = 0.882; p < 0.001). These findings indicate that saliva could potentially be used to delineate between low and high insulin levels following mixed breakfast meals.
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Urine drug testing results and paired oral fluid comparison from patients enrolled in long-term medication-assisted treatment in Tennessee.
Miller, KL, Puet, BL, Roberts, A, Hild, C, Carter, J, Black, DL
Journal of substance abuse treatment. 2017;:36-42
Abstract
Urine drug testing is recommended for individuals receiving medication-assisted treatment. It provides objective information for practitioners to consider and may serve as a protective factor against drug-related mortality. The primary objective of our study was to describe urine drug testing results for patients undergoing long-term medication-assisted treatment (≥6months). The secondary objective was to provide further evidence to establish oral fluid as a reliable alternative to urine. All subjects (n=639) included in the study were enrolled in one of five treatment centers in the state of Tennessee, and all urine specimens were positive for either methadone or buprenorphine. Nicotine (87%), caffeine (70%), marijuana (15%), alcohol (14%) and gabapentin (10%) were the most prevalent substances identified through urine drug testing. The presence of non-maintenance opioids (prescription and/or heroin) may represent relapse; these drugs were present in 10% of specimens tested. Evidence of illicit drug use (cocaine, heroin, marijuana and/or methamphetamine) was detected in 19% specimens. For 126 of the 639 subjects included in the study, paired oral fluid and urine test results were compared for agreement. Of the total paired urine and oral fluid tests, approximately 7% were positive for a drug in both specimen types and 91% were negative in both, resulting in an overall agreement of 98%. The study demonstrates continued use of illicit and commercially available medications in a medication-assisted treatment population undergoing long-term treatment. The results affirm the reliability of oral fluid as an alternative specimen type for compliance testing in this population.
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Release of fluoride from orthodontic adhesives and penetration into enamel.
Suebsureekul, P, Viteporn, S
Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie. 2017;(3):185-192
Abstract
OBJECTIVE The purpose of this work was to compare fluoride release from three orthodontic adhesives and fluoride penetration into the enamel surface. MATERIALS AND METHODS A total of 156 extracted human premolar teeth were randomly assigned to three experimental groups and one control group (without bonding) with 39 teeth per group. Brackets were bonded to teeth using Fuji Ortho LC®, Illuminate®, or Light Bond®. The amount of fluoride released (ppm) into artificial saliva was measured by a fluoride ion-selective electrode connected to an ion analyzer on days 1, 3, 7, and 30. Fluoride penetration was investigated after 1, 2, and 3 months; 13 teeth of each group were randomly selected at every period of study and sectioned across the center of the bracket. The surface of the cross-section was studied under the scanning electron microscope, and the fluoride concentration (weight%) at 1, 2, and 3 µm below the outer enamel surface was determined by energy-dispersive X-ray microanalysis. RESULTS On days 1, 3, 7, and 30, the mean cumulative fluoride release from the three orthodontic adhesives were significantly different (p < 0.05). Illuminate® released the greatest fluoride, followed by Fuji Ortho LC® and Light Bond®. After 1, 2, and 3 months, fluoride penetration into enamel was only found from Fuji Ortho LC®. The fluoride concentration decreased with depth but there were no significant differences (p > 0.05) over time at all depths. CONCLUSIONS The in vitro study indicated that fluoride release is a common property of the three fluoride-releasing orthodontic adhesives: Illuminate®, Fuji Ortho LC®, and Light Bond®. However, detectable fluoride penetration is a specific property of Fuji Ortho LC®. Further clinical studies should be undertaken to investigate the benefit of the two adhesives Illuminate® and Fuji Ortho LC® on protection of enamel demineralization.
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Comparison of residual salivary fluoride retention using amine fluoride toothpastes in caries-free and caries-prone children.
Nazzal, H, Duggal, MS, Kowash, MB, Kang, J, Toumba, KJ
European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry. 2016;(3):165-9
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Abstract
AIM: This was to compare the salivary fluoride levels following tooth brushing with amine fluoride toothpastes containing three different concentrations of F (250 ppm F, 500 ppm F and 1250 ppm F) and to evaluate the effect of rinsing with water on the oral fluoride levels up to 90 min. METHODS A double blind randomised six-arm crossover study was conducted with 32 child participants. Patients were divided into two groups depending on their caries experience with caries-free group (n = 17, mean age = 72.9 months) and caries-prone group (n = 15, mean age = 69.6 months, mean dmfs = 12.3). Each participant brushed their teeth with a smear of dentifrice containing (250 ppm, 500 ppm and 1250 ppm F toothpastes) for 60 s. After spitting out the dentifrice/saliva slurry, participants either rinsed with water or did not rinse at all. Samples of whole mixed unstimulated saliva were collected at 0 (baseline), 1, 15, 30, 45, 60 and 90 mins post-brushing/rinsing. RESULTS After completing the study on residual fluoride concentration it was found that caries was not a significant variable (p = 0.567) while every other variable was (all p values <0.001). Time, toothpaste F concentration and rinse had significant effects (p < 0.001). In general, higher residual salivary F concentrations were found with increased F concentration in toothpastes and when no rinsing was performed after brushing. CONCLUSION The results of this study support the current recommendation of using toothpastes with >1000 ppm F concentration in children with an increased caries risk in addition to spitting excess toothpaste with no rinsing following brushing.
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Saliva vs. plasma bioequivalence of paracetamol in humans: validation of class I drugs of the salivary excretion classification system.
Idkaidek, N, Arafat, T
Drug research. 2014;(10):559-62
Abstract
AIMS: To study saliva and plasma bioequivalence of paracetamol in healthy human volunteers, and to investigate the robustness of using saliva instead of plasma as surrogate for bioequivalence of class I drugs according to the salivary excretion classification system (SECS). METHODS Saliva and plasma pharmacokinetic parameters were calculated by non compartmental analysis. Analysis of variance, 90% confidence intervals, intra-subject and inter-subject variability values of pharmacokinetic parameters were calculated after logarithmic transformation. Calculations were done using Kinetica program V5. Descriptive and comparative statistics were also calculated by Excel. RESULTS AND DISCUSSION Paracetamol falls into class I (High permeability/High fraction unbound to plasma proteins) and was subjected to salivary excretion, with correlation coefficient of 0.99 between saliva and plasma concentrations and saliva/plasma concentrations ratios of 1.45-1.50. The 90% confidence limits of areas under curve (AUC(last) and AUC(∞)) showed similar trend and passed the 80-125% acceptance criteria in both saliva and plasma. On the other hand for maximum concentration (C(max)), the 90% confidence limits passed the acceptance criteria in plasma and failed in saliva. Inter and intra subject variability values in saliva were higher than plasma leading to need for higher number of subjects to be used in saliva. Saliva and plasma parameter ratios were not significantly different (P>0.05). CONCLUSIONS Saliva instead of plasma can be used as surrogate for bioequivalence of class I drugs according to SECS when adequate sample size is used. Future work is planned to demonstrate SECS robustness in drugs that fall into classes II or III.
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[Effects of nighttime snacking in students on their physiological parameters].
Budkevich, RO, Bakumenko, OE, Evdokimov, IA, Budkevich, EV
Voprosy pitaniia. 2014;(3):17-24
Abstract
The purpose of the research was a comparative assessment of the level of diet nutrients, characteristics of higher nervous activity, specificity of chronobiological changes of the sleep-wake cycle, the daily dynamics of cortisol level and total antioxidant activity in saliva in students with the presence of night eating compared with students who do not eat at night. The participants were 72 university students aged 17-22 years (59 females and 13 males), a self-administered diet diary for a week was used to acquire dietary pattern and nutrient content. All participants were divided into two groups: group 1--students with food consumption from 06.00 am to 10.00 pm without night meals (n = 34), and group 2--students, whose food consumption include all day period and night snaking from 10.00 pm to 06.00 am (n = 38). High nervous activity parameters were detected according to the Eysenck questionnaire, Spielberg and Taylor anxiety tests, the test "Stress", the three-factor eating questionnaire; chronobiological state was evaluated according to sleep quality, sleep hygiene, daily sleepiness, chronotype. Levels of cortisol and total antioxidant activity were estimated in saliva twice a day: in the morning and in the evening. In both groups, the majority of students (97%) have reduced consumption of vitamins and minerals such as biotin, vitamin D, choline, iodine, cobalt, manganese, sulfur, fluorine and zinc. Deficit of carbohydrates was found in 93% of respondents. The number of students with calcium deficiency was increased in the group 2 compared to the group 1 and reached 27.8% vs 3% (p < 0.05), niacin insufficiency was revealed in 41.7% vs 18.2% (p < 0.05) and proteins insufficiency frequency reached 30.6% vs 0% (p < 0.05). The students from the group 2 had a significantly lower (p < 0.05) intake of vitamins A, B6 and C. In the group 2 it was detected the time shift of food consumption acrophase (15.1 h vs. 13.8 h; p < 0.05), decrease of persons with morning chronotype (5.55% vs 24.24%; p < 0.05), increase of anxiety and daily sleepiness (26 vs 20; p < 0.01, and 10 vs 6; p < 0.03 respectively); decrease of sleep quality (13 vs 15; p < 0.01), increase of evening saliva cortisol level [9.41 (6.96; 13.11) vs 6.51 (5.61; 9.88) ng/ml; p < 0.005) and decrease of saliva total antioxidant activity in the morning [13.00 (9.82; 14.98) vs 16.41 (15.21; 17.51) mg/l; p < 0.001] and in the evening [11.11 (7.85; 12.89)vs 14.32 (13.27; 15.29) mg/l; p < 0.001].