Evaluation of Correlation between Salivary Calcium, Alkaline Phosphatase and Osteoporosis- A Prospective, Comparative and Observational Study

Introduction: Fixed and/or removable prosthodontics caters to the restorative needs of the largest count of geriatric patients whose rehabilitative procedures depend on the quality and quantity of available bone. The common diagnostic parameters for quantifying bone may involve an invasive blood...

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Main Authors: Mainak Kanti Saha, Prerna Agrawal, Suparna Ganguly Saha, Vinod Vishwanathan, Vandana Pathak, Sakuru Venkata Saiprasad, Purvi Dhariwal, Mahendra Dave
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2017-03-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/9583/24960_CE[Ra1]_F(DK)_PF1(VG_RK)_PFA(P)_PF2(P_NESY).pdf
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author Mainak Kanti Saha
Prerna Agrawal
Suparna Ganguly Saha
Vinod Vishwanathan
Vandana Pathak
Sakuru Venkata Saiprasad
Purvi Dhariwal
Mahendra Dave
author_facet Mainak Kanti Saha
Prerna Agrawal
Suparna Ganguly Saha
Vinod Vishwanathan
Vandana Pathak
Sakuru Venkata Saiprasad
Purvi Dhariwal
Mahendra Dave
author_sort Mainak Kanti Saha
collection DOAJ
description Introduction: Fixed and/or removable prosthodontics caters to the restorative needs of the largest count of geriatric patients whose rehabilitative procedures depend on the quality and quantity of available bone. The common diagnostic parameters for quantifying bone may involve an invasive blood examination, an expensive bone densitometry procedure or a urine analysis. Sialometry involving the basic biochemistry of saliva analysis may be proposed as an alternative to the conventional investigative protocol and its usefulness may be attributed owing to its non invasive and simpler procedure. Aim: The aim of this study was to compare the salivary calcium and alkaline phosphatase among osteoporotic, osteopenic and normal edentulous subjects. Materials and Methods: A prospective, comparative and observational study was carried out on 80 selected edentulous subjects (40 males and 40 females) aged 55-75 years (30 osteoporotic, 30 osteopenic and 20 control). A sample of saliva was taken for the study. Salivary calcium was measured by Arsenazo reaction; and alkaline phosphatase by the International Federation of Clinical Chemistry (IFCC) method. Statistical analysis was done by unpaired t-test. A comparison was made in the levels of salivary calcium and alkaline phosphatase with that of osteoporosis and osteopenia. Results: The mean salivary calcium and alkaline phosphatase levels were found to be significantly higher in the osteoporotic and osteopenic edentulous subjects as compared to the control group. Conclusion: Salivary calcium and alkaline phosphatase are increased significantly in case of osteoporosis and osteopenia. Hence, screening of salivary samples of patients may be an effective indicator for the detection of underlying disorders of bone metabolism.
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spelling doaj.art-0fe92fba59124b4e9acf12d2628fc0932022-12-22T01:04:08ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-03-01113ZC63ZC6610.7860/JCDR/2017/24960.9583Evaluation of Correlation between Salivary Calcium, Alkaline Phosphatase and Osteoporosis- A Prospective, Comparative and Observational StudyMainak Kanti Saha0Prerna Agrawal1Suparna Ganguly Saha2Vinod Vishwanathan3Vandana Pathak4Sakuru Venkata Saiprasad5Purvi Dhariwal6Mahendra Dave7Professor and Head, Department of Prosthodontics, College of Dental Science and Hospital, Indore, Madhya Pradesh, India.Postgraduate Student, Department of Prosthodontics, College of Dental Science and Hospital, Pithampur, Madhya Pradesh, India.Professor and Head, Department of Conservative Dentistry, College of Dental Science and Hospital, Indore, Madhya Pradesh, India.Reader, Department of Prosthodontics, College of Dental Science and Hospital, Indore, Madhya Pradesh, India.Senior Lecturer, Department of Prosthodontics, College of Dental Science and Hospital, Indore, Madhya Pradesh, India.Principal Scientist, Indian Council of Agricultural Research, Indian Agricultural Research Institute, Indore, Madhya Pradesh, India.Postgraduate Student, Department of Prosthodontics, College of Dental Science and Hospital, Indore, Madhya Pradesh, India.Postgraduate Student, Department of Prosthodontics, College of Dental Science and Hospital, Indore, Madhya Pradesh, India.Introduction: Fixed and/or removable prosthodontics caters to the restorative needs of the largest count of geriatric patients whose rehabilitative procedures depend on the quality and quantity of available bone. The common diagnostic parameters for quantifying bone may involve an invasive blood examination, an expensive bone densitometry procedure or a urine analysis. Sialometry involving the basic biochemistry of saliva analysis may be proposed as an alternative to the conventional investigative protocol and its usefulness may be attributed owing to its non invasive and simpler procedure. Aim: The aim of this study was to compare the salivary calcium and alkaline phosphatase among osteoporotic, osteopenic and normal edentulous subjects. Materials and Methods: A prospective, comparative and observational study was carried out on 80 selected edentulous subjects (40 males and 40 females) aged 55-75 years (30 osteoporotic, 30 osteopenic and 20 control). A sample of saliva was taken for the study. Salivary calcium was measured by Arsenazo reaction; and alkaline phosphatase by the International Federation of Clinical Chemistry (IFCC) method. Statistical analysis was done by unpaired t-test. A comparison was made in the levels of salivary calcium and alkaline phosphatase with that of osteoporosis and osteopenia. Results: The mean salivary calcium and alkaline phosphatase levels were found to be significantly higher in the osteoporotic and osteopenic edentulous subjects as compared to the control group. Conclusion: Salivary calcium and alkaline phosphatase are increased significantly in case of osteoporosis and osteopenia. Hence, screening of salivary samples of patients may be an effective indicator for the detection of underlying disorders of bone metabolism.https://jcdr.net/articles/PDF/9583/24960_CE[Ra1]_F(DK)_PF1(VG_RK)_PFA(P)_PF2(P_NESY).pdfedentulous patientosteoporotic patientssalivary analysisscreening
spellingShingle Mainak Kanti Saha
Prerna Agrawal
Suparna Ganguly Saha
Vinod Vishwanathan
Vandana Pathak
Sakuru Venkata Saiprasad
Purvi Dhariwal
Mahendra Dave
Evaluation of Correlation between Salivary Calcium, Alkaline Phosphatase and Osteoporosis- A Prospective, Comparative and Observational Study
Journal of Clinical and Diagnostic Research
edentulous patient
osteoporotic patients
salivary analysis
screening
title Evaluation of Correlation between Salivary Calcium, Alkaline Phosphatase and Osteoporosis- A Prospective, Comparative and Observational Study
title_full Evaluation of Correlation between Salivary Calcium, Alkaline Phosphatase and Osteoporosis- A Prospective, Comparative and Observational Study
title_fullStr Evaluation of Correlation between Salivary Calcium, Alkaline Phosphatase and Osteoporosis- A Prospective, Comparative and Observational Study
title_full_unstemmed Evaluation of Correlation between Salivary Calcium, Alkaline Phosphatase and Osteoporosis- A Prospective, Comparative and Observational Study
title_short Evaluation of Correlation between Salivary Calcium, Alkaline Phosphatase and Osteoporosis- A Prospective, Comparative and Observational Study
title_sort evaluation of correlation between salivary calcium alkaline phosphatase and osteoporosis a prospective comparative and observational study
topic edentulous patient
osteoporotic patients
salivary analysis
screening
url https://jcdr.net/articles/PDF/9583/24960_CE[Ra1]_F(DK)_PF1(VG_RK)_PFA(P)_PF2(P_NESY).pdf
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