Can the salivary urea and stimulated saliva concentration be a marker of periodontal diseases in opioid users? A case-control study

Introduction: & Aim: Microbial plaque is the primary cause of periodontal diseases, and smoking and opioid addiction can accelerate microbial plaque formation and disease progression. Adequate saliva flow and salivary urea concentration are important parameters for a healthy periodontium. In...

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Main Authors: Parvin parvaei, Marzie eydzadeh, Freshteh Osmani
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023043013
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author Parvin parvaei
Marzie eydzadeh
Freshteh Osmani
author_facet Parvin parvaei
Marzie eydzadeh
Freshteh Osmani
author_sort Parvin parvaei
collection DOAJ
description Introduction: &amp; Aim: Microbial plaque is the primary cause of periodontal diseases, and smoking and opioid addiction can accelerate microbial plaque formation and disease progression. Adequate saliva flow and salivary urea concentration are important parameters for a healthy periodontium. In this study, the relationship between Periodontal Diseases and the History of opioid addiction was investigated by measuring the Salivary Urea and Stimulated Saliva Concentration. Materials &amp; methods: This case-control study was conducted on 240 patients (120 cases and 120 controls) in 2021 referred to addiction treatment centers and the dental clinic in Iran, Birjand. The control and case groups were matched in terms of age. Demographic, base data, and clinical examination results were collected by a checklist. Data were analyzed using SPSS 19 and one-way ANOVA and chi-square tests. P-value <0.05 was considered as the significance level. Results: Periodontitis severity was significantly higher in the case group than in the control group (P-value = 0/000). Salivary urea concentration significantly increased in both case and control groups with an increase in periodontitis severity (P-value = 0/003 in the case group and P-value = 0/000 in the control group), but there was no significant relationship between the stimulated saliva flow rate and the severity of periodontitis in these two groups (P-value>0.05). Conclusion: Following the use of opioids, the flow of saliva decreases, and with the exacerbation of the periodontal disease, the concentration of urea in saliva increases. Therefore, it seems that the analysis of saliva parameters, including urea concentration, can be useful for the diagnosis of periodontal disease, and saliva urea concentration is not directly related to opioid use.
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spelling doaj.art-4ea0cbbdd15b4ed6991c9d1cda1afee32023-07-27T05:56:18ZengElsevierHeliyon2405-84402023-07-0197e17093Can the salivary urea and stimulated saliva concentration be a marker of periodontal diseases in opioid users? A case-control studyParvin parvaei0Marzie eydzadeh1Freshteh Osmani2Dentistry Clinical Research Development Center, Birjand University of Medical Sciences, Birjand, IranStudent Research Committee, Birjand University of Medical Sciences, Birjand, Iran; Corresponding author.Infectious Diseases Research Center, Birjand University of Medical Sciences, Birjand, IranIntroduction: &amp; Aim: Microbial plaque is the primary cause of periodontal diseases, and smoking and opioid addiction can accelerate microbial plaque formation and disease progression. Adequate saliva flow and salivary urea concentration are important parameters for a healthy periodontium. In this study, the relationship between Periodontal Diseases and the History of opioid addiction was investigated by measuring the Salivary Urea and Stimulated Saliva Concentration. Materials &amp; methods: This case-control study was conducted on 240 patients (120 cases and 120 controls) in 2021 referred to addiction treatment centers and the dental clinic in Iran, Birjand. The control and case groups were matched in terms of age. Demographic, base data, and clinical examination results were collected by a checklist. Data were analyzed using SPSS 19 and one-way ANOVA and chi-square tests. P-value <0.05 was considered as the significance level. Results: Periodontitis severity was significantly higher in the case group than in the control group (P-value = 0/000). Salivary urea concentration significantly increased in both case and control groups with an increase in periodontitis severity (P-value = 0/003 in the case group and P-value = 0/000 in the control group), but there was no significant relationship between the stimulated saliva flow rate and the severity of periodontitis in these two groups (P-value>0.05). Conclusion: Following the use of opioids, the flow of saliva decreases, and with the exacerbation of the periodontal disease, the concentration of urea in saliva increases. Therefore, it seems that the analysis of saliva parameters, including urea concentration, can be useful for the diagnosis of periodontal disease, and saliva urea concentration is not directly related to opioid use.http://www.sciencedirect.com/science/article/pii/S2405844023043013PeriodontitisSalivary ureaOpioidsStimulated saliva
spellingShingle Parvin parvaei
Marzie eydzadeh
Freshteh Osmani
Can the salivary urea and stimulated saliva concentration be a marker of periodontal diseases in opioid users? A case-control study
Heliyon
Periodontitis
Salivary urea
Opioids
Stimulated saliva
title Can the salivary urea and stimulated saliva concentration be a marker of periodontal diseases in opioid users? A case-control study
title_full Can the salivary urea and stimulated saliva concentration be a marker of periodontal diseases in opioid users? A case-control study
title_fullStr Can the salivary urea and stimulated saliva concentration be a marker of periodontal diseases in opioid users? A case-control study
title_full_unstemmed Can the salivary urea and stimulated saliva concentration be a marker of periodontal diseases in opioid users? A case-control study
title_short Can the salivary urea and stimulated saliva concentration be a marker of periodontal diseases in opioid users? A case-control study
title_sort can the salivary urea and stimulated saliva concentration be a marker of periodontal diseases in opioid users a case control study
topic Periodontitis
Salivary urea
Opioids
Stimulated saliva
url http://www.sciencedirect.com/science/article/pii/S2405844023043013
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AT marzieeydzadeh canthesalivaryureaandstimulatedsalivaconcentrationbeamarkerofperiodontaldiseasesinopioidusersacasecontrolstudy
AT freshtehosmani canthesalivaryureaandstimulatedsalivaconcentrationbeamarkerofperiodontaldiseasesinopioidusersacasecontrolstudy