The use of BokaFlo™ instrument to measure salivary flow

Abstract Background Dry mouth currently affects roughly 20% of the population and is a condition characterized by chronic hyposalivation and/or subjective reports of xerostomia. Low saliva flow can be indicative of other undiagnosed diseases, such as primary Sjogren’s syndrome, and may contribute to...

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Main Authors: Braden S. Fallon, Trevor J. Chase, Elaine M. Cooke, Amir Ghazitabatabaei, Nathan O. Naylor, Jordan J. Cutshall, Bryan G. Trump, Melodie L. Weller
Format: Article
Language:English
Published: BMC 2021-04-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-021-01477-4
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author Braden S. Fallon
Trevor J. Chase
Elaine M. Cooke
Amir Ghazitabatabaei
Nathan O. Naylor
Jordan J. Cutshall
Bryan G. Trump
Melodie L. Weller
author_facet Braden S. Fallon
Trevor J. Chase
Elaine M. Cooke
Amir Ghazitabatabaei
Nathan O. Naylor
Jordan J. Cutshall
Bryan G. Trump
Melodie L. Weller
author_sort Braden S. Fallon
collection DOAJ
description Abstract Background Dry mouth currently affects roughly 20% of the population and is a condition characterized by chronic hyposalivation and/or subjective reports of xerostomia. Low saliva flow can be indicative of other undiagnosed diseases, such as primary Sjogren’s syndrome, and may contribute to difficulty chewing, increased caries susceptibility and infection. The passive drool test (PDT) is the primary method used to evaluate patients for hyposalivation but it is time-consuming and inconvenient. New methodology is needed to facilitate increased testing for hyposalivation in the dental clinic. The aim of this study was to evaluate an alternative method to measure salivary flow in dental offices. Methods In this study, we tested a new biomedical device, the BokaFlo™, to measure salivary flow in subjects in comparison to the current PDT standard. Participants completed an oral health questionnaire and saliva flow was evaluated by the PDT and the BokaFlo™ system. Results Saliva flow as measured by the BokaFlo™ positively correlated with the saliva flow measured by the PDT methodology (r = 0.22, p < 0.05). The device predicted low saliva flow in subjects with a sensitivity of 0.76 and specificity of 0.84 for subjects with hyposalivation, defined as a saliva flow rate of ≤ 0.1 ml/min. A significant negative correlation between the total oral health questionnaire score and the likelihood of participant exhibiting low salivary flow was observed (r = − 0.31, p < 0.006). Conclusion The BokaFlo™ was effectively able to measure low saliva flow correlating with the PDT methodology and may provide more efficient testing of saliva flow in the dental office.
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spelling doaj.art-9e4e1c6646fe4ec1bb1b14403ee1005d2022-12-21T19:56:34ZengBMCBMC Oral Health1472-68312021-04-012111710.1186/s12903-021-01477-4The use of BokaFlo™ instrument to measure salivary flowBraden S. Fallon0Trevor J. Chase1Elaine M. Cooke2Amir Ghazitabatabaei3Nathan O. Naylor4Jordan J. Cutshall5Bryan G. Trump6Melodie L. Weller7School of Dentistry, University of UtahSchool of Dentistry, University of UtahSchool of Dentistry, University of UtahSchool of Dentistry, University of UtahSchool of Dentistry, University of UtahSchool of Dentistry, University of UtahSchool of Dentistry, University of UtahSchool of Dentistry, University of UtahAbstract Background Dry mouth currently affects roughly 20% of the population and is a condition characterized by chronic hyposalivation and/or subjective reports of xerostomia. Low saliva flow can be indicative of other undiagnosed diseases, such as primary Sjogren’s syndrome, and may contribute to difficulty chewing, increased caries susceptibility and infection. The passive drool test (PDT) is the primary method used to evaluate patients for hyposalivation but it is time-consuming and inconvenient. New methodology is needed to facilitate increased testing for hyposalivation in the dental clinic. The aim of this study was to evaluate an alternative method to measure salivary flow in dental offices. Methods In this study, we tested a new biomedical device, the BokaFlo™, to measure salivary flow in subjects in comparison to the current PDT standard. Participants completed an oral health questionnaire and saliva flow was evaluated by the PDT and the BokaFlo™ system. Results Saliva flow as measured by the BokaFlo™ positively correlated with the saliva flow measured by the PDT methodology (r = 0.22, p < 0.05). The device predicted low saliva flow in subjects with a sensitivity of 0.76 and specificity of 0.84 for subjects with hyposalivation, defined as a saliva flow rate of ≤ 0.1 ml/min. A significant negative correlation between the total oral health questionnaire score and the likelihood of participant exhibiting low salivary flow was observed (r = − 0.31, p < 0.006). Conclusion The BokaFlo™ was effectively able to measure low saliva flow correlating with the PDT methodology and may provide more efficient testing of saliva flow in the dental office.https://doi.org/10.1186/s12903-021-01477-4BokaFloBokaFlo™Passive Drool TestXerostomiaHyposalivationSaliva Flow
spellingShingle Braden S. Fallon
Trevor J. Chase
Elaine M. Cooke
Amir Ghazitabatabaei
Nathan O. Naylor
Jordan J. Cutshall
Bryan G. Trump
Melodie L. Weller
The use of BokaFlo™ instrument to measure salivary flow
BMC Oral Health
BokaFlo
BokaFlo™
Passive Drool Test
Xerostomia
Hyposalivation
Saliva Flow
title The use of BokaFlo™ instrument to measure salivary flow
title_full The use of BokaFlo™ instrument to measure salivary flow
title_fullStr The use of BokaFlo™ instrument to measure salivary flow
title_full_unstemmed The use of BokaFlo™ instrument to measure salivary flow
title_short The use of BokaFlo™ instrument to measure salivary flow
title_sort use of bokaflo™ instrument to measure salivary flow
topic BokaFlo
BokaFlo™
Passive Drool Test
Xerostomia
Hyposalivation
Saliva Flow
url https://doi.org/10.1186/s12903-021-01477-4
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