Comparison of Salivary pH, Buffering Capacity and Alkaline Phosphatase in Smokers and Healthy Non-Smokers : Retrospective cohort study

Objectives: Saliva contains alkaline phosphatase (ALP)—a key intracellular enzyme related to destructive processes and cellular damage—and has buffering capacity (BC) against acids due to the presence of bicarbonate and phosphate ions. Smoking may have deleterious effects on the oral environment due...

Full description

Bibliographic Details
Main Authors: Fatemeh Ahmadi-Motamayel, Parisa Falsafi, Mohammad T. Goodarzi, Jalal Poorolajal
Format: Article
Language:English
Published: Sultan Qaboos University 2016-08-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/2159
_version_ 1811260759753097216
author Fatemeh Ahmadi-Motamayel
Parisa Falsafi
Mohammad T. Goodarzi
Jalal Poorolajal
author_facet Fatemeh Ahmadi-Motamayel
Parisa Falsafi
Mohammad T. Goodarzi
Jalal Poorolajal
author_sort Fatemeh Ahmadi-Motamayel
collection DOAJ
description Objectives: Saliva contains alkaline phosphatase (ALP)—a key intracellular enzyme related to destructive processes and cellular damage—and has buffering capacity (BC) against acids due to the presence of bicarbonate and phosphate ions. Smoking may have deleterious effects on the oral environment due to pH changes which can affect ALP activity. This study aimed to evaluate the salivary pH, BC and ALP activity of male smokers and healthy non-smokers. Methods: This retrospective cohort study took place between August 2012 and December 2013. A total of 251 healthy male non-smokers and 259 male smokers from Hamadan, Iran, were selected. Unstimulated whole saliva was collected from each participant and pH and BC were determined using a pH meter. Salivary enzymes were measured by spectrophotometric assay. Results: Mean salivary pH (7.42 ± 0.48 and 7.52 ± 0.43, respectively; P = 0.018) and BC (3.41 ± 0.54 and 4.17 ± 0.71; P = 0.001) was significantly lower in smokers compared to non-smokers. Mean ALP levels were 49.58 ± 23.33 IU/L among smokers and 55.11 ± 27.85 IU/L among non-smokers (P = 0.015). Conclusion: Significantly lower pH, BC and ALP levels were observed among smokers in comparison to a healthy control group. These salivary alterations could potentially be utilised as biochemical markers for the evaluation of oral tissue function and side-effects among smokers. Further longitudinal studies are recommended to evaluate the effects of smoking on salivary components.
first_indexed 2024-04-12T18:52:25Z
format Article
id doaj.art-da1c50cf99f548b4aab962eb1d845e70
institution Directory Open Access Journal
issn 2075-051X
2075-0528
language English
last_indexed 2024-04-12T18:52:25Z
publishDate 2016-08-01
publisher Sultan Qaboos University
record_format Article
series Sultan Qaboos University Medical Journal
spelling doaj.art-da1c50cf99f548b4aab962eb1d845e702022-12-22T03:20:27ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282016-08-0116331732110.18295/squmj.2016.16.03.0092079Comparison of Salivary pH, Buffering Capacity and Alkaline Phosphatase in Smokers and Healthy Non-Smokers : Retrospective cohort studyFatemeh Ahmadi-Motamayel0Parisa Falsafi1Mohammad T. Goodarzi2Jalal Poorolajal3Dental Research Center, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, IranDepartment of Oral Medicine, School of Dentistry, University of Medical Sciences, Tabriz, IranResearch Center for Molecular Medicine, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, IranModeling of Noncommunicable Diseases Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, IranObjectives: Saliva contains alkaline phosphatase (ALP)—a key intracellular enzyme related to destructive processes and cellular damage—and has buffering capacity (BC) against acids due to the presence of bicarbonate and phosphate ions. Smoking may have deleterious effects on the oral environment due to pH changes which can affect ALP activity. This study aimed to evaluate the salivary pH, BC and ALP activity of male smokers and healthy non-smokers. Methods: This retrospective cohort study took place between August 2012 and December 2013. A total of 251 healthy male non-smokers and 259 male smokers from Hamadan, Iran, were selected. Unstimulated whole saliva was collected from each participant and pH and BC were determined using a pH meter. Salivary enzymes were measured by spectrophotometric assay. Results: Mean salivary pH (7.42 ± 0.48 and 7.52 ± 0.43, respectively; P = 0.018) and BC (3.41 ± 0.54 and 4.17 ± 0.71; P = 0.001) was significantly lower in smokers compared to non-smokers. Mean ALP levels were 49.58 ± 23.33 IU/L among smokers and 55.11 ± 27.85 IU/L among non-smokers (P = 0.015). Conclusion: Significantly lower pH, BC and ALP levels were observed among smokers in comparison to a healthy control group. These salivary alterations could potentially be utilised as biochemical markers for the evaluation of oral tissue function and side-effects among smokers. Further longitudinal studies are recommended to evaluate the effects of smoking on salivary components.https://journals.squ.edu.om/index.php/squmj/article/view/2159salivaalkaline phosphataseacidsbufferssmoking.
spellingShingle Fatemeh Ahmadi-Motamayel
Parisa Falsafi
Mohammad T. Goodarzi
Jalal Poorolajal
Comparison of Salivary pH, Buffering Capacity and Alkaline Phosphatase in Smokers and Healthy Non-Smokers : Retrospective cohort study
Sultan Qaboos University Medical Journal
saliva
alkaline phosphatase
acids
buffers
smoking.
title Comparison of Salivary pH, Buffering Capacity and Alkaline Phosphatase in Smokers and Healthy Non-Smokers : Retrospective cohort study
title_full Comparison of Salivary pH, Buffering Capacity and Alkaline Phosphatase in Smokers and Healthy Non-Smokers : Retrospective cohort study
title_fullStr Comparison of Salivary pH, Buffering Capacity and Alkaline Phosphatase in Smokers and Healthy Non-Smokers : Retrospective cohort study
title_full_unstemmed Comparison of Salivary pH, Buffering Capacity and Alkaline Phosphatase in Smokers and Healthy Non-Smokers : Retrospective cohort study
title_short Comparison of Salivary pH, Buffering Capacity and Alkaline Phosphatase in Smokers and Healthy Non-Smokers : Retrospective cohort study
title_sort comparison of salivary ph buffering capacity and alkaline phosphatase in smokers and healthy non smokers retrospective cohort study
topic saliva
alkaline phosphatase
acids
buffers
smoking.
url https://journals.squ.edu.om/index.php/squmj/article/view/2159
work_keys_str_mv AT fatemehahmadimotamayel comparisonofsalivaryphbufferingcapacityandalkalinephosphataseinsmokersandhealthynonsmokersretrospectivecohortstudy
AT parisafalsafi comparisonofsalivaryphbufferingcapacityandalkalinephosphataseinsmokersandhealthynonsmokersretrospectivecohortstudy
AT mohammadtgoodarzi comparisonofsalivaryphbufferingcapacityandalkalinephosphataseinsmokersandhealthynonsmokersretrospectivecohortstudy
AT jalalpoorolajal comparisonofsalivaryphbufferingcapacityandalkalinephosphataseinsmokersandhealthynonsmokersretrospectivecohortstudy