Assessment and Correlation of Salivary Ca, Mg, and pH in Smokers and Non-Smokers with Generalized Chronic Periodontitis

<i>Background and Objectives</i>: Diagnostic evaluation with the aid of biomarkers has reached newer heights to assess disease activity. Salivary calcium, magnesium, and pH are one of the biochemical parameters which can be helpful in assessing the progression of periodontal disease. Smo...

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Main Authors: Saad Mohammad Alqahtani, Shankar T. Gokhale, Mohamed Fadul A. Elagib, Deepti Shrivastava, Raghavendra Reddy Nagate, Badar Awadh Mohammad Alshmrani, Abduaziz Mohammed Abdullah Alburade, Fares Mufreh Abdullah Alqahtani, Anil Kumar Nagarajappa, Valentino Natoli, Kumar Chandan Srivastava
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/4/765
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author Saad Mohammad Alqahtani
Shankar T. Gokhale
Mohamed Fadul A. Elagib
Deepti Shrivastava
Raghavendra Reddy Nagate
Badar Awadh Mohammad Alshmrani
Abduaziz Mohammed Abdullah Alburade
Fares Mufreh Abdullah Alqahtani
Anil Kumar Nagarajappa
Valentino Natoli
Kumar Chandan Srivastava
author_facet Saad Mohammad Alqahtani
Shankar T. Gokhale
Mohamed Fadul A. Elagib
Deepti Shrivastava
Raghavendra Reddy Nagate
Badar Awadh Mohammad Alshmrani
Abduaziz Mohammed Abdullah Alburade
Fares Mufreh Abdullah Alqahtani
Anil Kumar Nagarajappa
Valentino Natoli
Kumar Chandan Srivastava
author_sort Saad Mohammad Alqahtani
collection DOAJ
description <i>Background and Objectives</i>: Diagnostic evaluation with the aid of biomarkers has reached newer heights to assess disease activity. Salivary calcium, magnesium, and pH are one of the biochemical parameters which can be helpful in assessing the progression of periodontal disease. Smokers are at topnotch threat for having oral diseases, predominantly periodontal diseases. The aim of this study was to assess the salivary calcium, magnesium, and pH levels in smokers compared with non-smokers with chronic periodontitis. <i>Materials and Methods</i>: The current study was conducted on 210 individuals affected with generalized chronic periodontitis, with the age group between 25 and 55 years. Based on their smoking habit, an equal number of patients were categorized into two groups; namely, group I consisted of non-smokers and group II consisted of smokers. The clinical parameters that were measured included Plaque Index (PI), Gingival Index (GI), Probing Pocket Depth (PPD), and Clinical Attachment Loss (CAL). The biochemical variables that were evaluated in the current study included salivary calcium, magnesium, and pH using an AVL9180 electrolyte analyzer (Roche, Germany). The gathered data were analyzed with an unpaired t test was using SPSS 20.0. <i>Results</i>: A statistically significant higher PPD (<i>p</i> < 0.01), CAL (<i>p</i> < 0.05), and salivary calcium levels (<i>p</i> < 0.001) were observed in the smokers’ compared with their non-smoking counterparts. Among the biochemical parameters, calcium showed a significantly (<i>p</i> < 0.001) higher level in smokers (5.79 ± 1.76) in contrast to non-smokers (3.87 ± 1.03). Additionally, a significant negative correlation (<i>p</i> < 0.05) between calcium and PPD was observed in non-smokers, whereas a non-significant inverse relation (<i>p</i> > 0.05) was seen in smokers. <i>Conclusions</i>: The present study indicates that the salivary calcium level can be a potential biochemical parameter to assess the progression of periodontal disease in smokers and non-smokers. Within the limitations of the current study, the salivary biomarkers appear to have an essential role in the identification and indication of the status of periodontal diseases.
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spelling doaj.art-f66f8382c8a843d99094dffa0750ddaf2023-11-17T20:21:45ZengMDPI AGMedicina1010-660X1648-91442023-04-0159476510.3390/medicina59040765Assessment and Correlation of Salivary Ca, Mg, and pH in Smokers and Non-Smokers with Generalized Chronic PeriodontitisSaad Mohammad Alqahtani0Shankar T. Gokhale1Mohamed Fadul A. Elagib2Deepti Shrivastava3Raghavendra Reddy Nagate4Badar Awadh Mohammad Alshmrani5Abduaziz Mohammed Abdullah Alburade6Fares Mufreh Abdullah Alqahtani7Anil Kumar Nagarajappa8Valentino Natoli9Kumar Chandan Srivastava10Department of Periodontics and Community Sciences (PCS), College of Dentistry, King Khalid University, Abha 62529, Saudi ArabiaDepartment of Periodontics and Community Sciences (PCS), College of Dentistry, King Khalid University, Abha 62529, Saudi ArabiaDepartment of Periodontics and Community Sciences (PCS), College of Dentistry, King Khalid University, Abha 62529, Saudi ArabiaDepartment of Preventive dentistry, College of Dentistry, Jouf University, Sakaka 72345, Saudi ArabiaDepartment of Periodontics and Community Sciences (PCS), College of Dentistry, King Khalid University, Abha 62529, Saudi ArabiaDepartment of Periodontics and Community Sciences (PCS), College of Dentistry, King Khalid University, Abha 62529, Saudi ArabiaDepartment of Periodontics and Community Sciences (PCS), College of Dentistry, King Khalid University, Abha 62529, Saudi ArabiaDepartment of Periodontics and Community Sciences (PCS), College of Dentistry, King Khalid University, Abha 62529, Saudi ArabiaDepartment of Oral Maxillofacial Surgery & Diagnostic Sciences, College of Dentistry, Jouf University, Sakaka 72345, Saudi ArabiaDepartment of Dentistry, School of Biomedical and Health Sciences, European University of Madrid, 28670 Madrid, SpainDepartment of Oral Maxillofacial Surgery & Diagnostic Sciences, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia<i>Background and Objectives</i>: Diagnostic evaluation with the aid of biomarkers has reached newer heights to assess disease activity. Salivary calcium, magnesium, and pH are one of the biochemical parameters which can be helpful in assessing the progression of periodontal disease. Smokers are at topnotch threat for having oral diseases, predominantly periodontal diseases. The aim of this study was to assess the salivary calcium, magnesium, and pH levels in smokers compared with non-smokers with chronic periodontitis. <i>Materials and Methods</i>: The current study was conducted on 210 individuals affected with generalized chronic periodontitis, with the age group between 25 and 55 years. Based on their smoking habit, an equal number of patients were categorized into two groups; namely, group I consisted of non-smokers and group II consisted of smokers. The clinical parameters that were measured included Plaque Index (PI), Gingival Index (GI), Probing Pocket Depth (PPD), and Clinical Attachment Loss (CAL). The biochemical variables that were evaluated in the current study included salivary calcium, magnesium, and pH using an AVL9180 electrolyte analyzer (Roche, Germany). The gathered data were analyzed with an unpaired t test was using SPSS 20.0. <i>Results</i>: A statistically significant higher PPD (<i>p</i> < 0.01), CAL (<i>p</i> < 0.05), and salivary calcium levels (<i>p</i> < 0.001) were observed in the smokers’ compared with their non-smoking counterparts. Among the biochemical parameters, calcium showed a significantly (<i>p</i> < 0.001) higher level in smokers (5.79 ± 1.76) in contrast to non-smokers (3.87 ± 1.03). Additionally, a significant negative correlation (<i>p</i> < 0.05) between calcium and PPD was observed in non-smokers, whereas a non-significant inverse relation (<i>p</i> > 0.05) was seen in smokers. <i>Conclusions</i>: The present study indicates that the salivary calcium level can be a potential biochemical parameter to assess the progression of periodontal disease in smokers and non-smokers. Within the limitations of the current study, the salivary biomarkers appear to have an essential role in the identification and indication of the status of periodontal diseases.https://www.mdpi.com/1648-9144/59/4/765periodontologyperiodontitissmokerssalivary calciumprobing pocket depthsalivary biomarkers
spellingShingle Saad Mohammad Alqahtani
Shankar T. Gokhale
Mohamed Fadul A. Elagib
Deepti Shrivastava
Raghavendra Reddy Nagate
Badar Awadh Mohammad Alshmrani
Abduaziz Mohammed Abdullah Alburade
Fares Mufreh Abdullah Alqahtani
Anil Kumar Nagarajappa
Valentino Natoli
Kumar Chandan Srivastava
Assessment and Correlation of Salivary Ca, Mg, and pH in Smokers and Non-Smokers with Generalized Chronic Periodontitis
Medicina
periodontology
periodontitis
smokers
salivary calcium
probing pocket depth
salivary biomarkers
title Assessment and Correlation of Salivary Ca, Mg, and pH in Smokers and Non-Smokers with Generalized Chronic Periodontitis
title_full Assessment and Correlation of Salivary Ca, Mg, and pH in Smokers and Non-Smokers with Generalized Chronic Periodontitis
title_fullStr Assessment and Correlation of Salivary Ca, Mg, and pH in Smokers and Non-Smokers with Generalized Chronic Periodontitis
title_full_unstemmed Assessment and Correlation of Salivary Ca, Mg, and pH in Smokers and Non-Smokers with Generalized Chronic Periodontitis
title_short Assessment and Correlation of Salivary Ca, Mg, and pH in Smokers and Non-Smokers with Generalized Chronic Periodontitis
title_sort assessment and correlation of salivary ca mg and ph in smokers and non smokers with generalized chronic periodontitis
topic periodontology
periodontitis
smokers
salivary calcium
probing pocket depth
salivary biomarkers
url https://www.mdpi.com/1648-9144/59/4/765
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