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Impact of hypo-salivation on severe tooth wear: A ten-year cohort of patients received radiotherapy for nasopharyngeal carcinoma

Lam WYH, Tse AKL, Tew IM, Man WHC, Botelho MG, Pow EHN

J Dent, 2020 06;97:103343.
PMID: 32339601 DOI: 10.1016/j.jdent.2020.103343

OBJECTIVES: This study was conducted to examine the tooth wear status of nasopharyngeal-carcinoma (NPC) patients who had received radiotherapy at least 5-year previously, and to investigate the salivary parameters that may be associated with the tooth wear.
METHODS: Tooth wear status of NPC survivors were clinically assessed using the Exact Tooth Wear Index. A tooth was graded to have severe wear when more than one-third of its buccal/occlusal/lingual surface had dentine loss. At the subject-level, percentages of anterior/posterior/all teeth with severe wear were calculated. Age, number of teeth, flow-rate/buffering capacity/pH of stimulated whole (SWS) and parotid (SPS) saliva's were collected. Correlation and multiple-linear regression tests were performed at the significance level α = 0.05.
RESULT: Sixty-eight participants (mean age of 60.0 ± 8.9), 697 anterior and 686 posterior teeth were examined with a mean of 10-years post-radiotherapy. Severe tooth wear was found in 63 (92.6 percent) participants, 288 anterior and 83 posterior teeth. The mean percentage of anterior/posterior/all teeth with severe wear were 42.3 ± 28.1, 14.5 ± 19.9 and 30.0 ± 21.7. Anterior teeth, particularly the incisal surface of central incisors were most affected. The mean flow-rate of SWS and SPS were 0.1 ± 0.1 ml/min and 0.03 ± 0.07 ml/min respectively. Thirty (44.1 percent) and 48 (70.6 percent) participants were found to have low/no buffering capacity of SWS and SPS respectively. Multiple-regression analyses revealed the SWS flow-rate was associated with the percentage of anterior teeth with severe wear (p=0.03).
CONCLUSION: Anterior tooth wear is a significant dental problem among NPC survivors and was associated with hypo-salivation.
CLINICAL SIGNIFICANCE: Patients with hypo-salivation should be being monitored for tooth wear particularly on the anterior teeth.

Matched MeSH terms: Salivation
Fulltext Swiftlets and edible bird’s nest industry in Asia

Looi, Qi Hao, Abdul Rahman Omar

The Pertanika Journal of Scholarly Research Reviews, 2016;2(1):32-48.
MyJurnal

Swiftlet
s
are small insectivorous birds which breed throughout Southeast Asia and
the South Pacific.
Among many swiftle
t species, only a few are notable to produce edible bird’s
nest
s
(EBN) from the secreted saliva during breeding seasons.
The taxonomy of swiftlet
s
remains one of the most controversial in the avian species due to the high similarity in
morphological charac
teristics among the species. Over the last few decades, researchers have
studied the taxonomy of swiftlet
s
based on the morphological
trade
, behavior, and genetic
traits
.
However, despite all the efforts,
the
swiftlet taxonomy remains unsolved.
The
EBN is one of
the
most expensive animal products
and frequently being referred
to
as the “
Caviar of the East
”.
The
EBN market value varies from
US
$1000.00 to
US
$10,000.00 per kilogram depend
ing
on
its grade, shape, type and origin.
Hence, bird’s nest harve
sting is considered a lucrative industry
in many countries in Southeast Asia.
However,
the
industry faced several challenges over the
decades such as the authenticity of the EBN, the quality assurance and the depletion of swiftlet
population. Furthermore,
there is limited scientific evidence regarding EBN’s medical benefits
as
claimed by manufacturers. This paper reviews the taxonomy of swiftlet
s
, its morphological
characteristics, the challenges currently encountered by the industry, and finally the
compos
ition and medical benefits of EBN.

Matched MeSH terms: Salivation
Evaluation of irradiated salivary gland function in patients with head and neck tumours treated with radiotherapy

Baharudin A, Khairuddin A, Nizam A, Samsuddin AR

J Laryngol Otol, 2009 Jan;123(1):108-13.
PMID: 18452635 DOI: 10.1017/S0022215108002466

Radiotherapy is an important treatment modality for head and neck tumours. One of its major drawbacks is post-treatment salivary gland hypofunction. This study was performed to objectively evaluate the salivary gland function in post-irradiated head and neck tumour patients.

Matched MeSH terms: Salivation/physiology; Salivation/radiation effects*
Managing complications of radiation therapy in head and neck cancer patients: Part I. Management of xerostomia

Ngeow WC, Chai WL, Rahman RA, Ramli R

Singapore Dent J, 2006 Dec;28(1):1-3.
PMID: 17378333

Head and neck cancer is becoming a more recognizable pathology to the general population and dentists. The modes of treatment include surgery and/or radiation therapy. Where possible, pretreatment dental assessment shall be provided for these patients before they receive radiation therapy. There are occasions, however, whereby head and neck cancer patients are not prepared optimally for radiation therapy. Because of this, they succumb to complicated oral adverse effects after radiation therapy. Part I of this series reviews the management of xerostomia. The management of the effect of xerostomia to the dentition/oral cavity is discussed in Part II.

Matched MeSH terms: Salivation/drug effects