Salivary flow rate and periodontal infection - a study among subjects aged 75 years or older

Oral Dis. 2011 May;17(4):387-92. doi: 10.1111/j.1601-0825.2010.01764.x. Epub 2010 Nov 29.

Abstract

Objective: To analyse the relation of stimulated and unstimulated salivary flow rates to periodontal infection in home-dwelling elderly people aged 75 years or older.

Subjects and methods: This study was based on a subpopulation of 157 (111 women, 46 men) home-dwelling, dentate, non-smoking elderly people (mean age 79.8, SD 3.6 years) from the Geriatric Multidisciplinary Strategy for the Good Care of the Elderly Study). The data were collected by interview and oral clinical examination.

Results: Persons with very low (< 0.7 ml min⁻¹) and low stimulated salivary flow rates (0.7- < 1.0 ml min⁻¹) had a decreased likelihood of having teeth with deepened (≥ 4 mm) periodontal pockets, RR: 0.7, CI: 0.5-0.9 and RR: 0.7, CI: 0.5-0.9, respectively, when compared with those with normal stimulated salivary flow. Persons with a very low unstimulated salivary flow rate (< 0.1 ml min⁻¹) had a decreased likelihood of having teeth with deepened (≥ 4 mm) periodontal pockets, RR 0.8, CI: 0.6-1.0, when compared with subjects with low/normal unstimulated salivary flow.

Conclusions: In a population of dentate, home-dwelling non-smokers, aged 75 years or older, low stimulated and unstimulated salivary flow rates were weakly associated with a decreased likelihood of having teeth with deep periodontal pockets.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • Arthritis, Rheumatoid / classification
  • Body Mass Index
  • Dental Calculus / classification
  • Dental Plaque / classification
  • Diabetes Mellitus / classification
  • Educational Status
  • Female
  • Health Behavior
  • Health Status
  • Humans
  • Independent Living
  • Male
  • Periodontal Pocket / classification*
  • Risk Factors
  • Saliva / metabolism*
  • Secretory Rate / physiology
  • Smoking
  • Xerostomia / complications