Fluoride in whole saliva, parotid ductal saliva and plasma in children
G M Whitford1, J E Thomas, S M Adair
1Department of Oral Biology, Medical College of Georgia, Atlanta 30912-1210, USA.
Insights
This study found that parotid saliva fluoride levels accurately estimate plasma fluoride in children aged 5-10. Whole saliva fluoride did not correlate with plasma or parotid levels.
Area of Science:
- Biochemistry
- Pediatric Dentistry
- Clinical Chemistry
Background:
- Salivary fluoride levels are influenced by systemic fluoride exposure.
- Understanding the relationship between different salivary compartments and plasma fluoride is crucial for monitoring fluoride intake and its effects, especially in children.
Purpose of the Study:
- To investigate the correlation between fluoride concentrations in whole saliva, parotid ductal saliva, and plasma in children aged 5 to 10 years.
- To determine if parotid saliva fluoride can serve as a reliable indicator of plasma fluoride levels in this pediatric population.
Main Methods:
- Collected stimulated whole saliva and parotid ductal saliva samples from 17 children (aged 5-10).
- Measured fluoride concentrations using a fluoride ion-specific electrode after hexamethyldisiloxane diffusion.
- Assessed the impact of deionized water rinsing on whole saliva fluoride levels.
Main Results:
- Deionized water rinsing did not significantly alter whole saliva fluoride concentrations.
- Whole saliva fluoride levels showed no significant correlation with plasma or parotid ductal saliva fluoride.
- Parotid saliva fluoride concentrations were strongly and significantly correlated with plasma fluoride concentrations (p < 0.0001), with a proportionality constant of 0.80.
Conclusions:
- Parotid salivary fluoride concentrations provide a reliable estimation of plasma fluoride concentrations in children aged 5 to 10 years.
- Whole saliva fluoride is not a suitable biomarker for estimating plasma fluoride levels in this age group.
Abstract:
The purpose was to investigate the relation between fluoride concentrations in whole saliva, parotid ductal saliva, and plasma in 5- to 10-year-old children (n = 17). Two stimulated whole-saliva samples were obtained from each child. Before the second sample was obtained, each child rinsed several times with a total of 100 ml of deionized water. Parotid saliva samples were obtained by use of a Lashley cup. Fluoride concentrations were determined by fluoride ion-specific electrode after diffusion with hexamethyldisiloxane. Rinsing with deionized water did not significantly reduce the fluoride concentration in whole saliva. The whole-saliva fluoride concentrations were not significantly related to those in plasma or parotid ductal saliva. Parotid fluoride concentrations, however, were significantly related to plasma fluoride concentrations (p < 0.0001) by a proportionality constant of 0.80. It was concluded that parotid salivary fluoride concentrations can be used to estimate plasma fluoride concentrations in 5- to 10-year-old children.
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