Composition of whole unstimulated saliva of healthy children: changes with age
H Ben-Aryeh1, M Fisher, R Szargel
1Department of Oral and Maxillofacial Surgery, Rambam Medical Center, Haifa, Israel.
Insights
Saliva composition changes significantly with age, showing increases in sodium, total protein, immunoglobulin A (IgA), and amylase activity from infancy through adulthood. These findings highlight the importance of age-matched controls in clinical saliva studies.
Area of Science:
- Biochemistry
- Pediatric Physiology
- Immunology
Background:
- Saliva plays a crucial role in oral health and serves as a diagnostic fluid.
- Understanding salivary composition changes during development is essential for accurate clinical interpretation.
Purpose of the Study:
- To investigate age-related changes in the biochemical composition of whole unstimulated saliva.
- To determine if salivary gland maturation influences key salivary components.
Main Methods:
- Collected whole unstimulated saliva from 136 healthy individuals across five age groups: infants, toddlers, children, adolescents, and adults.
- Measured concentrations of sodium (Na), potassium (K), total protein, immunoglobulin A (IgA), and amylase activity.
Main Results:
- Significant positive linear correlations with age were observed for Na, total protein, IgA, and amylase activity.
- Significant differences in K and IgA concentrations were found between various age groups.
- Salivary amylase activity showed high variability, with significant differences only between infants and toddlers.
Conclusions:
- Salivary composition undergoes significant developmental changes throughout childhood and adolescence.
- These changes indicate a maturation process of the salivary glands.
- Age-matched controls are crucial for the reliable clinical application of saliva analysis.
Abstract:
Whole unstimulated saliva was collected from 136 healthy subjects divided into 5 groups according to age: (1) 25 infants, 7-11 months old; (2) 28 toddlers, 2-3 yr old; (3) 28 children, 6-8 yr old; (4) 28 adolescents, 12-14 yr old; (5) 27 adults, 25-63 yr old. The concentrations of Na, K, total protein, IgA and amylase activity were measured. A significant ascending linear correlation with age was found for concentrations of Na, total protein, IgA and amylase activity. There were significant differences between age groups in K and IgA concentrations. Salivary amylase activity was very variable, and a significant difference was found between infants and toddlers only. Salivary composition thus changes significantly during childhood, implying a process of development and maturation of the salivary glands and indicating the need of age-matched controls for the clinical use of saliva.
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