Evaluation of salivary pH, buffering capacity, and total antioxidant capacity in children with sleep disorders

Isha Gore1, Vabitha Shetty1, Mausam Kumari1

  • 1Department of Pediatric and Preventive Dentistry, AB Shetty Memorial Institute of Dental Sciences, Deralakatte, Karnataka, India.

Insights

Children with sleep disorders showed a trend toward lower salivary pH, buffering capacity, and total antioxidant capacity (TAC). Saliva is a promising, noninvasive tool for assessing physiological changes in obstructive sleep disordered breathing (SDB) in children.

Area of Science:

  • Pediatric Dentistry
  • Biochemistry
  • Sleep Medicine

Background:

  • Saliva is a valuable, noninvasive biomarker for systemic health assessment, including oxidative stress.
  • Investigating salivary total antioxidant capacity (TAC) in relation to sleep disordered breathing (SDB) is crucial for understanding SDB's impact on children's health.

Purpose of the Study:

  • To compare salivary pH, buffering capacity, and TAC in children with and without sleep disorders.
  • To evaluate the potential of saliva as a diagnostic tool for SDB-related physiological changes.

Main Methods:

  • Cross-sectional study of 56 children (6-11 years) divided into SDB and control groups.
  • Salivary pH, buffering capacity, and TAC were measured using digital pH meter, acid challenge assay, and spectrophotometric assay, respectively.
  • Statistical analysis included Shapiro-Wilk and Mann-Whitney U-tests, with Cohen's d for effect size.

Main Results:

  • No significant differences in salivary pH, buffering capacity, or TAC between children with and without SDB (P > 0.05).
  • Effect sizes indicated negligible to small clinical differences for pH and buffering capacity.
  • A moderate effect size for TAC suggests potential, though limited, clinical relevance.

Conclusions:

  • Children with SDB exhibited a trend towards lower salivary pH, buffering capacity, and TAC.
  • Saliva shows promise as a noninvasive medium for assessing physiological alterations in pediatric obstructive SDB.
  • Further research may elucidate the clinical utility of salivary biomarkers in managing SDB in children.
Abstract

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