International Journal of Prosthodontics and Restorative Dentistry

Register      Login

VOLUME 12 , ISSUE 3 ( July-September, 2022 ) > List of Articles

ORIGINAL RESEARCH

Comparative Analysis of Levels of Salivary Lysozyme before and after Removable Prosthodontic Treatment among Partially Edentulous Patients: An Observational Study

Shefali Dogra, Shivam S Tomar

Keywords : Partially edentulous, Periodontitis, Salivary biomarkers, Salivary lysozyme

Citation Information : Dogra S, Tomar SS. Comparative Analysis of Levels of Salivary Lysozyme before and after Removable Prosthodontic Treatment among Partially Edentulous Patients: An Observational Study. Int J Prosthodont Restor Dent 2022; 12 (3):133-137.

DOI: 10.5005/jp-journals-10019-1369

License: CC BY-NC 4.0

Published Online: 30-03-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Purpose: Salivary biomarkers can present variation in the onset, progression, or even regression of a particular disorder. One such biomarker present in the oral cavity is salivary lysozyme which plays a significant role in the defense mechanism of our body. The purpose of this study was to determine the changes in the levels of salivary lysozyme before and after removable prosthetic treatment in partially edentulous patients. Materials and methods: A total of 40 subjects were enrolled for the study who had reported to the Department of Prosthodontics for a removable partial denture (RPD) of their partial edentulism. A simplified oral hygiene index (OHI-S) was recorded for each subject. The saliva samples were collected at different time intervals, that is, baseline before the removable prosthodontic treatment and 3 months after treatment. This was followed by a comparative analysis of changes in the levels of salivary lysozyme using enzyme-linked immunosorbent assay (ELISA). Categorical variables (like gender) were summarized as frequencies, while continuous variables were summarized as mean and standard deviation. Parametric tests of significance (paired t-test) were used for inferential statistics. Continuous data were tested by means of the Shapiro–Wilk test. Results: The mean value for the OHI-S before removable prosthodontic treatment was 2.41; however, after insertion of the RPD, the value was 3.04 suggesting a significant increase of 0.6225 (p < 0.001). The levels of salivary lysozyme increased essentially in patients after wearing an RPD for 3 months. The initial values were 11.27 ± 0.37, which elevated to 13.10 ± 0.39 in a span of 3 months. Conclusion: The inference of this study advocated that the salivary lysozyme levels may be of significance for the determination of susceptibility to the disease, its progression, or regression pre- and posttreatment following initial colonization of bacteria after the RPD insertion.


HTML PDF Share
  1. Preshaw PM, Walls AW, Jakubovics NS, et al. Association of removable partial denture use with oral and systemic health. J Dent 2011;39(11):711–719. DOI: 10.1016/j.jdent.2011.08.018
  2. Bohnenkamp DM. Removable partial dentures: clinical concepts. Dent Clin 2014;58(1):69–89. DOI: 10.1016/j.cden.2013.09.003
  3. Rodan R, Al-Jabrah O, Ajarmah M. Adverse effects of removable partial dentures on periodontal status and oral health of partially edentulous patients. JRMS 2012;19(3):53–58.
  4. Yusof Z, Isa Z. Periodontal status of teeth in contact with denture in removable partial denture wearers. J Oral Rehabil 1994;21(1):77–86. DOI: 10.1111/j.1365-2842.1994.tb01126.x
  5. Tanaka J, Nishikawa M, Tatsuta M, et al. Differences in the oral environment of the elderly wearing fixed prostheses and those with removable prostheses. J Osaka Dent Univ 2003;37(2):109–114. DOI: 10.18905/jodu.37.2_109
  6. Amerongen AN, Veerman EC. Saliva–the defender of the oral cavity. Oral Dis 2002;8(1):12–22. DOI: 10.1034/j.1601-0825.2002.1o816.x
  7. Mojon P, Rentsch A, Budtz-Jørgensen E. Relationship between prosthodontic status, caries, and periodontal disease in a geriatric population. Int J Prosthodont 1995;8(6):564–571. PMID: 8595117.
  8. Yoshizawa JM, Schafer CA, Schafer JJ, et al. Salivary biomarkers: toward future clinical and diagnostic utilities. Clin Microbio Rev 2013;26(4):781–791. DOI: 10.1128/CMR.00021-13
  9. Shimura Y, Wadachi J, Nakamura T, et al. Influence of removable partial dentures on the formation of dental plaque on abutment teeth. J Prosthodont Res 2010;54(1):29–35. DOI: 10.1016/j.jpor.2009.08.003
  10. Moslemi M, Sattari M, Kooshki F, et al. Relationship of salivary lactoferrin and lysozyme concentrations with early childhood caries. J Dent Res Dent Clin Dent Prospects 2015;9(2):109–111. DOI: 10.15171/joddd.2015.022
  11. Mishra P, Agarwal S, Jain S, et al. Association between dental prosthesis and periodontal disease in a rural jaipur population. Int J Med Sci Educ 2014;1(3):155–160.
  12. Lavanya E, Ganapathy D, Sheeba S. Effect of removable partial denture on periodontal health of abutments. Res J Pharm Tech 2018;11(6):2587–2590. DOI: 10.5958/0974-360X.2018.00478.X
  13. Zlataric DK, Celebic A. The effect of removable partial dentures on the periodontal health of abutment and non abutment teeth. J Periodontol 2002;73(2):137–144. DOI: 10.1902/jop.2002.73.2.137
  14. Bowen WH, Koo H. Biology of Streptococcus mutans–derived glucosyltransferases: role in extracellular matrix formation of cariogenic biofilms. Caries Res 2011;45(1):69–86. DOI: 10.1159/000324598
  15. Fabian TK, Fejerdy P, Csermely P. Saliva in health and disease. Wiley Encyclopedia of Chemical Biology. 1st ed., Vol. 4Hoboken, NJ, USA: John Wiley & Sons Inc. 2008. p. 1–9.
  16. Laine M, Tenovuo J, Lehtonen OP, et al. Pregnancy related changes in human whole saliva. Arch Oral Biol 1988;33(1):913–917. DOI: 10.1016/0003-9969(88)90022-2
  17. Mine K, Fueki K, Igarashi Y. Microbiological risk for periodontitis of abutment teeth in patients with removable partial dentures. J Oral Rehabil 2009;36(9):696–702. DOI: 10.1111/j.1365-2842.2009.01982.x
  18. Markkanen H, Syrjänen SM, Alakuijala P. Salivary IgA, lysozyme and β-microglobulin in periodontal disease. Euro J Oral Sci 1986;94(2):115–120. DOI: 110.1111/j.1600-0722.1986.tb01374.x
  19. Younes R, Yousfi M, Ghorra C, et al. The defensive role of lysozyme in human gingiva in inflammatory periodontal disease. J Periodont Res 2009;44(5):578–587. DOI: 10.1111/j.1600-0765.2008.01148.x
  20. Rosin M, Hanschke M, Splieth C, et al. Activities of lysozyme and salivary peroxidase in unstimulated whole saliva in relation to plaque and gingivitis scores in healthy young males. Clin Oral Investig 1999;3(3):133–137. DOI: 10.1007/s007840050091
  21. Skutnik-Radziszewska A, Zalewska A. Salivary redox biomarkers in the course of caries and periodontal disease. Appl Sci 2020;10(18):6240. DOI: 10.3390/app10186240
  22. Tonguc KA, Topcuoglu N, Duman G, et al. Antibacterial effects of saliva substitutes containing lysozyme or lactoferrin against Streptococcus mutans. Arch Oral Biol 2021;129:105183. DOI: 10.1016/j.archoralbio.2021.105183
  23. Feng Z, Luo J, Lyu X, et al. Selective antibacterial activity of a novel lactotransferrin-derived antimicrobial peptide LF-1 against Streptococcus mutans. Arch Oral Biol 2022;139(5):105446. DOI: 10.1016/j.archoralbio.2022.105446
  24. Pinheiro SRL, da Silva CC, da Silva LA, et al. Antimicrobial capacity of a hydroxyapatite-lysozyme-lactoferrin-lactoperoxidase combination against streptococcus mutans for the treatment of dentinal caries. Indian J Dent Res 2020;31(6):916–920. DOI: 10.4103/ijdr.IJDR_474_18
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.