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Comparison of Salivary Calcium Level and pH in patients with Aggressive Periodontitis and Healthy Individuals: A Clinico -Biochemical Study

Vivek Vardhan Gupta, Neha Chitkara, Harsh Vardhan Gupta, Arshdeep Singh, Ramandeep Singh Gambhir, Harkiranjot Kaur

Background: The rich variety of molecules present in the salivary secretions renders saliva an attractive possible source of disease biomarkers. Salivary flow and composition influences calculus formation and periodontal disease. Therefore the present study was conducted to compare the salivary calcium level and pH in patients with aggressive periodontitis and healthy individuals. Materials and Method: The study was conducted among 108 patients, divided into group I, Group II, and Group III. Clinical diagnosis of aggressive periodontitis was made with evident bone loss on radiograph. Probing depth and Clinical attachment loss were recorded using Williams’s calibrated probe. Other signs of inflammation were recorded using; Gingival index (GI) and Plaque index (PI). After periodontal recordings, saliva samples were collected from all patients. Samples were then assessed by AVL9180 electrolyte analyzer (Roche, Germany) for calcium ion and pH by ‘pH litmus test paper. Results: Mean plaque index and gingival index values was found higher among Group III (1.92 ± 0.23) and Group II (1.77 ± 0.37). Salivary calcium levels and pH levels were found higher in Group III (2.62 ± 0.01) and (7.43 ± 0.62). When group I for salivary calcium was compared with other two groups (II and III), it showed statistically significant values (P<0.01). However, for salivary pH values, the findings were statistically insignificant. Conclusion: On comparison between the 3 groups, it was found that the group with smokers having aggressive periodontitis showed higher salivary calcium levels and salivary pH.

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