

Study of saliva pH values in elderly and senile patients with removable plate dentures against the background of xerostomia
https://doi.org/10.33667/2078-5631-2025-10-85-89
Abstract
The aim of this study was to investigate the pH values of saliva in elderly and senile patients with removable plate dentures against the background of xerostomia.
Materials and methods of the study. To solve the set tasks, the dental clinic of VSMU named after N.N. Burdenko examined and performed orthopedic treatment with removable plate dentures for 80 patients aged 60 to 89 years with missing teeth against the background of xerostomia with the disease coding according to ICD-10 K08.1 Tooth loss due to accident, tooth extraction or localized periodontitis and K11.7 Xerostomia (associated disease). Patients were divided into 4 groups of 20 people, depending on the treatment performed. In all patients of the 4 groups, after the process of collecting mixed saliva, the hydrogen index (pH) was determined using pHSCAN 2.7-10.0 indicator paper with a step of 0.2–0.4.
Results of our own research. Six months after the start of the study, the average pH value of saliva in patients of the 1st group was 6.415±0.023 units, indicating increased acidity. In patients of the 2nd group, the studied value was 7.003±0.023 units, in patients of the 3rd group – 7.100±0.032 (p<0.017) units, and in patients of the 4th group – 7.180±0.026, which corresponded to the normal values. Conclusion. The use of the moisturizing mouth spray «Waterdent» and the immunomodulator «Orvis lysozyme» in elderly and senile patients with xerostomia using removable dentures allowed to increase the pH values of saliva to normal values. However, the best results were obtained in the subjects of the 4th group, whose complex treatment included the cleaning and disinfecting agent for removable dentures «Waterdent». KEYWORDS: xerostomia, saliva pH, determination of hydrogen index, removable dentures, elderly and senile patients> < 0.017) units, and in patients of the 4th group – 7.180±0.026, which corresponded to the normal values.
Conclusion. The use of the moisturizing mouth spray «Waterdent» and the immunomodulator «Orvis lysozyme» in elderly and senile patients with xerostomia using removable dentures allowed to increase the pH values of saliva to normal values. However, the best results were obtained in the subjects of the 4th group, whose complex treatment included the cleaning and disinfecting agent for removable dentures «Waterdent».
About the Authors
K. E. ChirkovaRussian Federation
Chirkova Kseniya Evgenievna – dentist and internist at the Dental Clinic of the Research
Institute of Maxillofacial Surgery,
St. Petersburg
E. A. Leshcheva
Russian Federation
Leshcheva Elena Aleksandrovna – Doctor of Medical Sciences, Professor, Dean of the
Faculty of Higher Education,
Voronezh
References
1. Vasenev E.E., Alekhanova I.F. Preparation of patients with dry mouth syndrome for orthopedic treatment // Webof Scholar. 2018.2(4).19–22.
2. Derkacheva E.I., Ron G.I. Clinical manifestations in the oral cavity with xerostomia of various etiologies // Ural Medical Journal. 2014.5 (119):44–47.
3. Elovikova T.M., Karaseva V.V., Koshcheev A.S., Prikhodkin A.S. Liquid crystalline status of mixed saliva of patients against the background of post-radiation xerostomia and periodontitis // Dentistry of the Greater Urals: collection of materials from the International Congress, Ekaterinburg. 2020:39–41.
4. Iordanishvili A.K. Gerontostomatology: current issues of teaching // Cathedra-Department. 2021;76:50-51. eLIBRARYID: 48219413.
5. Lelekova R.P., Kaminskaya L.A. Biochemical and physicochemical characteristics of the drug «artificial saliva» for replacement therapy for hyposalia and xerostomia // Eurasian Union of Scientists (ESU). 2015(3):81–83.
6. Polushkina N.A., Chirkova N.V. Therapeutic and preventive measures aimed at improving the adaptation of prosthetic bed tissues to removable ones // Systems analysis and control in biomedical systems. 2020.19(2):12–16.
7. Metelitsa K.I., Manak T.N. Xerostomia and its complications in the oral cavity // Modern dentistry. 2021.2(83):6–10.
8. Ron G.I. Xerostomia // Ekaterinburg: OOO Premium Press. 2008:136.
9. Chirkova N.V., Shalimova N.A., Andreeva E.A. Prevention and treatment of oral dysbiosis in patients with removable plate dentures // Applied information aspects of medicine. 2023.26(3):54–59.
10. Wiener R.C., Wu B., Crout R. Hyposalivation and xerostomia in dental older adults // JADA. 2014.141(3):279–284.
11. Grigolia, L.Sh., Robakidz K.T., Khundzakishvili V.G. Clinical efficiency of laser therapy in the treatment of inflammatory diseases of the oral mucosa // Medicus. 2020.5(35):64–67.
12. Liu B.DM. Xerostomia and salivatory hypofunction on vulnerable elders prevalence and etiology // Oral Surgery, Oral Medicine, Oral pathology and Endodontology. 2012.114 (1):52–60.
13. Thomas B.L., Brown J.E., Mcgurk M. Salivary gland disease // Frontiers of oral biology.2010.14:129–146.
Review
For citations:
Chirkova K.E., Leshcheva E.A. Study of saliva pH values in elderly and senile patients with removable plate dentures against the background of xerostomia. Medical alphabet. 2025;(10):85-89. (In Russ.) https://doi.org/10.33667/2078-5631-2025-10-85-89