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Oral hygiene and salivary immunoglobulin among acute lymphocytic leukemic patients undergoing chemotherapy courses | ||
| Journal of baghdad college of dentistry | ||
| Article 1, Volume 23, Issue 3, 2011, Pages 120-123 | ||
| Author | ||
| Nadia A. Al-Rawi | ||
| Abstract | ||
| ABSTRACTBackground: Chemotherapy impaired the normal function of the human immune system. The patients' ability toaccomplish adequate oral hygiene may be limited. When chemotherapy is indicated, it is imperative that health ofthe oral cavity be assessed initially as well as throughout therapy. This study was conducted to evaluate the oralhygiene and salivary immunoglobulin in patients undergoing chemotherapy courses.Subjects and methods: The study groups included 30 acute lymphatic patients, they were under chemotherapy. Thecontrol group includes 30 subjects matching with study group in age and gender. Plaque status was evaluatedaccording to the Silness &Loe Index, dental calculus according to Ramfjord index, while gingival condition wasassessed according to Loe & Silness. After oral examination, stimulated saliva samples were collected from the subjectsand performed under standard condition following instruction cited by Tenovuo & Lagerlof, and chemically analyzedfor the detection of salivary immunoglobulin (IgA & IgG).Results: Higher plaque, calculus and gingival index were recorded among acute lymphatic patients compare to thecontrol group, statistically significant difference with calculus index between groups. A low level of IgA, and IgG wereseen among the study group compared to the control groups in both genders. A non-significant correlation wasfound between salivary immunoglobulin and oral cleanliness among acute lymphatic patients.Conclusions: Salivary immunoglobulin levels affect severally by chemotherapy. Salivary IgA, and IgG defect seem toplay a role in the development of poor oral hygiene among acute lymphatic patients.Key words: Oral health, salivary immunoglobulin, chemotherapy. (J Bagh Coll Dentistry 2011;23(3): 120-123). | ||
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