Analysis of Salivary Micronutrients in Oral Potentially Malignant Disorder

Background: Sound nutritional habits and a sufficient supply of essential vitamins and minerals are of considerable importance for oral health. This study was aimed to evaluate whether salivary micronutrients play any role in diagnosis or prognostic estimation of Oral Sub mucous Fibrosis (OSF), one of the oral potentially malignant disorders. Materials and methods: In this case control study, 40 histopathologically confirmed cases of OSF were compared with 44 age and sex matched healthy controls. Salivary samples collected from the participants were centrifuged at 2500 rpm for 10 minutes. The supernatant collected was stored at -20° C. The saliva was then analysed for micronutrients. Zinc and Cu level were analysed using atomic absorption spectrometer and Fe using spectrophotometer. Results: The mean age of patients with OSF was 38.28±2.23 years. Among them, 31 (77.5%) were males and 9 (22.5%) were females. The mean salivary Cu values of OSF group (127.30±6.77 μg/dl) has increased compared to that of controls (112.68±7.95 μg/dl). The mean salivary Zn values of OSF group (116.80±9.93 μg/dl) was significantly decreased (P <0.01) compared to that of controls (146.76±9.17 μg/dl). The mean salivary Fe values of OSF group (49.28±3.25 μg/dl) too reduced on comparison with controls (59.34±4.50 μg/dl). Conclusions: It is important that doctors and other health professionals are aware of the nutritional essentiality of micronutrients, and for the situations where an increased intake may lead to clinical benefit. The present study highlighted the importance of micronutrients in oral health and their role in diagnosis or prognostic estimation of OSF.

[1]  S. Varghese,et al.  POTENTIALLY MALIGNANT DISORDERS OF ORAL CAVITY , 2011 .

[2]  Laxmikanth Chatra,et al.  Areca nut and its role in oral submucous fibrosis , 2014, Journal of clinical and experimental dentistry.

[3]  A. Michalczyk,et al.  Zinc deficiency and its inherited disorders -a review , 2006, Genes & Nutrition.

[4]  L. K. Prasad,et al.  A review on role of essential trace elements in health and disease , 2015 .

[5]  Miguel de la Guardia,et al.  Altered elemental profile as indicator of homeostatic imbalance in pathogenesis of oral submucous fibrosis , 2007, Biological Trace Element Research.

[6]  J. Hébert,et al.  Influence of dietary factors on oral precancerous lesions in a population‐based case–control study in Kerala, India , 1999, Cancer.

[7]  D. Macdonald,et al.  Iron and the Oral Epithelium: A Review , 1984, Journal of the Royal Society of Medicine.

[8]  P. Angadi,et al.  Oral submucous fibrosis: a clinicopathologic review of 205 cases in Indians , 2011, Oral and Maxillofacial Surgery.

[9]  S. Shetty,et al.  Evaluation of micronutrient status in serum and saliva of oral submucous fibrosis patients: A clinicopathological study , 2012, Indian Journal of Medical and Paediatric Oncology.

[10]  N. Ireland. National Diet and Nutrition Survey: Adults Aged 19-64 , 2004 .

[11]  A. Moghadamnia,et al.  Effect of Zinc-Deficient Diet on Oral Tissues and Periodontal Indices in Rats , 2014, International journal of molecular and cellular medicine.

[12]  H. Mortazavi,et al.  Serum levels of ferritin, copper, and zinc in patients with oral cancer , 2014, Biomedical journal.

[13]  B. Willershausen,et al.  The influence of micronutrients on oral and general health , 2011, European journal of medical research.

[14]  R. Orbak,et al.  Effects of zinc deficiency on oral and periodontal diseases in rats. , 2007, Journal of periodontal research.