Evaluation of Corelation between Salivary Calcium, Alkaline Phosphatase and Osteoporosis- A Prospective, Comparative and Observational StudyCorrespondence Address :
Dr. Prerna Agrawal,
Malwa Hospital and Research Center, Sector-1, Pithampur-452005, Madhya Pradesh, India.
Introduction: Fixed and/or removable prosthodontics caters to the restorative needs of the largest count of geriatric patients whose rehabilitative procedures depend on the quality and quantity of available bone. The common diagnostic parameters for quantifying bone may involve an invasive blood examination, an expensive bone densitometry procedure or a urine analysis. Sialometry involving the basic biochemistry of saliva analysis may be proposed as an alternative to the conventional investigative protocol and its usefulness may be attributed owing to its non invasive and simpler procedure.
Aim: The aim of this study was to compare the salivary calcium and alkaline phosphatase among osteoporotic, osteopenic and normal edentulous subjects.
Materials and Methods: A prospective, comparative and observational study was carried out on 80 selected edentulous subjects (40 males and 40 females) aged 55-75 years (30 osteoporotic, 30 osteopenic and 20 control). A sample of saliva was taken for the study. Salivary calcium was measured by Arsenazo reaction; and alkaline phosphatase by the International Federation of Clinical Chemistry (IFCC) method. Statistical analysis was done by unpaired t-test. A comparison was made in the levels of salivary calcium and alkaline phosphatase with that of osteoporosis and osteopenia.
Results: The mean salivary calcium and alkaline phosphatase levels were found to be significantly higher in the osteoporotic and osteopenic edentulous subjects as compared to the control group.
Conclusion: Salivary calcium and alkaline phosphatase are increased significantly in case of osteoporosis and osteopenia. Hence, screening of salivary samples of patients may be an effective indicator for the detection of underlying disorders of bone metabolism.
Edentulous patient, Osteoporotic patients, Salivary analysis, Screening
Mainak Kanti Saha, Prerna Agrawal, Suparna Ganguly Saha, Vinod Vishwanathan,
Vandana Pathak, Sakuru Venkata Saiprasad, et al.. EVALUATION OF CORELATION BETWEEN SALIVARY CALCIUM, ALKALINE PHOSPHATASE AND OSTEOPOROSIS- A PROSPECTIVE, COMPARATIVE AND OBSERVATIONAL STUDY. Journal of Clinical and Diagnostic Research [serial online] 2017 March [cited: 2017 Apr 28 ]; 11:ZC63-ZC66. Available from
Date of Submission: Oct 23, 2016
Date of Peer Review: Dec 09, 2016
Date of Acceptance: Jan 30, 2017
Date of Publishing: Mar 01, 2017
Financial OR OTHER COMPETING INTERESTS: None.
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