Authors :
V. Anu; Kaazhiyur Mudimbaimannar Vidya; A. Alice Sandra; S. Peter Sampras; P. Prabha Sanjai; S. Suresh Sahil; R. Kaavya
Volume/Issue :
Volume 10 - 2025, Issue 11 - November
Google Scholar :
https://tinyurl.com/bdem8k2z
Scribd :
https://tinyurl.com/4p73d9ph
DOI :
https://doi.org/10.38124/ijisrt/25nov1412
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Abstract :
Background:
The menstrual cycle is governed by estrogen and progesterone, which show variation during the menstrual cycle,
affecting the physiology of the whole body, including the oral cavity. However, few studies are available to show the normal
changes in salivary composition during the menstrual cycle. So this study assessed the changes in the salivary composition
of calcium, magnesium, sodium, potassium and inorganic phosphate during the different phases of the menstrual cycle.
Additionally, salivary H2O2 scavenging activity, total antioxidant properties and changes in pH during preovulatory,
ovulatory and post-ovulatory phases were estimated biochemically.
Methodology:
Unstimulated 5ml of saliva was collected from 50 female patients during pre-ovulatory, ovulatory and post-ovulatory
phases using the spitting method. The salivary pH was estimated using a digital pH meter. Salivary electrolyte testing was
done using atomic absorption spectrophotometer. Total antioxidant property and hydrogen peroxide scavenging property
were determined using a UV spectrophotometer. For continuous variables, ANOVA with Repeated Measures was used and
if significant Bonferroni post hoc test was done to determine which menstrual phase significantly differed from the other.
For categorical variables, the Friedman test was used. After the existence of variance among the phases was confirmed in
the Friedman test, the Wilcoxon signed-rank test was applied to understand how significantly each phase differed from the
other. The level of significance was set at 0.05.
Results:
It was found that during the ovulatory phase of the menstrual cycle, all the salivary tested components increased
significantly when compared to pre and post-ovulatory phases.
Conclusion:
Saliva can be used as a supplementary tool to detect the ovulatory phase.
Keywords :
Menstrual Cycle; Saliva; Estrogen; Progesterone; Antioxidants.
References :
- Salivary Diagnostics. ADA Statement on Oral Fluid Diagnostics. (2016). Accessed: 2 July: http://www.ada.org/en/member-center/oral-health-topics/salivary-diagnostics.
- Goswami Y, Mishra R, AgarwalAP and Agarwal LA: Salivary Biomarkers-A Review of Powerful Diagnostic tool. IOSR Journal of Dental and Medical Sciences. 2015, 14:80-87. Doi:10.9790/0853-14378087.
- Sindhu S, Jagannathan N: Saliva: A Cutting Edge in Diagnostic Procedures. Journal of Oral Diseases. 2014, Accessed: May 26 2014: http://dx.doi.org/10.1155/2014/168584.
- Guyton and Hall. Textbook of medical physiology Philadelphia. Saunders an imprint of Elsevier, 2011. 987- 1002.
- Gandara BK, Leresche L, Mancl L: Patterns of Salivary Estradiol and Progesterone across the Menstrual Cycle. Annals of the New York Academy of Sciences. 2007:446-450. Doi:10.1196/annals.1384.022
- Lu Y, Bentley GR, Gann PH, Hodges KR, Chatterton RT: Salivary estradiol and progesterone levels in conception and nonconception cycles in women: evaluation of a new assay for salivary estradiol. Fertil Steril.1999. 71:863-868. Doi: 10.1016/S0015-0282(99)00093-X.
- Varma S, Banerjee A, Barlett D: An in vivo investigation of associations between saliva properties, caries prevalence and potential lesion activity in an adult UK population. J Dent. 2008, 36:294-9. Doi: 10.1016/j.jdent.2008.01.009.
- Alagendran S, Archunan G, and Achiraman S: Prediction of Ovulation in Women through the Occurrence of Salivary Fern Prototype. The Icfai Journal of Life Sciences. 2007, 1:7-15.
- Nithya V, Alagendran S, Archunan G, et al.: Evaluation of amino acids profiles in human saliva using Reverse phase high performance liquid chromatography. International Journal of Biological Technology :84- 89.
- Sanchez GA, Fernandez De Preliasco MV: Salivary pH changes during soft drinks consumption in children. International Journal of Paediatric Dentistry. 20031, 13:251-7. Doi:10.1046/j.1365-263X.2003. 00469.x
- Kiran Banan L, Hegde A: Plaque and salivary pH changes after consumption of fresh fruit juices. Journal of Clinical Pediatric Dentistry.2006,30:9-13. Doi: 10.17796/jcpd.30.1.40145263j4506793.
- Alagendran S, Archunan G, Armando EOB and Guzman RG: Evaluation of Salivary Electrolytes during Normal Menstrual Cycle with Special Reference to Ovulation. American Journal of Applied Sciences. 2010, 7:1066-1072. doi: 0.3844/ajassp.2010.1066.1072.
- Saral Y, Coskun BK, Ozturk P, Karatas F, Ayar A: Assessment of salivary and serum antioxidant vitamins and lipid peroxidation in patients with recurrent aphthous ulceration. The. Tohoku journal of experimental medicine. 2005, 206: 305-12.doi: 10.1620/tjem.206.305
- Preethi BP, Reshma D, Anand P: Evaluation of flow rate, pH, buffering capacity, calcium, total proteins and total antioxidant capacity levels of saliva in caries free and caries active children: an in vivo study. Indian Journal of Clinical Biochemistry. 20101, 25:425-8.
- Dadlani AG, Chandwani S, Desai CA, Pandya KD: Serum electrolytes during various phases of menstrual cycle. Indian journal of physiology and pharmacology. 1981, 26:302-6.
- Pandya AK, Chandwani S, Das TK, Pandya KD: Serum Calcium Magnesium and Inorganic Phosphorous Levels during various Phases of Menstrual Cycle. Indian journal of physiology and pharmacology. 19951, 39:411-4.
- Lanje MA, Bhutey AK, Kulkarni SR, Dhawle UP, Sande AS: Serum electrolytes during different phases of menstrual cycle. IJPSR. 2010, 1:435-7.
- Choe JK, Khan-Dawood FS, Yusoff-Dawood M: Progesterone and estradiol in the saliva and plasma during the menstrual cycle. American journal of obstetrics and gynecology. 1983, 1:557-62. Doi:10.1016/0002- 9378(83)90016-9.
- Becerik S, Özçaka Ö, Nalbantsoy A, Atilla G, Celec P, Behuliak M, Emingil G: Effects of menstrual cycle on periodontal health and gingival crevicular fluid markers. Journal of periodontology. 2010, 81:673-81. Doi:10.1902/jop.2010.090590.
- Puskulian L: Salivary electrolyte changes during the normal menstrual cycle. Journal of dental research. 19721, 51:1212-6. Doi:10.1177%2F00220345720510050701.
- Wadhwani S and Shetty P: Menstrual Cycle Related Changes in Human Whole Salivary pH and Salivary Leukocyte Count. Indian J Physiol Pharmacol. 2015, 59:346-349.
- Halliwell B: Reactive oxygen species in living systems: source, biochemistry, and role in human disease. The. American journal of medicine. 1991, 30:14-22. doi: 10.1016/0002-9343(91)90279-7.
- Michos C, Kiortsis DN, Evangelou A, Karkabounas S: Antioxidant protection during the menstrual cycle: the effects of estradiol on ascorbic-dehydroascorbic acid plasma levels and total antioxidant plasma status in eumenorrhoic women during the menstrual cycle. Acta obstetricia et gynecologica Scandinavica. 20061, 85:960-5.
Background:
The menstrual cycle is governed by estrogen and progesterone, which show variation during the menstrual cycle,
affecting the physiology of the whole body, including the oral cavity. However, few studies are available to show the normal
changes in salivary composition during the menstrual cycle. So this study assessed the changes in the salivary composition
of calcium, magnesium, sodium, potassium and inorganic phosphate during the different phases of the menstrual cycle.
Additionally, salivary H2O2 scavenging activity, total antioxidant properties and changes in pH during preovulatory,
ovulatory and post-ovulatory phases were estimated biochemically.
Methodology:
Unstimulated 5ml of saliva was collected from 50 female patients during pre-ovulatory, ovulatory and post-ovulatory
phases using the spitting method. The salivary pH was estimated using a digital pH meter. Salivary electrolyte testing was
done using atomic absorption spectrophotometer. Total antioxidant property and hydrogen peroxide scavenging property
were determined using a UV spectrophotometer. For continuous variables, ANOVA with Repeated Measures was used and
if significant Bonferroni post hoc test was done to determine which menstrual phase significantly differed from the other.
For categorical variables, the Friedman test was used. After the existence of variance among the phases was confirmed in
the Friedman test, the Wilcoxon signed-rank test was applied to understand how significantly each phase differed from the
other. The level of significance was set at 0.05.
Results:
It was found that during the ovulatory phase of the menstrual cycle, all the salivary tested components increased
significantly when compared to pre and post-ovulatory phases.
Conclusion:
Saliva can be used as a supplementary tool to detect the ovulatory phase.
Keywords :
Menstrual Cycle; Saliva; Estrogen; Progesterone; Antioxidants.