fa بررسی تأثیر بارداری بر جمعیت استرپتوکوک موتان، PH و ظرفیت بافری بزاق دندانپزشکی(فک و صورت) دندانپزشکی(فک و صورت) پژوهشي(توصیفی- تحلیلی) Research <p class="Chekide" dir="rtl" style="text-justify: kashida text-align: justify text-kashida: 0% margin: 0in 0in 0pt unicode-bidi: embed direction: rtl"><b><span lang="AR-SA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt">پیش‌زمینه و هدف:</span></b><span lang="AR-SA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt"> </span><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">دوره بارداری دوره بسیار حساس و مهمی ازنظر مشکلات دندانی برای زنان است<font face="Nazanin"><span style="mso-ansi-font-style: italic"><font size="2">،</font></span> لذا این تحقیق باهدف بررسی رابطه بارداری و ترم‌های مختلف آن با میزان </font></span><font size="2"><font face="Times New Roman"><span dir="ltr" style="mso-bidi-language: FA">PH</span></font></font><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">، ظرفیت بافری واسترپتوکوک موتانس بزاق انجام گرفته است.<b> </b></span></p> <p> </p> <p> </p> <p class="Chekide" dir="rtl" style="text-justify: kashida text-align: justify text-kashida: 0% margin: 0in 0in 0pt unicode-bidi: embed direction: rtl"><font face="Nazanin"><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA mso-ansi-font-style: italic"><span style="mso-spacerun: yes"><font size="2"> </font></span></span><b><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">مواد و روش‌ها:</span></b></font><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"> این تحقیق به روش</span><font size="2"><font face="Times New Roman"><span dir="ltr" style="mso-bidi-language: FA">Cross sectional</span></font></font><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"> بر روی ۱۲۰ زن مراجعه‌کننده به بیمارستان زنان و زایمان باکو با متوسط سنی 2.91±24.1سال انجام گرفت. ۳۰ زن غیرباردار به‌عنوان گروه کنترل و ۹۰ زن باردار به‌عنوان گروه موردمطالعه انتخاب شدند .در هر دو گروه آزمایش کشت استرپتوک موتانس به عمل آمد. </span><span dir="ltr" style="mso-bidi-language: FA"><font face="Times New Roman" size="2">PH</font></span><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">بزاق و ظرفیت بافری آن توسط </span><font size="2"><font face="Times New Roman"><span dir="ltr" style="mso-bidi-language: FA">PH meter</span></font></font><span style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"> <span lang="FA"><font size="2"><font face="Nazanin">و روش تیتراسیون اندازه‌گیری شد و هر دو گروه توسط آنالیز آماری واریانس ANOVA با یکدیگر مقایسه شدند.<b> </b></font></font></span></span></p> <p> </p> <p> </p> <p class="Chekide" dir="rtl" style="text-justify: kashida text-align: justify text-kashida: 0% margin: 0in 0in 0pt unicode-bidi: embed direction: rtl"><b><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">یافته‌ها:</span></b><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"> اختلاف معناداری در میانگین سنی گروه کنترل و مورد وجود نداشت </span><span dir="ltr" style="mso-bidi-language: FA"><font face="Times New Roman" size="2">5)</font></span><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">0</span><span dir="ltr" style="mso-bidi-language: FA"><font face="Times New Roman" size="2">0.</font></span><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"><</span><font size="2"><font face="Times New Roman"><span dir="ltr" style="mso-bidi-language: FA">P</span></font></font><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">). ازنظر تعداد کلونی‌های استرپ موتانس بین گروه کنترل و گروه‌های موردمطالعه اختلاف معناداری وجود داشت (001</span><span dir="ltr" style="mso-bidi-language: FA"><font face="Times New Roman" size="2">.</font></span><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">0></span><font size="2"><font face="Times New Roman"><span dir="ltr" style="mso-bidi-language: FA">P</span></font></font><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">).<span style="mso-ansi-font-style: italic"><font face="Nazanin" size="2"> تفاوت میانگین میزان </font></span></span><font size="2"><font face="Times New Roman"><span dir="ltr" style="mso-bidi-language: FA mso-bidi-font-style: italic">PH</span></font></font><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA mso-ansi-font-style: italic"> بزاق بین گروه کنترل در مقایسه با خانم‌های باردار در سه‌ماهه اول، دوم و سوم معنی‌دار می‌باشد (</span><font size="2"><font face="Times New Roman"><span dir="ltr" style="mso-bidi-language: FA mso-bidi-font-style: italic">P<0.001</span></font></font><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA mso-ansi-font-style: italic">)</span><i style="mso-ansi-font-style: normal"><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">.</span></i><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA mso-ansi-font-style: italic"> ظرفیت بافری بزاق در سه‌ماهه دوم و سوم بارداری به میزان معنی‌داری نسبت به گروه کنترل پایین‌تر بود (</span><span dir="ltr" style="mso-bidi-language: FA mso-bidi-font-style: italic"><font face="Times New Roman" size="2">(P<0.05</font></span><i style="mso-ansi-font-style: normal"><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">.</span></i><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA mso-ansi-font-style: italic"> </span></p> <p> </p> <p> </p> <p class="Chekide" dir="rtl" style="text-justify: kashida text-align: justify text-kashida: 0% margin: 0in 0in 0pt unicode-bidi: embed direction: rtl"><b><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">بحث و نتیجه‌گیری</span></b><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"> : طبق نتایج این مطالعه، کاهش</span><font size="2"><font face="Times New Roman"><span dir="ltr" style="mso-bidi-language: FA">PH</span></font></font><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"> و ظرفیت بافری و افزایش استرپتوکوک موتان در بزاق در ماه‌های آخر بارداری می‌تواند باعث افزایش ریسک بروز پوسیدگی شود، لذا ارزیابی سلامت دهان و دندان در طی بارداری نباید نادیده گرفته</span><span dir="ltr" lang="FA" style="mso-bidi-language: FA"><font face="Times New Roman" size="2"> </font></span><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">شود. </span></p> <p> </p> <p> </p> <p class="Chekide" dir="rtl" style="text-justify: kashida text-align: justify text-kashida: 0% margin: 0in 0in 0pt unicode-bidi: embed direction: rtl"> </p> <p class="Chekide" dir="rtl" style="text-justify: kashida text-align: justify text-kashida: 0% margin: 0in 0in 0pt unicode-bidi: embed direction: rtl"> </p> <p><span lang="FA" style="font-family: Nazanin font-size: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"> </span></p> <p> </p> <p class="Abstract" dir="ltr" style="margin: 0in 0in 0pt"> </p> <p><span style="mso-fareast-language: EN-US"><strong><font face="Times New Roman" size="3"> </font></strong></span></p> <p> </p> <p class="Amatnmagale" dir="ltr" style="text-align: justify margin: 0in 0in 0pt"><font face="Times New Roman"><font size="3"><i><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri"><strong>Background & Aims</strong></span></i><span><strong>: </strong>Pregnancy duration is crucial regarding dental problems. So the aim of this study was to determine the association between pregnancy period and PH, S. Mutans, and buffering capacity of saliva.</span><b style="mso-bidi-font-weight: normal"><span style="mso-bidi-language: FA mso-fareast-language: EN-US"> </span></b></font></font></p> <p> </p> <p> </p> <p class="Amatnmagale" dir="ltr" style="text-align: justify margin: 0in 0in 0pt"><font face="Times New Roman"><font size="3"><b style="mso-bidi-font-weight: normal"><i><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri">Materials & Methods</span></i></b><b style="mso-bidi-font-weight: normal"><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri">: </span></b><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri">This cross sectional study was done among 120 women who referred to the </span><span style="mso-bidi-language: FA mso-fareast-language: EN-US">Gynecology</span><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri"> hospital in Baku with an average of 24.1± 2.91 years. 30 non pregnant women were selected as controls and 90 pregnant women as the study group. S. Mutans culture test was accomplished in both groups. PH and buffering capacity of saliva was measured using a PH meter and titration method. Two groups were compared </span><span style="mso-bidi-language: FA mso-fareast-language: EN-US">using </span><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri">statistical analysis of variance ANOVA.<b style="mso-bidi-font-weight: normal"> </b></span></font></font></p> <p> </p> <p> </p> <p class="Amatnmagale" dir="ltr" style="text-align: justify margin: 0in 0in 0pt"><font face="Times New Roman"><font size="3"><b style="mso-bidi-font-weight: normal"><i><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri">Results</span></i></b><b><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri">:</span></b><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri"> There was no significant difference in the mean age of study and control group (P<0.05). There was significant difference between study and control groups regarding colony numbers of S<i>. </i>mutans in the saliva (P<0.001). The difference of mean saliva PH was significant between the control group and pregnant women in the first, second, and third trimester of pregnancy (P<0.001). The buffering capacity of saliva in second and third trimester of pregnancy was significantly lower than the control group (P<0.05). </span></font></font></p> <p> </p> <p> </p> <p class="Amatnmagale" dir="ltr" style="text-align: justify margin: 0in 0in 0pt"><font size="3"><font face="Times New Roman"><b style="mso-bidi-font-weight: normal"><i><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri">Conclusion</span></i></b><b><span style="mso-bidi-language: FA mso-fareast-language: EN-US">: </span></b><span style="mso-bidi-language: FA mso-fareast-language: EN-US">According to this study, the decrease in</span><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri"> PH and buffering capacity</span><span style="mso-bidi-language: FA mso-fareast-language: EN-US"> of saliva and increase in </span><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri">S<i>. </i>mutans in the saliva</span><span style="mso-bidi-language: FA mso-fareast-language: EN-US"> during pregnancy can </span><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri">contribute to increased risk for dental caries</span></font><span mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">.</span><font face="Times New Roman"><span style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri"> So the assessment of oral health during pregnancy should not be ignored</span><span dir="rtl" lang="FA" style="mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri">.</span></font></font></p> <p align="center" class="Amatnmagale" dir="ltr" style="text-align: center margin: 0in 0in 0pt"> </p> <p><span style="font-size: 9.5pt mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri mso-bidi-font-size: 10.5pt mso-bidi-font-family: Nazanin"><font face="Times New Roman"> </font></span></p> <p> </p> <p align="center" class="Amatnmagale" dir="ltr" style="text-align: center margin: 0in 0in 0pt"><font size="3"><font face="Times New Roman">SOURCE: URMIA MED J 2015: 26(6): 474 ISSN: 1027-3727<span dir="rtl" lang="FA" style="font-family: Nazanin font-size: 10.5pt mso-ansi-font-size: 9.5pt mso-bidi-language: FA mso-fareast-language: EN-US mso-fareast-font-family: Calibri"> </span></font></font></p> <p> </p> <p> </p> بارداری, بزاق,PH, ظرفیت بافری, استرپتوکوک موتانس Pregnancy, Saliva, PH, Buffering capacity, Streptococcus mutans 467 474 http://umj.umsu.ac.ir/browse.php?a_code=A-10-1872-2&slc_lang=fa&sid=1 Mahin Bakhshi مهین بخشی 3700319475328460012737 3700319475328460012737 No Oral Medicine Department, Dental Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran بخش بیماری‌های دهان، دانشکده دندانپزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران Daniz Kavei دنیز کاوئی 3700319475328460012738 3700319475328460012738 No Shahid beheshti univercity دانشگاه شهیدبهشتی Laleh ibrahimova لاله ابراهیم اُوا 3700319475328460012739 3700319475328460012739 No Hamid Asayesh حمید آسایش 3700319475328460012740 3700319475328460012740 No Medical Emergency Department, Paramedical Faculty,Qom University of Medical Sciences, Qom, Iran گروه فوریت پزشکی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی قم Aida Mehdipour آیدا مهدی پور mehdipoor_aida@yahoo.com 3700319475328460012741 3700319475328460012741 Yes Dental and Oral Health Research Center, Pediatric Dentistry Department, Qom University of Medical Sciences, Qom, Iran مرکزتحقیقات سلامت دهان ودندان، دانشگاه علوم پزشکی قم، قم، ایران