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Do Heavy Metals Accumulated in Saliva Involve in the Etiopathogenesis of Recurrent Aphthous Stomatitis?      
Yazarlar
Ümran Öner
Şevki Özdemir
Erzincan Binali Yıldırım Üniversitesi, Türkiye
Dr. Öğr. Üyesi Fatih ÖNER
Türkiye
Necmettin Akdeniz
Türkiye
Özet
Recurrent aphthous stomatitis (RAS) is one of the most common diseases of oral mucosa characterized by recurrent painful ulcers. Although many factors have been implicated in its etiology, they are not fully identified. To investigate the involvement of heavy metals accumulated in saliva in the etiopathogenesis of RAS. This is a prospective, comparative, and controlled clinical study investigating the relationship between heavy metal exposure and RAS. The study consisted of 75 patients with idiopathic RAS who presented to our clinic with recurrent oral wound complaints and 74 healthy volunteers. All subjects were interviewed regarding age, acute or chronic diseases, dietary habits, and possible chemical exposure. Lead (Pb), cadmium (Cd), mercury (Hg), copper (Cu), and manganese (Mn) was measured in saliva by inductively coupled plasma–mass spectrometer (ICP–MS). Significance was considered at p ' 0.05. Salivary levels of Pb (15.2 ± 1.1 vs. 7.6 ± 9.9 μg/l; p ' 0.003), Hg (0.50 ± 0.60 vs. 0.13 ± 0.30 μg/l; p ' 0.001; p ' 0.001), Cd (0.11 ± 0.14 vs. 0.06 ± 0.13 μg/l; p ' 0.021), and Cu (34.9 ± 22.5 vs. 21.6 ± 21.9 μg/l; p ' 0.001) were significantly higher in the patient group than that in the control group. There was no significant difference between Mn levels (57.9 ± 41.6 μg/l). Higher heavy metal content of saliva in the patients with RAS may induce apoptosis and ulcer in oral mucosa cells through triggering release of reactive oxygen species resulting from oxidative stress resulting DNA damage.
Anahtar Kelimeler
Recurrent Aphthous stomatitis,Saliva,Heavy metals,Oxidative stress
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Biological Trace Element Research
Dergi ISSN 0163-4984
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 11-2020
Cilt No 198
Sayfalar 46 / 50
Makale Linki link.springer.com/article/10.1007/s12011-020-02058-2
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
WoS 7
SCOPUS 8

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