Perbedaan laju sekresi saliva wanita hamil dan tidak hamil  Differences in salivary flow rate of pregnant and non-pregnant women

Indah Dwitasari; Rosiliwati Wihardja; Silvi Kintawati

doi:10.24198/pjdrs.v3i2.24068

Perbedaan laju sekresi saliva wanita hamil dan tidak hamil
Differences in salivary flow rate of pregnant and non-pregnant women

Indah Dwitasari, Rosiliwati Wihardja, Silvi Kintawati

Abstract

Pendahuluan: Perubahan hormonal yang terjadi selama kehamilan dapat memengaruhi fisiologi seluruh tubuh termasuk rongga mulut. Peningkatan hormon menyebabkan perubahan mekanisme sekresi saliva oleh kelenjar saliva yang berpengaruh terhadap laju sekresi di dalam rongga mulut. Wanita hamil biasanya mengeluhkan mulut terasa penuh dan sulit berbicara, hal ini terjadi karena produksi saliva mengalami peningkatan yang secara langsung menyebabkan peningkatan laju sekresi saliva. Metode: Deskriptif komparatif dengan menggunakan teknik survei. Sampel penelitian terdiri dari 30 wanita hamil dan 30 wanita tidak hamil dengan rentang usia 20-35 tahun sesuai dengan kriteria inklusi. Unstimulated whole saliva dikumpulkan untuk menentukan besar laju sekresi saliva. Data dianalisis dengan menggunakan independent two sample t-test dengan α = 0,05. Hasil: Hasil penelitian menunjukkan rerata laju sekresi saliva wanita hamil lebih tinggi dibandingkan dengan laju sekresi saliva wanita tidak hamil (p<0,05) dengan rerata laju sekresi saliva pada wanita hamil adalah 0,7027 ± 0,152 mL/menit dibandingkan wanita tidak hamil adalah 0,5053 ± 0,160 mL/menit. Simpulan: Terdapat perbedaan laju sekresi saliva yang signifikan, dimana laju sekresi saliva wanita hamil lebih tinggi dibandingkan wanita tidak hamil, dikarenakan peningkatan jumlah hormon kehamilan, mual, dan muntah, yang terjadi selama kehamilan.

Kata kunci: Kehamilan, laju sekresi saliva, saliva tanpa terstimulasi.

ABSTRACT

Introduction: Hormonal changes that occur during pregnancy can affect the physiology of the whole body, including the oral cavity. Increased hormones cause changes in the salivary flow mechanism by the salivary glands which affect the flow in the oral cavity. Pregnant women usually complain that their mouth feels full and hard to speak; this condition occurs because salivary production has increased which directly causes the salivary flow to increase. Methods: Comparative descriptive using survey techniques. The study sample consisted of 30 pregnant women and 30 non-pregnant women with an age range of 20-35 years according to inclusion criteria. Unstimulated whole saliva was collected to determine the rate of salivary secretion. Data were analysed using independent two-sample t-tests with α = 0.05. Results: The results showed the average salivary flow of pregnant women was higher than non-pregnant women (p < 0.05) with the average salivary flow of pregnant women was 0.7027 ± 0.152 mL/min compared to non-pregnant women (0.5053 ± 0.160 mL/min). Conclusion: There is a significant difference in the salivary flow, where the salivary flow of pregnant women is higher than non-pregnant women, due to hormonal increase, nausea, and vomiting, which occurs during pregnancy.

Keywords: Pregnancy, salivary secretion rate, unstimulated whole saliva.

Keywords

Kata kunci: kehamilan, laju sekresi saliva, saliva tanpa terstimulasi

Full Text:

PDF

References

Giglio, James A., Susan M. Lanni, Daniel M. Laskin, and Nancy W. Giglio. “Oral health care for the pregnant patient.” JCDA 75. 2013; (1): 38–47.

Kurien, Sophia, Vivekanand S Kattimani, Roopa Rani Sriram, Sanjay Krishna

Sriram, Prabhakara Rao V K, Anitha Bhupathi, Rupa Rani Bodduru, and Namrata N Patil. “Management of pregnant patient in dentistry.” JIOH 5. 2013; (1): 88–97.

Naveen, S., M. L. Asha, G. Shubha, Atul Bajoria, and Anju Jose. “Salivary flow Rate, pH and buffering capacity in pregnant and non pregnant women - A comparative study.” JMED Research. 2014; 1–8.

Nesbeth, Karen A. Thaxter, Leslie A. Samuels, Carla Nicholson Daley, Maxine Gossell-Williams, and Damian A. Nesbeth. “Ptyalism in pregnancy - A review of epidemiology and practices.” EJOG. 2016; 198: 47–49.

Hanretty, Kevin P. Obstetrics Illustrated. The Obstetrician & Gynaecologist. 6th ed. Vol. 7. United Kingdom: Churchill Livingstone.; 2003. p 81.

Chan, Paul D., and Susan M Johnson. Gynecology and Obstetrics. 2nd ed. California: Current Clinical Strategies Pub. ;2006. p 98-100.

Karnik, AmrutaA, SandeepS Pagare, Vasavi Krishnamurthy, SonalP Vahanwala, and Mandavi Waghmare. “Determination of salivary flow rate, pH, and dental caries during pregnancy: A study.” JIAOMR 27. 2015; (3): 372.

Rio, Rute, Álvaro Azevedo, Liliana Simões-Silva, Jorge Marinho, Mário Jorge Silva, and Benedita Sampaio-Maia. “The biochemistry of saliva throughout pregnancy.” Medical Express 2. 2015; (5): 1–6.

Hegde, Shweta. “A comparative evaluation of salivary flow rate, pH, buffering capacity, calcium and total protein levels in pregnant and non pregnant women.” JAMDSR 4. 2016; (4): 92–95.

DeAlmeida, Patricia Del Vigna, Ana Maria Trindade Grégio, Maria Ângela Naval Machado, Antônio Adilson Soares De Lima, and Luciana Reis Azevedo. “Saliva composition and functions: A comprehensive review.” The JCDP 9. 2008; (3): 072–080.

Tortora, Gerard J., and Bryan Derrickson. Principles of Anatomy and Physiology. 13th ed. United States: John Wiley and Sons Inc.; 2011. p 928-931, p 972, p 1155.

DOI: https://doi.org/10.24198/pjdrs.v3i2.24068