{"id":15794,"date":"2017-09-25T11:16:08","date_gmt":"2017-09-25T11:16:08","guid":{"rendered":"http:\/\/biomedpharmajournal.org\/?p=15794"},"modified":"2018-12-10T07:37:30","modified_gmt":"2018-12-10T07:37:30","slug":"the-difference-in-salivary-flow-rate-before-and-after-stimulate-between-chewing-pineapple-ananas-comocus-dan-papaya-carica-papaya","status":"publish","type":"post","link":"https:\/\/biomedpharmajournal.org\/staging\/vol10no3\/the-difference-in-salivary-flow-rate-before-and-after-stimulate-between-chewing-pineapple-ananas-comocus-dan-papaya-carica-papaya\/","title":{"rendered":"The Difference in Salivary flow Rate Before and After Stimulate Between Chewing Pineapple (Ananas Comocus) Dan Papaya (Carica Papaya)"},"content":{"rendered":"

Introduction<\/strong><\/p>\n

Saliva is the mixture of fluids that originates from major and minor salivary glands and nonglandular sources such as crevicular fluids, oral microorganism, and host cells.1<\/sup> Saliva is importance to maintain oral health, and saliva has multiple functions.2<\/sup><\/p>\n

Saliva have two functions that is digestive and protective functions and additional functions.3<\/sup> Digestive functions include chewing of food, bolus formation, and swallowing. To the protective functions include self cleansing<\/em>, lubricate the oral tissues by mucins,1<\/sup> ability of the buffer to maintain salivary pH around 7.0, and antimicrobial action.3<\/sup> Additional functions include articulate speech and excretion.3<\/sup> Saliva is very influential on the dental health because of the chemical composition, the buffer capacity (buffer), antimicrobial activity, and salivary flow rate (flow rate).4<\/sup><\/p>\n

Salivary flow rate can be\u00a0 obtained with or without stimulus, that is the stimulated and the unstimulate salivary flow.5<\/sup> Reduced salivary flow rate can be cause impedes the mastication and swallowing of food, neutralization of acids, and leads to oral diseases such mucosal lesions,6<\/sup> caries, candidiasis, gingivitis, and periodontal diseases.7<\/sup><\/p>\n

One effort that can be done to overcome the problem of reduced salivary flow is by stimulating saliva with citric acid5<\/sup> and vitamin C in patients xerostomia.8<\/sup> Citric acid content is widely available in the pineapple and papaya with citric acid content of 346 mg pineapple and papaya is 335 mg.9<\/sup> Pineapple and papaya also contains vitamin C with the 24 mg10<\/sup> pineapple and papaya is 61.8 mg.11<\/sup> Lewapadang et al (2015) research stated that the consumption of pineapple juice in the elderly can reduce xerostomia and increase secretion saliva.12<\/sup> Widya research (2013 ) that eating papaya can lower the debris index, and to chew papaya can stimulate to produce more saliva.13<\/sup> This study aims to determine the presence of differences in salivary flow before and after stimulation between chewing pineapple (Ananas comocus) <\/em>and chew papaya (Carica papaya)<\/em>.<\/em><\/p>\n

Methods<\/strong><\/p>\n

Type of research is pre-experimental study with two group pretest posttest design. This research was conducted on 8 to 20 January 2017 in the building of the Faculty of Dentistry Unsyiah. The population in this study were all students\/i Faculty of Dentistry, University of Syiah Kuala. Subjects who met the inclusion criteria obtained as many as 100 people.<\/p>\n

Subjects were instructed not to eat, drink, chew, smoking, brush of teeth, and physical exercise for at least one hour prior to the saliva collection time.14<\/sup> Saliva collection were obtained at 9-11 am,14<\/sup> in a ventilated and well illuminated room.5<\/sup> The first group was given 100 grams of pineapple that has been cut and the second group was given papaya 100 grams. Both groups were asked to chew pineapple and papaya for 2 minutes, then given time to rest for 5 minutes. Spitting saliva collection methods were conducted with a total of 5 minutes, with the way the subjects were instructed to remain silent for one minute, then every 1 minute subjects were asked to remove the accumulated saliva in the mouth and ejected into a measuring cup.15<\/sup><\/p>\n

Results<\/strong><\/p>\n

Result of difference in salivary flow rate before and after stimulation between chewing pineapple and chewing papaya on the students of the Faculty of Dentistry, University of Syiah Kuala generation from 2013 to 2016.<\/p>\n

Data about salivary flow rate before and after chewing pineapple (Ananas comocus)<\/em> and flow rate of saliva before and after chewing papaya (Carica papaya)<\/em> tested the normality using the Shapiro-Wilk test. Normality test results demonstrate the significant value of salivary flow were obtained before and after chewing pineapple (Ananas comocus)<\/em> and flow rate of saliva before and after chewing papaya (Carica papaya) p<\/em>> 0.05, which indicates that the normal distribution of data.<\/p>\n

Table 1.1. Normality test of salivary flow rate<\/strong><\/p>\n\n\n\n\n\n
Difference Variable<\/strong><\/td>\nNumber of Subject<\/strong><\/td>\np<\/em><\/strong><\/td>\n<\/tr>\n
Salivary flow rate before and after chewing pineapple (Ananas comocus)<\/em><\/td>\n50<\/td>\n0,118<\/td>\n<\/tr>\n
salivary flow rate before and after chewing papaya (Carica papaya)<\/em><\/td>\n50<\/td>\n0,053<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

The results of the analysis of differences in salivary flow before and after chewing pineapple (Ananas comocus)<\/em> showed a significant result (p <\/em><0.05).<\/p>\n

Table 1.2: Results of difference salivary flow rate before and after chewing pineapple<\/strong><\/p>\n\n\n\n\n
<\/td>\nSubject<\/strong><\/td>\np<\/em><\/strong><\/td>\n<\/tr>\n
Salivary flow rate before and after chewing pineapple (Ananas comocus)<\/em><\/td>\n50<\/td>\n0,0000<\/p>\n

 <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

The results of the analysis of differences in salivary flow before and after chewing papaya (Carica papaya)<\/em> showed a significant result (p<\/em> <0.05).<\/p>\n

Table 1.3<\/strong>:<\/strong> Results of difference salivary flow rate before and after chewing papaya<\/strong><\/p>\n\n\n\n\n
\u00a0<\/strong><\/td>\nSubject<\/strong><\/td>\np<\/em><\/strong><\/td>\n<\/tr>\n
Salivary flow rate before and after chewing papaya (Carica papaya)<\/em><\/td>\n50<\/td>\n0,0000<\/p>\n

 <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

The results of the analysis of average in salivary flow before and after chewing pineapple (Ananas comocus)<\/em>)<\/em> showed difference is 0,4460.<\/p>\n

Table 1.4: Results of average salivary flow rate before and after chewing pineapple<\/strong><\/p>\n\n\n\n\n\n\n
<\/td>\nSubject<\/strong><\/td>\nAverage<\/strong><\/td>\n<\/tr>\n
Salivary flow rate before chewing pineapple<\/td>\n50<\/td>\n0,3520<\/td>\n<\/tr>\n
Salivary flow rate after chewing pineapple (Ananas comocus)<\/em><\/td>\n50<\/td>\n0,7980<\/td>\n<\/tr>\n
Salivary flow rate before and after chewing pineapple (Ananas comocus)<\/em><\/td>\n50<\/td>\n0,4460<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

The results of the analysis of average in salivary flow before and after chewing pineapple (Ananas comocus)<\/em>)<\/em> showed difference is 0,4460.<\/p>\n

Table 1.5: Results of average salivary flow rate before and after chewing papaya<\/strong><\/p>\n\n\n\n\n\n\n
<\/td>\nSubject<\/strong><\/td>\nAverage<\/strong><\/td>\n<\/tr>\n
Salivary flow rate before chewing papaya (Carica papaya)<\/em><\/td>\n50<\/td>\n0,2840<\/td>\n<\/tr>\n
Salivary flow rate after chewing papaya (Carica papaya)<\/em><\/td>\n50<\/td>\n0,7000<\/td>\n<\/tr>\n
Salivary flow rate before and after chewing papaya (Carica papaya)<\/em><\/td>\n50<\/td>\n0,4160<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

To determine difference in salivary flow rate after chewing pineapple with salivary flow rate after chewing papaya then tested the T unpaired against both results are pineapple (Ananas comocus)<\/em> different from papaya (Carica papaya). <\/em>Unpaired T test results obtained significance value of p<\/em> <0.05.<\/p>\n

Table 1.6<\/strong>:<\/strong> Result of difference salivary<\/strong> flow rate after chewing pineapple and papaya<\/strong><\/p>\n\n\n\n\n
Variable 1<\/strong><\/td>\nP<\/em><\/strong><\/td>\nVariabel 2<\/strong><\/td>\n<\/tr>\n
Salivary flow rate after chewing pineapple (Ananas comocus)<\/em><\/td>\n0,035<\/p>\n

 <\/td>\n

Salivary flow rate after chewing papaya (Carica papaya)<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Discussion<\/strong><\/p>\n

This study was conducted to see the effect of chewing pineapple (Ananas comocus)<\/em> and papaya (Carica papaya)<\/em> against salivary flow.<\/p>\n

Table 1.2 shows the differences in salivary flow before and after stimulation of chewing pineapple (Ananas comocus).<\/em> This is related to a chemical stimulus in the form of citric acid that is found in pineapple, where the acid is the most powerful stimulus in increasing the secretion saliva16<\/sup> and to chewing pineapple as a mekanis stimulus.2<\/sup> This is in accordance with Lewapadang W et al (2015) stated that the citric acid content pineapple fruit can stimulate the salivary glands are parotid, submandibular, sublingual, and minor glands.12<\/sup><\/p>\n

Table 1.2. shows that there are differences in salivary flow before and after stimulation of chewing papaya (Carica papaya)<\/em>. This is related to a chemical stimulus in the form of citric acid and vitamin C in papaya as well as chewing movements papaya.2<\/sup>,<\/sup>5, 12<\/sup> Visvanathan (2010) stated that vitamin C in pineapple and papaya can increase the saliva flow rate.8<\/sup>,<\/sup>10<\/sup>,<\/sup>11<\/sup><\/p>\n

This study shows there are differences in salivary flow rate after stimulation of chewing pineapple (Ananas comocus) <\/em>and papaya (Carica papaya),<\/em> with a flow rate of saliva after chewing pineapple (Ananas comocus)<\/em> higher than after chewing papaya (Carica papaya).<\/em> Ana (2010) states that the greater the concentration of citric acid causes the salivary volume increased to higher than citric acid in a concentration low.17<\/sup> This is consistent with citric acid content is higher in the 346 mg in pineapple compared in papaya is 335 mg.9<\/sup><\/p>\n

Conclusions<\/strong><\/p>\n

There are differences in salivary flow before and after stimulation of chewing pineapple (Ananas comocus).<\/em><\/p>\n

There are differences in salivary flow before and after stimulation chewing papaya (Carica papaya).<\/em><\/p>\n

There are differences in salivary flow with stimulation of chewing pineapple (Ananas comocus)<\/em> and papaya (Carica papaya)<\/em>, with chewing pineapple (Ananas comocus) can increase the salivary flow rate higher than chew papaya (Carica papaya).<\/p>\n

References<\/strong><\/p>\n

    \n
  1. Cruz J. C., Scott J., Rothen M., Manci L., Lawhorn T., Brossei K. dkk. Salivary characteristic and dental caries : Evidence from general dental practices. J Am Dent Assoc.<\/em> 2013;144(5):32.<\/li>\n
  2. Pedersen A. M. Saliva. Institute of Odontology, University of Copenhagen. 2007:2,6.<\/li>\n
  3. Ekstrom J., Nina K., Castagnola M., Messana I. Saliva and the control of its secretion. Diagnostic Imaging: Medical Radiology. 2012:20-24.<\/li>\n
  4. Ramadhana S. Perbedaan laju aliran saliva sebelum dan sesudah berkumur dengan obat kumur beralkohol pada mahasiswa PSKG unsyiah angkatan 2011-2013. Skripsi Universitas Syiah Kuala 2008:1.<\/li>\n
  5. Alves C., Brandao M., Andion J., Menezes R. Use of graduate syringes for measuring salivary flow rate: A pilot study. Brazilian Dental Journal<\/em>. 2010;21(5):1-2.
    \nCrossRef<\/a><\/li>\n
  6. Takeuchi K., Michiko F., Takeshita T., Shibata Y. Risk factors for reduced salivary flow rate in a japanese population: The hisayama study. Biomed Research International<\/em>. 2015:1-7.
    \n    CrossRef<\/a><\/li>\n
  7. Gupta A., Epstein J., Sroussi H. Hyposalivation in elderly patients. Journal Can Dental Association<\/em>. 2006;72(9):841-842.<\/li>\n
  8. Visvanathan V. Managing the patient presenting with xerostomia\u00a0 a review. International Journal Of Clinical Practice<\/em>. 2010;64(3):405.
    \n    CrossRef<\/a><\/li>\n
  9. Simmonds M. Nutritional composition of fruit cultivars. 1st ed. Missouri: Elsevier 2015:506,617.<\/li>\n
  10. Hossain M. F., Akhtar S., Anwar M. Nutritional value and medicinal benefits of pineapple. International Journal Of Nutrition And Food Sciences<\/em>. 2015;4(1):86.<\/li>\n
  11. Aravind G., Bhowmik D., Duraivel S., Harish G. Traditional and medicinal uses of Carica papaya. Journal Of Medicinal Plants Studies.<\/em> 2013;1(1):8,13.<\/li>\n
  12. Lewapadang W., Tendean L., Anindita P. S. Pengaruh mengonsumsi nanas (Ananas comosus) terhadap laju aliran saliva pada lansia penderita xerostomia. Jurnal E-Gigi.<\/em> 2015;3(2):454.<\/li>\n
  13. Cahyati W. H. Konsumsi pepaya (Carica papaya) dalam menurunkan debris index. Jurnal Kesehatan Masyarakat.<\/em> 2013;8(2):128,132.<\/li>\n
  14. Nogourani M. K., Janghorbani M., Isfahan R. K., Bahesti M. H. Effect of chewing different flavored gums on salivary flow rate and pH. International Journal Of Dentistry.<\/em> 2012:1-2.
    \n    CrossRef<\/a><\/li>\n
  15. Greenberg M., Glick M., Ship J. A. Burkets oral medicine. 11th ed. Hamilton: BC Decker 2008:194.<\/li>\n
  16. Indriana T. Perbedaan laju aliran saliva dan pH karena pengaruh stimulus kimiawi dan mekanis. J Kedokt Meditek.<\/em> 2011;11(44):2.<\/li>\n
  17. Carolina A. S., Ferreira M. C. Salivary stimulations by citric acid at concentrations founds in beverages. Conference Paper. 2010:1.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

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