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A Study on Effect of Conventional TENS on Salivation


Affiliations
1 Department of Physiotherapy, Pad. Dr. D.Y. Patil University, Nerul, Navi Mumbai, India
     

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Introduction: This study is the extension of physiotherapy services to dentistry. Saliva is critical fluid necessary for oral health. Medications, Radiation therapy to head&neck cancers, and Autoimmune disorders such as Sjogren's syndrome can decrease salivary function (Xerostomia) and increase a patients risk for caries and other oral infections. Palliative management of Xerostomia includes wetting agents such as ice chips and saliva substitutes. Systemic agents stimulate salivary flow but often have unfavorable side effects. TENS is a modality very commonly used by Physiotherapists&is well known for the analgesic effects. In this study we have explored a different domain of TENS&have studied its effect on salivation.

Study Design: Experimental

Materials & Method: Sixty healthy, adult in the age group between 20 to 40 with no history of salivary gland disorder enrolled in the protocol. They were assigned randomly to one of the two treatment groups. Unstimulated saliva was collected for 5 minutes via expectoration method for both groups into measuring cylinder using standardized collection techniques.

Group I (n=30) received TENS

The parotid glands were stimulated bilaterally for 5 minutes with TENS&saliva was collected during the period of stimulation&30 minutes post stimulation&24 hours post stimulation.

Group II (n=30) were Control group and did not receive any TENS. The same procedure for collecting saliva was followed for the control group.

Results: Group I was the only group that had statistically significant increase in salivation. Also there was a statistical significance when between groups comparison was done.

Conclusion: High frequency, low intensity TENS was effective in increasing salivary flow in healthy adult subjects.


Keywords

Conventional TENS, Salivation.
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  • M. Bergdahl & J. Bergdahl. Low Unstimulated Salivary flow and subjective oral Dryness: Association with Medication, Anxiety, Depression, and Stress. J. Dent Res. 2000; 79(9) 1652 -1658.
  • T.O. Narhi. Prevalence of Subjective Feelings of Dry Mouth in the Elderly. J. Dent Res. 1994 January; 73(1) 20-25.
  • R.S. Percival, S.J. Challacombe, and P.D. Marsh. Flow rates of Resting Whole and Stimulated Parotid Saliva in Relation to age & gender. J Dent Res. 1994 August; 73(8) 1416-20.
  • Mahvash Navazesh. How can oral health care providers determine if patients have dry mouth? J American Dental Association. 2003; 134(5) 613-618.
  • J.R. Garett 1987(February) “The Proper role of nerves in Salivary Secretion: A Review.” J. Dent. Res 66(2) 387-397.
  • Ryuji Matsuot, Akashi Yamamotok, Yomltsu Yoshitaka and Toshifumi Morimoto. Neural Substrates for Reflex Salivation Induced by Taste, Mechanical, and Thermal Stimulation of the Oral Region in decerebrate rats. Japanese Journal of Physiology. 1989; 39 (3), 349-357.
  • S.R. Porter, C. Scully, A. M. Hegarty. An Update of the etiology and management of xerostomia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97(1) 28-46.
  • Anurag Gupta, Joel Epstein, Herve Sroussi. Hyposalivation in Elderly Patients. J Can Dent Assoc. 2006 Nov; 72(9) 841-6
  • Rigmor E. Persson, Kenneth T. Izutsu, Edmond L. Truelove, Rutger Persson. Differences in salivary flow rates in elderly subjects using xerostomatic medications. Oral Surg Oral Med Oral Pathol. 1991 July; 72: 42-46.
  • Mahvash Navazesh, Satish K.S.Kumar. Measuring Salivary flow- Challenges & opportunities. J Am Dent Assoc. 2008; 139: 35S-40S.
  • Navazesh M. Christensen C.M. A comparison of whole mouth resting & stimulated salivary measurement procedures. J Dent Res. 1982; 61(10): 1158-1162.
  • , Erlichman M. Patient selection criteria for electrostimulation & salivary production in the treatment of Xerostomia secondary to Sjogren’s syndrome. Health Technol Assess Rep. 1990; 8:1-7.
  • Kazunori Ikebe, Masahiro Wada, Ronald L. Ettinger. Impact of dry mouth and hyposalivation on oral health-related quality of life of elderly Japanese. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 103(2):216-22.
  • Edward Givens Jr. Update on Xerostomia: Current treatment modalities and future trends. Gen Dent. 2006; 54(2): 99-101

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  • A Study on Effect of Conventional TENS on Salivation

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Authors

Twinkle Y. Dabholkar
Department of Physiotherapy, Pad. Dr. D.Y. Patil University, Nerul, Navi Mumbai, India
Sujata Yardi
Department of Physiotherapy, Pad. Dr. D.Y. Patil University, Nerul, Navi Mumbai, India

Abstract


Introduction: This study is the extension of physiotherapy services to dentistry. Saliva is critical fluid necessary for oral health. Medications, Radiation therapy to head&neck cancers, and Autoimmune disorders such as Sjogren's syndrome can decrease salivary function (Xerostomia) and increase a patients risk for caries and other oral infections. Palliative management of Xerostomia includes wetting agents such as ice chips and saliva substitutes. Systemic agents stimulate salivary flow but often have unfavorable side effects. TENS is a modality very commonly used by Physiotherapists&is well known for the analgesic effects. In this study we have explored a different domain of TENS&have studied its effect on salivation.

Study Design: Experimental

Materials & Method: Sixty healthy, adult in the age group between 20 to 40 with no history of salivary gland disorder enrolled in the protocol. They were assigned randomly to one of the two treatment groups. Unstimulated saliva was collected for 5 minutes via expectoration method for both groups into measuring cylinder using standardized collection techniques.

Group I (n=30) received TENS

The parotid glands were stimulated bilaterally for 5 minutes with TENS&saliva was collected during the period of stimulation&30 minutes post stimulation&24 hours post stimulation.

Group II (n=30) were Control group and did not receive any TENS. The same procedure for collecting saliva was followed for the control group.

Results: Group I was the only group that had statistically significant increase in salivation. Also there was a statistical significance when between groups comparison was done.

Conclusion: High frequency, low intensity TENS was effective in increasing salivary flow in healthy adult subjects.


Keywords


Conventional TENS, Salivation.

References