Assessment of Salivary and GCF pH in Periodontally Healthy and Stage II, Grade B Periodontitis Subjects: An In-vivo Study

Introduction: Oral fluids can be used for the diagnosis of periodontal disease, as they can be easily collected. Saliva is a complex fluid that impacts oral health. Gingival Crevicular Fluid (GCF) is a physiological fluid as well as an inflammatory exudate present in the dentogingival space. It is e...

Full description

Saved in:
Bibliographic Details
Main Authors: Priyanka Zerwal, Vishakha Patil, Vidya Dodwad, Pooja Pharne, Allen Naorem, Niket Bhatt
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-06-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/21138/76466_CE[Ra1]_F(KR)_QC(AN_SS)_PF1(RI_OM)_redo_PFA(IS)_PN(IS).pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849431144883290112
author Priyanka Zerwal
Vishakha Patil
Vidya Dodwad
Pooja Pharne
Allen Naorem
Niket Bhatt
author_facet Priyanka Zerwal
Vishakha Patil
Vidya Dodwad
Pooja Pharne
Allen Naorem
Niket Bhatt
author_sort Priyanka Zerwal
collection DOAJ
description Introduction: Oral fluids can be used for the diagnosis of periodontal disease, as they can be easily collected. Saliva is a complex fluid that impacts oral health. Gingival Crevicular Fluid (GCF) is a physiological fluid as well as an inflammatory exudate present in the dentogingival space. It is established that every inflammatory change, along with resultant damage to tissues, leads to altered pH values of these fluids. Periodontal disease is a chronic inflammatory and infectious condition that affects the pH levels of saliva. Furthermore, it is understood that periodontal pathogens grow at acidic pH levels and the growth of these bacteria further contributes to changes in pH levels. Aim: To assess and compare the pH values of saliva and GCF in periodontally healthy subjects and those with chronic periodontitis. Materials and Methods: This in-vivo study was carried out at Outpatient Department of Periodontology, Bharati Vidyapeeth (Deemed To Be) University Dental College and Hospital, Pune, Maharashtra, India, over a period of three months, from August 2024 to October 2024. A total of 30 subjects visiting the department of periodontology underwent detailed periodontal examinations and were categorised into two groups: healthy periodontium (Group I, n=15) and generalised stage II, grade B periodontitis (Group II, n=15). Saliva and GCF samples were collected and analysed for pH levels. An independent sample t-test was applied. The analysis was conducted using Statistical Package for the Social Sciences (SPSS) version 25.0. A p-value of less than 0.05 was considered statistically significant. Results: A total of 30 subjects were studied, of which 20 were females and 10 were males, with a mean age of 32.5 years. In periodontally healthy subjects (Group I), the mean salivary pH was found to be 7.05±0.01, whereas, in stage II, grade B periodontitis subjects (Group II), the mean salivary pH was 6.14±0.60 (p=0.038). The mean GCF pH was 6.73±0.14 in Group I and 8.19±0.29 in Group II (p=0.041). Thus, in chronic periodontitis patients, the salivary pH was acidic and the GCF pH was alkaline compared to periodontally healthy subjects. Conclusion: The present study indicates that subjects with Stage II, Grade B periodontitis have an acidic salivary pH and a more alkaline GCF pH compared to periodontally healthy subjects.
format Article
id doaj-art-b05d5eb0f30a4fdabc1485df04e72716
institution Kabale University
issn 2249-782X
0973-709X
language English
publishDate 2025-06-01
publisher JCDR Research and Publications Private Limited
record_format Article
series Journal of Clinical and Diagnostic Research
spelling doaj-art-b05d5eb0f30a4fdabc1485df04e727162025-08-20T03:27:44ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-06-01196ZC47ZC5010.7860/JCDR/2025/76466.21138Assessment of Salivary and GCF pH in Periodontally Healthy and Stage II, Grade B Periodontitis Subjects: An In-vivo StudyPriyanka Zerwal0Vishakha Patil1Vidya Dodwad2Pooja Pharne3Allen Naorem4Niket Bhatt5Postgraduate Student, Department of Periodontology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.Professor, Department of Periodontology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.Professor and Head, Department of Periodontology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.Associate Professor, Department of Periodontology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.Postgraduate Student, Department of Periodontology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Imphal, Manipur, India.Postgraduate Student, Department of Periodontology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Surat, Gujarat, India.Introduction: Oral fluids can be used for the diagnosis of periodontal disease, as they can be easily collected. Saliva is a complex fluid that impacts oral health. Gingival Crevicular Fluid (GCF) is a physiological fluid as well as an inflammatory exudate present in the dentogingival space. It is established that every inflammatory change, along with resultant damage to tissues, leads to altered pH values of these fluids. Periodontal disease is a chronic inflammatory and infectious condition that affects the pH levels of saliva. Furthermore, it is understood that periodontal pathogens grow at acidic pH levels and the growth of these bacteria further contributes to changes in pH levels. Aim: To assess and compare the pH values of saliva and GCF in periodontally healthy subjects and those with chronic periodontitis. Materials and Methods: This in-vivo study was carried out at Outpatient Department of Periodontology, Bharati Vidyapeeth (Deemed To Be) University Dental College and Hospital, Pune, Maharashtra, India, over a period of three months, from August 2024 to October 2024. A total of 30 subjects visiting the department of periodontology underwent detailed periodontal examinations and were categorised into two groups: healthy periodontium (Group I, n=15) and generalised stage II, grade B periodontitis (Group II, n=15). Saliva and GCF samples were collected and analysed for pH levels. An independent sample t-test was applied. The analysis was conducted using Statistical Package for the Social Sciences (SPSS) version 25.0. A p-value of less than 0.05 was considered statistically significant. Results: A total of 30 subjects were studied, of which 20 were females and 10 were males, with a mean age of 32.5 years. In periodontally healthy subjects (Group I), the mean salivary pH was found to be 7.05±0.01, whereas, in stage II, grade B periodontitis subjects (Group II), the mean salivary pH was 6.14±0.60 (p=0.038). The mean GCF pH was 6.73±0.14 in Group I and 8.19±0.29 in Group II (p=0.041). Thus, in chronic periodontitis patients, the salivary pH was acidic and the GCF pH was alkaline compared to periodontally healthy subjects. Conclusion: The present study indicates that subjects with Stage II, Grade B periodontitis have an acidic salivary pH and a more alkaline GCF pH compared to periodontally healthy subjects.https://jcdr.net/articles/PDF/21138/76466_CE[Ra1]_F(KR)_QC(AN_SS)_PF1(RI_OM)_redo_PFA(IS)_PN(IS).pdfacidic phalkaline phbiomarkerchairside testgingival crevicular fluidsaliva
spellingShingle Priyanka Zerwal
Vishakha Patil
Vidya Dodwad
Pooja Pharne
Allen Naorem
Niket Bhatt
Assessment of Salivary and GCF pH in Periodontally Healthy and Stage II, Grade B Periodontitis Subjects: An In-vivo Study
Journal of Clinical and Diagnostic Research
acidic ph
alkaline ph
biomarker
chairside test
gingival crevicular fluid
saliva
title Assessment of Salivary and GCF pH in Periodontally Healthy and Stage II, Grade B Periodontitis Subjects: An In-vivo Study
title_full Assessment of Salivary and GCF pH in Periodontally Healthy and Stage II, Grade B Periodontitis Subjects: An In-vivo Study
title_fullStr Assessment of Salivary and GCF pH in Periodontally Healthy and Stage II, Grade B Periodontitis Subjects: An In-vivo Study
title_full_unstemmed Assessment of Salivary and GCF pH in Periodontally Healthy and Stage II, Grade B Periodontitis Subjects: An In-vivo Study
title_short Assessment of Salivary and GCF pH in Periodontally Healthy and Stage II, Grade B Periodontitis Subjects: An In-vivo Study
title_sort assessment of salivary and gcf ph in periodontally healthy and stage ii grade b periodontitis subjects an in vivo study
topic acidic ph
alkaline ph
biomarker
chairside test
gingival crevicular fluid
saliva
url https://jcdr.net/articles/PDF/21138/76466_CE[Ra1]_F(KR)_QC(AN_SS)_PF1(RI_OM)_redo_PFA(IS)_PN(IS).pdf
work_keys_str_mv AT priyankazerwal assessmentofsalivaryandgcfphinperiodontallyhealthyandstageiigradebperiodontitissubjectsaninvivostudy
AT vishakhapatil assessmentofsalivaryandgcfphinperiodontallyhealthyandstageiigradebperiodontitissubjectsaninvivostudy
AT vidyadodwad assessmentofsalivaryandgcfphinperiodontallyhealthyandstageiigradebperiodontitissubjectsaninvivostudy
AT poojapharne assessmentofsalivaryandgcfphinperiodontallyhealthyandstageiigradebperiodontitissubjectsaninvivostudy
AT allennaorem assessmentofsalivaryandgcfphinperiodontallyhealthyandstageiigradebperiodontitissubjectsaninvivostudy
AT niketbhatt assessmentofsalivaryandgcfphinperiodontallyhealthyandstageiigradebperiodontitissubjectsaninvivostudy