Background: Salivary pH is a critical factor in
maintaining oral homeostasis and preventing dental caries. This study was
undertaken to address the role of salivary pH in preventing enamel
demineralization, specifically comparing bicarbonate-containing gum to ordinary
gum and a control group to identify interventions that effectively raise pH
above the critical threshold of 5.5.
Materials and Methods: A randomized controlled study was conducted with 60 healthy
participants (30 males, 30 females, mean age 22.9 years) divided into three
groups: Group 1 (No gum/Control), Group 2 (Bicarbonate gum), and Group 3
(Ordinary gum). Salivary pH was measured using a high-accuracy digital pH meter
at baseline (Before), immediately after intervention (Ti), at 5
minutes (T5), and at 10 minutes (T10)
Results: At
all post-intervention intervals (Ti, T5, T10),
both gum groups showed a statistically significant increase in pH compared to
baseline (p < 0.001). Group 2 (Bicarbonate gum) demonstrated the highest pH
elevation (7.22±0.17 at Ti) compared to Group 3 (7.13±0.16) and
Group 1 (6.49 ± 0.16). ANOVA confirmed significant intergroup differences (p
< 0.001), and post hoc analysis revealed that bicarbonate gum was
significantly more effective than ordinary gum (p < 0.05).
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