The pH of gingival crevices and periodontal pockets in children, teenagers and adults

Gingival crevice and periodontal pocket pH, measured directly with glass micro-electrodes, was near neutral at most sites in most individuals (mean pH 6.92 ± 0.03 SEM, 69 subjects). Periodontal state ranged from healthy to periodontitis but neither clinical evidence of gingivitis at a site nor pocke...

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Veröffentlicht in:Archives of oral biology 1991, Vol.36 (3), p.233-238
Hauptverfasser: Eggert, F.M., Drewell, L., Bigelow, J.A., Speck, J.E., Goldner, M.
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container_end_page 238
container_issue 3
container_start_page 233
container_title Archives of oral biology
container_volume 36
creator Eggert, F.M.
Drewell, L.
Bigelow, J.A.
Speck, J.E.
Goldner, M.
description Gingival crevice and periodontal pocket pH, measured directly with glass micro-electrodes, was near neutral at most sites in most individuals (mean pH 6.92 ± 0.03 SEM, 69 subjects). Periodontal state ranged from healthy to periodontitis but neither clinical evidence of gingivitis at a site nor pocket depth were associated with crevicular pH different from that at healthy sites. This finding contradicts earlier reports that gingivitis is associated with a crevicular pH as alkaline as pH 9.06. Metallic antimony electrodes as used by earlier investigators were found to give pH readings that were too high by as much as 1.5 pH units in the presence of organic reducing agents of the type produced by oral bacteria within gingival crevices. In contrast, glass micro-electrodes respond only to hydrogen ions and thereby provided accurate measurements of pH even in the presence of organic reducing agents. Loss of CO 2 to the atmosphere from biological fluids that are bicarbonate buffered resulted in a shift to alkaline pH by as much as 1 pH unit. As a result, only measurements taken within gingival crevices or periodontal pockets can provide accurate measurements of crevice or pocket pH.
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Periodontal state ranged from healthy to periodontitis but neither clinical evidence of gingivitis at a site nor pocket depth were associated with crevicular pH different from that at healthy sites. This finding contradicts earlier reports that gingivitis is associated with a crevicular pH as alkaline as pH 9.06. Metallic antimony electrodes as used by earlier investigators were found to give pH readings that were too high by as much as 1.5 pH units in the presence of organic reducing agents of the type produced by oral bacteria within gingival crevices. In contrast, glass micro-electrodes respond only to hydrogen ions and thereby provided accurate measurements of pH even in the presence of organic reducing agents. Loss of CO 2 to the atmosphere from biological fluids that are bicarbonate buffered resulted in a shift to alkaline pH by as much as 1 pH unit. 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Psychology</topic><topic>Gingiva - physiology</topic><topic>gingival crevice</topic><topic>gingivitis</topic><topic>Gingivitis - physiopathology</topic><topic>Glass</topic><topic>glass micro-electrode</topic><topic>Humans</topic><topic>Hydrogen-Ion Concentration</topic><topic>Male</topic><topic>Microelectrodes</topic><topic>Middle Aged</topic><topic>Mouth. Exocrine and endocrine salivary glands. Teeth. Esophagus</topic><topic>Oxidation-Reduction</topic><topic>periodontal pocket</topic><topic>Periodontal Pocket - physiopathology</topic><topic>periodontitis</topic><topic>pH measurement</topic><topic>Reproducibility of Results</topic><topic>Saliva - physiology</topic><topic>Vertebrates: digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eggert, F.M.</creatorcontrib><creatorcontrib>Drewell, L.</creatorcontrib><creatorcontrib>Bigelow, J.A.</creatorcontrib><creatorcontrib>Speck, J.E.</creatorcontrib><creatorcontrib>Goldner, M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of oral biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eggert, F.M.</au><au>Drewell, L.</au><au>Bigelow, J.A.</au><au>Speck, J.E.</au><au>Goldner, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The pH of gingival crevices and periodontal pockets in children, teenagers and adults</atitle><jtitle>Archives of oral biology</jtitle><addtitle>Arch Oral Biol</addtitle><date>1991</date><risdate>1991</risdate><volume>36</volume><issue>3</issue><spage>233</spage><epage>238</epage><pages>233-238</pages><issn>0003-9969</issn><eissn>1879-1506</eissn><abstract>Gingival crevice and periodontal pocket pH, measured directly with glass micro-electrodes, was near neutral at most sites in most individuals (mean pH 6.92 ± 0.03 SEM, 69 subjects). Periodontal state ranged from healthy to periodontitis but neither clinical evidence of gingivitis at a site nor pocket depth were associated with crevicular pH different from that at healthy sites. This finding contradicts earlier reports that gingivitis is associated with a crevicular pH as alkaline as pH 9.06. Metallic antimony electrodes as used by earlier investigators were found to give pH readings that were too high by as much as 1.5 pH units in the presence of organic reducing agents of the type produced by oral bacteria within gingival crevices. In contrast, glass micro-electrodes respond only to hydrogen ions and thereby provided accurate measurements of pH even in the presence of organic reducing agents. Loss of CO 2 to the atmosphere from biological fluids that are bicarbonate buffered resulted in a shift to alkaline pH by as much as 1 pH unit. 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subjects Adolescent
Adult
Age Factors
Aged
antimony micro-electrode
Biological and medical sciences
Carbon Dioxide - metabolism
Child
Cross-Sectional Studies
Dentistry
Female
Fundamental and applied biological sciences. Psychology
Gingiva - physiology
gingival crevice
gingivitis
Gingivitis - physiopathology
Glass
glass micro-electrode
Humans
Hydrogen-Ion Concentration
Male
Microelectrodes
Middle Aged
Mouth. Exocrine and endocrine salivary glands. Teeth. Esophagus
Oxidation-Reduction
periodontal pocket
Periodontal Pocket - physiopathology
periodontitis
pH measurement
Reproducibility of Results
Saliva - physiology
Vertebrates: digestive system
title The pH of gingival crevices and periodontal pockets in children, teenagers and adults
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