PROFIL SALIVA DAN STATUS KESEHATAN MULUT PADA PASIEN DENGAN DIABETES MELLITUS YANG RUTIN MENGKONSUMSI OBAT ANTIDIABETES DI PUSKESMAS KASIHAN 1 BANTUL YOGYAKARTA

Background: Diabetes mellitus (DM) is a disease associated with an increase in blood
glucose levels (hyperglycemia) due to insulin deficiency or resistance. Hyperglycemia
conditions that occur in DM patients and antidiabetic drug therapy used can affect the
salivary profile, which causes a decrease in the salivary flow rate and will affect the acidbase balance (pH) in the oral cavity. Salivary pH can affect changes in oral health status.
Related, evaluation of saliva profile and early examination of oral health status is needed as
an alternative prognosis related to oral monitoring and efforts to utilize oral complications in
DM patients.
Objective: To determine the description of the characteristics of DM patients, salivary flow
rate, salivary pH and oral health status in patients with DM in Kasihan 1 Health Center
Bantul, Yogyakarta.
Methods: a quantitative descriptive study using cross sectional studies involving 30 patients
with type 2 diabetes at Kasihan 1 Health Center Bantul, Yogyakarta (purposive sampling).
The measurement of salivary flow rate uses the method of drying with slime cup, stopwatch
and syringe instruments. Salivary pH measurement using the New Two Color Saliva Slaver
Test Paper pH. And measurement of oral health status was observed using the Oral Health
Assessment Tool (OHAT) instrument with Kappa test results from 0.20-0.87 and significance
from 0.00-0.46.
Results: In this study, respondents were female (76.70%) and the contribution won 46-55
years (50.00%). The majority of respondents consume biguanide antidiabetic drugs
(73.30%), and agree to have been taking antidiabetic drugs for ≤5 years (63.30%). In this
study the mean salivary flow rate of respondents was low (0.17 ± 0.04 ml / min), while the
mean pH of the saliva of respondents was acidic (6.25 ± 1.89), and the mean oral health
status of the respondents the biggest is change (6.24 ± 1.23).
Conclusion: Type 2 DM patients have an average low salivary flow rate, salivary pH, and
changes in oral health status. Required, DM patients need to have regular oral health checks