{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:23:55Z","timestamp":1787772235388,"version":"build-2784847793"},"reference-count":44,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Saliva offers a promising medium for assessing systemic health, including oxidative stress. Investigating the relationship between salivary total antioxidant capacity (TAC) and sleep disordered breathing (SDB) may be crucial for understanding and assessing the impact of SDB in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study aims to evaluate and compare physiological parameters of salivary pH, buffering capacity, and TAC in children with and without sleep disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>\n                      A cross-sectional study was conducted on 56 children (aged 6\u201311 years) visiting the Department of Pediatric and Preventive Dentistry. Participants were divided into a study group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 28) with a history of sleep problems and skeletal Class II malocclusion, and a control group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 28) without sleep problems and with normal skeletal relations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Unstimulated saliva samples were collected in the morning. Salivary pH and buffering capacity were determined using a digital pH meter and an acid challenge assay. Salivary TAC was estimated using the modified phosphomolybdenum spectrophotometric assay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis:<\/jats:title>\n                    <jats:p>\n                      The statistical analysis was conducted using the Shapiro\u2013Wilk test to assess normality of data and the Mann\u2013Whitney\n                      <jats:italic toggle=\"yes\">U<\/jats:italic>\n                      -test for intergroup comparisons. Effect sizes were calculated using Cohen\u2019s\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Intergroup comparison revealed that the median salivary pH, buffering capacity, and TAC did not differ significantly between the study and control group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05 for all). Effect size calculation using Cohen\u2019s\n                      <jats:italic toggle=\"yes\">d<\/jats:italic>\n                      showed negligible to small effects for pH and buffering capacity, and a moderate effect for TAC, indicating limited clinical differences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Children with sleep disorders showed a trend toward lower salivary pH, buffering capacity, and TAC values than children without sleep disorders. Saliva remains a promising, noninvasive medium for assessing the physiological changes associated with obstructive SDB in children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jisppd.jisppd_530_25","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T07:01:20Z","timestamp":1772175680000},"page":"64-71","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of salivary pH, buffering capacity, and total antioxidant capacity in children with sleep disorders"],"prefix":"10.4103","volume":"44","author":[{"given":"Isha","family":"Gore","sequence":"first","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, AB Shetty Memorial Institute of Dental Sciences, Deralakatte, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vabitha","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Pediatric 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