نشریه علوم زمین خوارزمی

نشریه علوم زمین خوارزمی

کانی‌شناسی پزشکی و ریخت‌شناسی سنگ‌های بزاقی (سیالولیت‌ها)؛ مطالعه موردی در کلان‌شهر شیراز، ایران

نویسندگان
1 دانشگاه ارومیه
2 سازمان پژوهش های علمی و صنعتی ایران
3 دانشگاه علوم پزشکی شیراز
4 دانشگاه شیراز
چکیده
در این پژوهش، ریخت‌شناسی و ترکیب شیمیایی 21 نمونه سنگ بزاقی (سیالولیت) برای اولین بار در ایران بررسی می‌شود. ریخت‌شناسی و ترکیب عنصری سیالولیت‌ها به ترتیب با استفاده از میکروسکوپ الکترونی روبشی (SEM) و طیف سنج پاشنده انرژی تابش ایکس (EDS) تعیین شد. همچنین، ترکیب زیست کانیایی و سیماهای طیفی مربوط به بنیان‌های مولکولی موجود در ترکیب شیمیایی سنگ‌های بزاقی با استفاده از دو طیف‌سنج مرئی-مادون قرمز نزدیک (Vis- NIR) و تبدیل فوریه مادون قرمز (FTIR) ارزیابی و شناسایی شد. تجزیه و تحلیل طیف‌های بازتابی در محدوده Vis-NIR طیف الکترومغناطیس نشان داد که نمونه‌های سیالولیت عمدتاً دارای ترکیبات آلی (C-H)، کربناتی و آب هستند. طیف‌های FTIR در همه نمونه­‌ها از نظر کیفی تقریباً یکسان و پیک‌های گسیلشی در طول موج‌های مشابه در همه نمونه­‌ها واقع شده بود و تفاوت طیف نمونه‌­ها به طور عمده در شدت پیک‌ها بود. تجزیه و تحلیل طیف‌های FTIR نیز حضور گروه‌های عاملی هیدروکسیل، آمید، آلیفاتیک، فسفات و کربنات در سیالولیت‌ها را تایید کرد. با توجه به حضور سیماهای طیفی مربوط به فسفات در نمونه‌ها به نظر می‌رسد که ترکیب شیمیایی این نمونه­‌ها عمدتا مشابه هیدروکسی آپاتیت است که گاهی یون کربنات نیز جانشین یون فسفات شده است. میانگین درصد وزنی بالای O، C، Ca و P نیز نشانگر حضور زیست کانی‌های کربناتی فسفردار بود. محاسبه شاخص بلورینگی نمونه‌های سنگ با استفاده از تحلیل طیف‌های FTIR نشانگر بلورینگی ضعیفی نمونه‌ها بود به نحوی که اجزای غیرآلی سنگ بصورت خرده دانه‌های کوچک کمابیش متراکم و دانه شکری آریخت و شبه بلوری در اطراف یک هسته دانه‌ای مرکزی قرار گرفته بودند. نتایج این مطالعه بینش خوبی از ترکیب شیمیایی سنگ‌های بزاقی داد و می‌تواند یک خط پژوهشی جدید در مطالعات آتی باشد.

کلیدواژه‌ها

عنوان مقاله English

Medical mineralogy and morphology of salivary stones (sialoliths); a case study in Shiraz metropolis, Iran

نویسندگان English

Mohammad Javad Nematollahi 1
Sogand Karimzadeh 2
Seyed Basir Hashemi 3
Behnam Keshavarzi 4
1 Urmia University
2 Iranian Research Organization for Science & Technology (IROST)
3 Shiraz University of Medical Sciences
4 Shiraz University
چکیده English

This study investigates the morphology and chemical composition of 21 salivary stones (sialoliths) for the first time in Iran. The morphology and elemental composition of sialoliths were assessed using a scanning electron microscope (SEM) coupled with an energy dispersive spectroscope (EDS). In addition, biominerals and spectral features of functional groups in the sialoliths were identified using visible-near infrared (NIR) and Fourier transform infrared (FTIR) spectrometers. Salivary stones had a mean size, weight and hardness of 11.9 mm, 0.6538 g and 2.6, respectively, with dominant colours biassed to light brown. Analysis of spectra obtained from Vis-NIR indicated that salivary stones consisted mainly of organic (C-H), carbonate compounds, and water. The FTIR spectra in all samples were qualitatively roughly similar; thus, emission spectra in the samples happened at similar wavelengths. The spectral differences were mainly related to the peak intensity. The FTIR spectra analysis obtained from sialoliths also confirmed the presence of hydroxyl, amide, aliphatic, phosphate and carbonate functional groups. High mean weight percentages of O, C, Ca and P also suggested the presence of phosphorated carbonate biominerals. Regarding the presence of phosphate spectral features in the samples, it seems that the chemical composition of sialoliths is typically similar to hydroxyl apatite, sometimes with substitutions of carbonate ions with phosphate groups. The calculated crystalline index using the FTIR spectra displayed weak crystallinity of all salivary stones. Furthermore, in most sialolith samples, a central core was surrounded by inorganic components like small amorphous and semicrystalline aggregates and sugarcane particles. The results of this study give a good insight into the sialoliths’ chemical composition and can be considered a new research line for the status of salivary stones in Iran in future studies.

کلیدواژه‌ها English

Sialolith
Salivary stone
Biomineral
Chemical composition
morphology
Mineral spectrum
Avishai, G., Ben-Zvi, Y., Chaushu, G., Rosenfeld, E., Gillman, L., Reiser, V., Gilat, H., 2021. The unique characteristics of sialolithiasis following drug-induced hyposalivation. Clinical Oral Investigations 25, 4369-4376. https://doi.org/10.1007/s00784-020-03750-2.
Boskey, A.L., Boyan-Salyers, B.D., Burstein, L.S. Mandel, I.D., 1981. Lipids associated with mineralization of human submandibular gland sialoliths. Archives of oral biology 26(10), 779-785. https://doi.org/10.1016/0003-9969(81)90173-4.
Clark, R.N., King, T.V.V., Klejwa, M., Swayze, G.A., Vergo, N., 1990. High spectral resolution reflectance spectroscopy of minerals. Journal of Geophysical Research: Solid Earth 95(B8), 12653-12680. https://doi.org/10.1029/JB095iB08p12653.
Cloutis, E., Berg, B., Mann, P., Applin, D., 2016. Reflectance spectroscopy of low atomic weight and Na-rich minerals: borates, hydroxides, nitrates, nitrites, and peroxides. Icarus 264, 20–36. https://doi.org/10.1016/j.icarus.2015.08.026.
Epivatianos, A., Harrison, J.D., 1989. The presence of microcalculi in normal human submandibular and parotid salivary glands. Archives of oral biology 34(4), 261-265. https://doi.org/10.1016/0003-9969(89)90066-6.
Gadve, V., Mohite, A., Bang, K., Shenoi, S.R., 2016. Unusual giant sialolith of Wharton's duct. Indian Journal of Dentistry 7(3), 162. https://doi.org/10.4103/0975-962X.174594.
Grases, F., Santiago, C., Simonet, B.M., Costa-Bauzá, A., 2003. Sialolithiasis: mechanism of calculi formation and etiologic factors. Clinica Chimica Acta 334(1-2), 131-136. https://doi.org/10.1016/S0009-8981(03)00227-4.
Harrison, J.D., 2006. Histology and pathology of sialolithiasis. Salivary gland diseases, in: Witt, R.L. (Ed.), Salivary gland diseases: surgical and medical management. Thieme Medical, pp. 71-78.
Hunt, G.R., 1977. Spectral signatures of particulate minerals in the visible and near infrared. Geophysics 42, 501-513. https://doi.org/10.1190/1.1440721.
Hunt, G.R., Salisbury, J.W., 1970. Visible and near-infrared spectra of minerals and rock: I silicate minerals. Modern geology 1, 283-300. https://doi.org/10.4236/opj.2016.61002.
Huoh, K.C., Eisele, D.W., 2011. Etiologic factors in sialolithiasis. Otolaryngology-Head and Neck Surgery 145(6), 935-939. https://doi.org/10.1177/0194599811415489.
Jayasree, R.S., Gupta, A.K., Vivek, V., Nayar, V.U., 2008. Spectroscopic and thermal analysis of a submandibular sialolith of Wharton’s duct resected using Nd: YAG laser. Lasers in medical science 23(2), 125-131. https://doi.org/10.1007/s10103-007-0458-6.
Kazarian, S.G., Chan, K.A., 2013. ATR-FTIR spectroscopic imaging: recent advances and applications to biological systems. Analyst 138 (7), 1940–1951. https://doi.org/10.1039/c3an36865c.
Kraaij, S., Karagozoglu, K.H., Kenter, Y.A., Pijpe, J., Gilijamse, M., Brand, H.S., 2015. Systemic diseases and the risk of developing salivary stones: a case control study. Oral surgery, oral medicine, oral pathology and oral radiology 119(5), 539-43. https://doi.org/10.1016/j.oooo.2015.01.010.
Kraaij, S., Brand, H.S., van der Meij, E.H., de Visscher, J.G., 2018. Biochemical composition of salivary stones in relation to stone-and patient-related factors. Medicina oral, patologia oral y cirugia bucal 23(5), 540. https://doi.org/10.4317/medoral.22533.
Kraaij, S., Karagozoglu, K.H., Forouzanfar, T., Veerman, E.C.I., Brand, H.S., 2014. Salivary stones: symptoms, aetiology, biochemical composition and treatment. British dental journal 217(11), E23. https://doi.org/10.1038/sj.bdj.2014.1054.
Ledesma-Montes, C., Garces-Ortiz, M., Reyes-Gasga, J., Salcido-Garcia, J.F., Hernández-Flores, F., 2007. Scanning electron micrographic features of a giant submandibular sialolith. Ultrastructural pathology 31(6), 385-391. https://doi.org/10.1080/01913120701686586.
Lustmann, J., Regev, E., Melamed, Y., 1990. Sialolithiasis: a survey on 245 patients and a review of the literature. International journal of oral and maxillofacial surgery 19(3), 135-138. https://doi.org/10.1016/S0901-5027(05)80127-4.
Marchal, F., Dulguerov, P., 2003. Sialolithiasis management: the state of the art. Archives of Otolaryngology–Head & Neck Surgery 129(9), 951-956. https://doi.org/10.1001/archotol.129.9.951.
Mostafavi Tabatabaee, R., Sanatkhani, M., 2019. Report of a Giant Sialolith of Remarkable Size in Submandibular Duct. Journal of Mashhad Dental School 43(2), 209-216 (in Persian). https://sid.ir/paper/74180/en.
Nematollahi, M.J., Keshavarzi, B., Moore, F., Nasrollahzadeh Saravi, H., Rahman, M.M., 2021. Hydrogeochemical and ecological risk assessments of trace elements in the coastal surface water of the southern Caspian Sea. Environmental Monitoring and Assessment 193(7), 452. https://doi.org/10.1007/s10661-021-09211-x.
Niknami, M., Nezafati, S., Haddadi, P., Hajmohammadi, S., 2012. An asymptomatic giant sialolith of the submandibular gland (case report). Journal of Mashhad Dental School 354 (79), 325-330 (In Persian). https://sid.ir/paper/74414/en.
Omokanye, H.K., Wuraola, O.A., Baba, A.A., Ologe, F.E., 2021. Physiochemical characterization of a giant submandibular gland stone in a Nigerian patient. Advances in Oral and Maxillofacial Surgery 3, 100120. https://doi.org/10.1016/j.adoms.2021.100120.
Osuoji, C.I., Rowles, S.L., 1974. Studies on the organic composition of dental calculus and related calculi. Calcified tissue research 16(1), 193-200. https://doi.org/10.1007/BF02008226.
Pachisia, S., Mandal, G., Sahu, S., Ghosh, S., 2019. Submandibular sialolithiasis: A series of three case reports with review of literature. Clinics and practice 9(1), 1119. https://doi.org/10.4081/cp.2019.1119.
Peng, H.H., Huang, P.R., Young, J.D., Ojcius, D.M., 2021. Physical attributes of salivary calcium particles and their interaction with gingival epithelium. biomedical journal 44(6), 686-693. https://doi.org/10.1016/j.bj.2020.05.008.
Perez-Tanoira, R., Aarnisalo, A., Haapaniemi, A., Saarinen, R., Kuusela, P., Kinnari, T.J., 2019. Bacterial biofilm in salivary stones. European Archives of Oto-Rhino-Laryngology 276(6), 1815-1822. https://doi.org/10.1007/s00405-019-05445-1.
Sakae, T., Yamamoto, H., Hirai, G., 1981. Mode of occurrence of brushite and whitlockite in a sialolith. Journal of Dental Research 60(4), 842-844. https://doi.org/10.1177/00220345810600041401.
Sarna-Boś, K., Boguta, P., Skic, K., Wiącek, D., Maksymiuk, P., Sobieszczański, J., Chałas, R., 2022. Physicochemical Properties and Surface Characteristics of Ground Human Teeth. Molecules 27 (18), 5852. https://doi.org/10.3390/molecules27185852.
Shabani Samghabadi, M.A., Rahmani, M., Saberi, H., Rahimi Fard, M.R., Soliani Shirazi, A., 2005. Prevalence, location and size of salivary gland calculi by ulrrasound. Tehran University Medical Journal (TUMJ) 63(8), 692-696 (in Persian). https://sid.ir/paper/38997/en.
Slomiany, B.L., Murty, V.L.N., Aono, M., Slomiany, A., Mandel, I.D., 1983. Lipid composition of human parotid salivary gland stones. Journal of dental research 62(8), 866-869. https://doi.org/10.1177/00220345830620080201.
Su, Y.X., Zhang, K., Ke, Z.F., Zheng, G.S., Chu, M., Liao, G.Q., 2010. Increased calcium and decreased magnesium and citrate concentrations of submandibular/sublingual saliva in sialolithiasis. Archives of oral biology 55(1), 15-20. https://doi.org/10.1016/j.archoralbio.2009.11.006.
Sutter, B., Dalton, J., Ewing, S.A., Amundson, R., McKay, C.P., 2007. Terrestrial analogs for interpretation of infrared spectra from the Martian surface and subsurface: sulfate, nitrate, carbonate, and phyllosilicate-bearing Atacama Desert soils. Journal of Geophysical Research 112(G4). https://doi.org/10.1029/2006JG000313.
Szalma, J., Böddi, K., Lempel, E., Sieroslawska, A.F., Szabó, Z., Harfouche, R., Olasz, L., Takátsy, A., Guttman, A., 2013. Proteomic and scanning electron microscopic analysis of submandibular sialoliths. Clinical oral investigations 17, 1709-1717.
Termine, J.D., Posner, A.S., 1966. Infra-red determinaion of the percentage of crystallinity in apatitic calcium phosphates. Nature 211 (5046), 268-70. https://doi.org/10.1038/211268a0.
Teymoortash, A., Buck, P., Jepsen, H., Werner, J.A., 2003. Sialolith crystals localized intraglandularly and in the Wharton’s duct of the human submandibular gland: an X-ray diffraction analysis. Archives of oral biology 48(3), 233-236. https://doi.org/10.1016/S0003-9969(02)00211-X.
Tretiakow, D., Skorek, A., Ryl, J., Wysocka, J., Darowicki, K., 2020. Ultrastructural analysis of the submandibular sialoliths: Raman spectroscopy and electron back-scatter studies. Ultrastructural Pathology 44(2), 219-226. https://doi.org/10.1080/01913123.2020.1744784.
Williams, M.F., 1999. Sialolithiasis. Otolaryngologic Clinics of North America 32(5), 819-834. https://doi.org/10.1016/s0030-6665(05)70175-4.
Work, W.P., Hecht, D.W., 1980. Inflammatory diseases of the major salivary glands. In Papperalla M M, Shumrick D F (eds): Otolaryngology, pp.2235-2243.
Yamamoto, H., Sakae, T., Takagi, M., Otake, S., 1984. Scanning electron microscopic and X ray microdiffractometeric studies on sialolith-crystals in human submandibular glands. Pathology International 34(1), 47-53. https://doi.org/10.1111/j.1440-1827.1984.tb02181.x.
Zenk, J., Constantinidis, J., Kydles, S., Hornung, J., Iro, H., 1999. Clinical and diagnostic findings of sialolithiasis. HNO 47(11), 963-969. https://doi.org/10.1007/s001060050476