The Role of Saliva in Oral Health and Disease Diagnosis

Document Type : Original Article

Author

Department of Chemical Engineering, Calgary University, Canada

10.22034/mphrj.2026.585031.1084
Abstract
Saliva plays a fundamental role in maintaining oral homeostasis gained increasing attention as a valuable diagnostic fluid in modern medicine and dentistry. As a complex biological fluid secreted by major and minor salivary glands, saliva contains a wide range of components including enzymes, antimicrobial proteins, hormones, electrolytes, nucleic acids, and metabolites. These constituents contribute not only to the protection and lubrication of oral tissues but also to the regulation of microbial balance within the oral cavity. Recent advances in salivary diagnostics have highlighted the potential of saliva as a non invasive, cost effective, and easily accessible medium for detecting both oral and systemic diseases. The present study aims to explore the biological functions of saliva in oral health and evaluate its diagnostic potential in identifying oral diseases such as dental caries, periodontal disease, and oral cancer. In addition, the study examines the presence of biomarkers in saliva and their clinical relevance for early disease detection. A descriptive analytical research design employed, using previously published clinical studies and laboratory analyses of salivary components. The findings indicate that salivary biomarkers, including immunoglobulins, enzymes, inflammatory mediators, and microbial products, play a significant role in identifying pathological changes in the oral environment. Variations in salivary flow rate, pH, buffering capacity, and biochemical composition were associated with the development and progression of oral diseases. Furthermore, saliva-based diagnostic technologies demonstrated high potential for early detection of systemic conditions such as diabetes, viral infections, and certain cancers. Overall, saliva represents a promising diagnostic tool that can complement traditional diagnostic methods in dentistry and medicine. Its non invasive nature and ease of collection make it particularly suitable for large-scale screening and monitoring of disease progression. Future research should focus on improving the sensitivity and specificity of salivary biomarkers and integrating salivary diagnostics into routine clinical practice.

Graphical Abstract

The Role of Saliva in Oral Health and Disease Diagnosis

Keywords

Subjects

[1]             Badjadi, M. A., Zhu, H., Zhang, C., & Naseem, M. H. (2023). Enhancing water management in shale gas extraction through rectangular pulse hydraulic fracturing. Sustainability, 15(14), 10795.
[2]             Amouzad Mahdiraji, E., & Sedghi Amiri, M. (2020). Locating, sizing, and optimal planning of the distribution substations using vanadium flow battery storage to improve the efficiency of the power distribution network. International Journal of Smart Electrical Engineering, 9(1), 13–21.
[3]             Amouzad Mahdiraji, E., & Khodadadi Zarini, M. (2025). Advanced material-based cooling and insulation strategies for enhanced protection of synchronous generators under fault conditions. Journal of Chemical Engineering and Energy Materials, 1(3), 119–125.
[4]             Amouzad Mahdiraji, E., & Khodadadi Zarini, M. (2024). Smart frequency control in multi-carrier micro-grid with the presence of V2G electric vehicles. Journal of Artificial Intelligence in Electrical Engineering, 12(45), 53–69.
[5]             Amouzad Mahdiraji, E., & Amiri, M. S. (2021). Adaptive control of network frequency by doubly-fed induction generators using a data-driven method. Eurasian Journal of Science and Technology, 1(2).
[6]             Amouzad Mahdiraji, E. (2022). Multi-Objective Optimization of Distributed Generation Despite Energy Storage Systems for Optimal Management. International Journal of Engineering and Innovative Research, 4(1), 44-59.
[7]             Amouzad Mahdiraji, E. (2022). Microgrid control to ensure stability and increase flexibility in storage applications. Journal of Engineering in Industrial Research, 3(2), 69–76.
[8]             Amouzad Mahdiraji, E. (2020). Introducing a New Method to Increase Critical Clearing Time (CCT) and Improve Transient Stability of Synchronous Generator Using Brake Resistance. Gazi Journal of Engineering Sciences, 6(2), 138-144.
[9]             Alijani, H. Q., Fathi, A., Amin, H. I. M., Lima Nobre, M. A., Akbarizadeh, M. R., Khatami, M., Jalil, A. T., Naderifar, M., Safarpoor Dehkordi, F., & Shafiee, A. (2022). Biosynthesis of core–shell α-Fe2O3@Au nanotruffles and their biomedical applications. Biomass Conversion and Biorefinery, 1–15.
[10]          Abdolmaleki, Z., Mashak, Z., & Safarpoor Dehkordi, F. (2020). Molecular and virulence characteristics of methicillin-resistant Staphylococcus aureus bacteria recovered from hospital cockroaches. Jundishapur Journal of Microbiology, 12(12), e98564.
[11]          Badjadi, M. A., Zhu, H., Zhao, P., Zhang, F., Hou, D., Huang, L., & Micheal, M. (2025). Hybrid CNN-LSTM model for predicting wettability alterations in shale reservoir based on experimental techniques. Geoenergy Science and Engineering, 214217.
[13]          Khodadadi Zarini, M., & Amouzad Mahdiraji, E. (2024). Review of energy management in micro grid in power engineering. Journal of Engineering in Industrial Research, 5(2), 90–99.
[14]          M.K. Zarini, E.A. Mahdiraji. (2024), Examining the Secure Communication Network for the Reliable Use of Micro-Grids in the Power System. J. Eng. Ind. Res., 5 (2):101-115.
[15]          Mahdiraji, E. A., & Zarini, M. K. (2025). Integration of smart materials in loss of excitation protection schemes for synchronous generators in renewable energy systems. Journal of Chemical Engineering and Energy Materials, 1(2), 78–87.
[16]          Mahdiraji,E. A. and Zarini,M. K. (2025). Integration of Smart Materials in Loss of Excitation Protection Schemes for Synchronous Generators in Renewable Energy Systems. Journal of Chemical Engineering and Energy Materials, 1(2), 78-87.
[17]          Mirzaei, K., Fathi, A., Asadinejad, S. M., & Moghadam, N. C. (2022). Study the antimicrobial effects of Zataria multiflora-based mouthwash on the microbial community of dental plaques isolated from children: A candidate of novel plant-based medicine. Academic Journal of Health Sciences, 37, 58–63.
[18]          Mohammad, W. T., Alijani, H., Faris, P., Salarkia, E., Naderifar, M., Akbarizadeh, M. R., Hashemi, N., Iravani, S., Jalil, A. T., Saleh, M. M., Fathi, A., & Khatami, M. (2023). Plant-mediated synthesis of sphalerite (ZnS) quantum dots, Th1-Th2 genes expression and their biomedical applications. South African Journal of Botany, 159, 249–259.
[19]          Mokhtari Torshizi, H., Salehnia, N., & Ahmadi Shadmehri, M. T. (2026). Are the different dimensions of globalisation necessary and sufficient for human development? A worldwide study. Journal of Human Development and Capabilities, 1–31.
[20]          Nasiri, K., Amiri Moghaddam, M., Etajuri, E.A. et al. (2023), Periodontitis and progression of gastrointestinal cancer: current knowledge and future perspective. Clin Transl Oncol 25, 2801–2811.
[21]          Nasiri, K., Amiri Moghaddam, M., Etajuri, E.A. et al., (2023), Periodontitis and progression of gastrointestinal cancer: current knowledge and future perspective. Clin Transl Oncol 25, 2801–2811.
[22]          Ranjbar, R., Dehkordi, F., & Heiat, M. (2020). The frequency of resistance genes in Salmonella enteritidis strains isolated from cattle. Iranian Journal of Public Health, 49(5), 968.
[23]          Rezaei-Tazangi, F, Forutan Mirhosseini, A., Fathi, A., Roghani-Shahraki, H. , Arefnezhad, R. and Vasei, F. (2024). Herbal and nano-based herbal medicine: New insights into their therapeutic aspects against periodontitis. Avicenna Journal of Phytomedicine, 14(4), 430-454.
[24]          Rostami, F., Rahimi, E., Yahaghi, E., Khodaverdi Darian, E. K., et al. (2014). Isolation and evaluation of virulence factors of Salmonella typhimurium and Salmonella enteritidis in milk and dairy products. Iranian Journal of Medical Microbiology, 8(1), 54–61.
[25]          Safarpoor Dehkordi, F., Yahaghi, E., & Darian, E. K. (2014). Prevalence of antibiotic resistance in Escherichia coli isolated from poultry meat supply in Isfahan. Iranian Journal of Medical Microbiology, 8(2), 41–47.
[26]          Salehnia, N., Mokhtari Torshizi, H., & Seyedi, M. (2019). Impact of Health Costs and Good Governance Given Carbon Dioxide Threshold on Men's and Women's Health in Selected Developing Countries. Health Research Journal, 5(1), 32-40.
[27]          Shahreza, M., Dehkordi, F., Kurbanova, S. K. A., & Sapayev, V. S. V. (2025). Occurrence of Staphylococcus aureus, Campylobacter jejuni, Listeria monocytogenes and Arcobacter butzleri in poultry meat. International Journal of Health and Medical Innovation (IJHMI), 2(1), 10–17.
[28]          Torshizi, H. M., Nia, N. S., & Ariafar, M. R. (2026). Economic complexity versus GDP in shaping the environmental Kuznets Curve: A fuzzy-set analysis across resource curse vulnerability index levels. Resources Policy, 116, 105901.
[29]          Zarini, M. K., & Amouzad Mahdiraji, E. (2024). Examining the secure communication network for the reliable use of micro-grids in the power system. Journal of Engineering in Industrial Research, 5(2), 101–115.
[30]          Sadeghzadeh,A. (2026). Designing the Human Face: Architectural Methodologies Applied to Maxillofacial Surgery. Medicinal, Psychological, and Health Research Journal (MPHRJ), 2(1), 35-48.
[31]          Pourhassan,A. and Pourhassan Mazarood,S. (2026). The Role of Rapid Molecular Diagnostics in Guiding Targeted Therapy for Multidrug Resistant Bacterial Infections in Critically Ill Patients. Medicinal, Psychological, and Health Research Journal (MPHRJ), 2(1), 65-71.
[32]          Rezaei,M. and Eghdam Zamiri,R. (2026). Concurrent COVID‑19 Infection and Chemotherapy in Patients With Cancer and Its Impact on Thrombectomy‑Related Outcomes. Medicinal, Psychological, and Health Research Journal (MPHRJ), 2(1), 61-64.
[33]          Sadeghzadeh,A. (2026). Form, Proportion, and Harmony: Architectural Concepts in Facial Reconstruction. Medicinal, Psychological, and Health Research Journal (MPHRJ), 2(1), 49-60.