scholarly journals Denture-related problems of patients in acute geriatric care

2021 ◽  
Author(s):  
Ina Nitschke ◽  
Frederick Frank ◽  
Ursula Müller-Werdan ◽  
Rahel Eckardt-Felmberg ◽  
Angela Stillhart
Keyword(s):  
Geriatric Assessment ◽  
Dental Treatment ◽  
Median Number ◽  
Assessment Instruments ◽  
X Rays ◽  
Oral Diseases ◽  
Treatment Needs ◽  
Chewing Ability ◽  
Vulnerable Patient ◽  
Vulnerable Patient Group

Abstract Background With increasing frailty and complaint-oriented utilization of dental care, the prevalence of oral diseases also increases. Aim To clarify whether there is a need for dental prosthodontic treatment during residential acute geriatric rehabilitation. Methods Within 3 weeks in a hospital for acute geriatric patients, 79 out of 157 newly admitted patients were interviewed as study participants (age: median 79.0 years, range 66–96 years, female 51.9%), dental findings were recorded, treatment needs were determined but X‑rays were not taken. Results Of the participants 31.1% had not seen a dentist for more than 1 year and 18.2% were edentulous. The median number of teeth in dentate participants was 16 (range 1–28 teeth); based on all participants, there was a median of 12.0 teeth (range 0–28 teeth). Of the 52 denture wearers (45 upper jaw and 43 lower jaw), 5 each of the maxillary and mandibular dentures could not be assessed because they were not available at the hospital. Moderate denture deficiencies were present in 62.5% of participants wearing upper dentures (mandibular 55.3%). Conclusion Dental treatment is needed in this vulnerable patient group. Therefore, the oral cavity should be assessed as part of the geriatric assessment. The available data confirm that the use of validated assessment instruments, such as the mini dental assessment as part of the comprehensive geriatric assessment would be useful. In addition to an oral examination, simple dental treatment should be provided to reduce infections and improve chewing ability. The geriatrician should be informed of the urgency of treatment. The overall rehabilitative approach of acute geriatric treatment would be complete if oral health would not be excluded.

scholarly journals Oral health status and treatment needs of school going children in a tribal area in Southern India

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Thomas ◽  
R Chacko ◽  
G D Khanapur ◽  
D Kattula ◽  
A Rose
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Dental Caries ◽  
Dental Fluorosis ◽  
Oral Health Status ◽  
World Health ◽  
Oral Diseases ◽  
Treatment Needs ◽  
Local Authorities ◽  
Local Hospital

Abstract Background Children suffer a significant burden of oral diseases which impacts their quality of life, and general health. Many epidemiological studies have looked at oral health status and treatment needs among children in urban and rural areas across different age groups. There was limited literature assessing the oral health status among children in tribal areas, which presents unique challenges in terms of: topography, availability of health services, and complex socio-cultural health practices. Methods Cross-sectional study was conducted among 655 children across six schools between 12-15 years in Jawadhi Hills, Tamil Nadu, India. World Health Organization's, Oral Health Surveys were used for clinical and risk factor assessments. Clinical examination was conducted, and self-assessed questionnaire was administered to the children to assess the risk factors to poor oral health. Since dental fluorosis was common, drinking water samples were collected to assess fluoride levels in the community. Results Prevalence of dental caries and gingivitis (gum disease) was found to be 22.3% and 87.3% respectively. Dental Pain was reported by 57% of children as the most common reason to visit the dentist. Prevalence of dental fluorosis was found to be 53.6%. Multiple logistic regression showed: gender, dental fluorosis, diet, and maternal education significantly associated (p < 0.005) with dental caries. Fluoride levels in water was found to be higher than permissible limits (>1.5 ppm). Conclusions Children requiring treatment (∼ 200) were referred to the local hospital, and treatment was done free-of-cost. School authorities were informed about the current oral health status of children and advised to conduct regular health education & dental camps; the importance of girls' education was emphasized. Local authorities were alerted about the fluoride-rich water situation in the community and educated about defluoridation methods that the community can employ at household level. Key messages Evidence-based burden of oral diseases was presented to the local authorities for the first time, with a call for action. A referral system was established between the schools and the local hospital, to ensure continuity of oral health care for the children.

scholarly journals Color/race inequalities in oral health among Brazilian adolescents

2009 ◽  
Vol 12 (3) ◽  
pp. 313-324 ◽  
Author(s):  
João Luiz Bastos ◽  
José Leopoldo Ferreira Antunes ◽  
Antonio Carlos Frias ◽  
Maria da Luz Rosário de Souza ◽  
Karen Glazer Peres ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Health Outcomes ◽  
Dental Treatment ◽  
Oral Disease ◽  
World Health ◽  
Treatment Needs ◽  
Gingival Bleeding ◽  
Untreated Dental Caries ◽  
Oral Health Outcomes

This study assessed oral health outcomes (perceived dental treatment need, untreated dental caries, gingival bleeding, periodontal pockets, and pain in teeth and gums), in relation to color/race inequalities among adolescents in each Brazilian region. The database included dental examination and interview of 16,833 15-19-year-old adolescents, surveyed by the Brazilian health authority, from May 2002 to October 2003, in accordance with international diagnostic criteria standardized by the World Health Organization. Prevalence ratios estimated by Poisson regression, and controlled by socioeconomic status and access to fluoridated piped water, assessed oral health differentials among color/race groups and country's regions. Except for periodontal pockets, prevalence figures were higher in the North and Northeast: perceived dental treatment needs, untreated dental caries, gingival bleeding at probing and pain in teeth and gums varied between 80-83%, 75-76%, 38-43%, and 17-18%, respectively, in these regions. Adolescents living in the Southeast - the richest Brazilian region - presented a better general profile of oral health than their counterparts living in the remaining regions; they had a lower prevalence of untreated dental caries (54%) and unfavorable gingival status (29%). However, the Southeast presented color/race inequalities in all oral health outcomes, with a poorer profile systematically affecting browns or blacks, depending on the oral health condition under consideration. These results reinforce the need for expanding the amplitude of health initiatives aimed at adolescent oral health. Socially appropriate health programs should concurrently aim at the reduction of levels of oral disease and its inequalities.

Oral Health Status and Practices of 5 and 12 Year Old Indian Tribal Children

2011 ◽  
Vol 35 (3) ◽  
pp. 325-330 ◽  
Author(s):  
Abhinav Singh ◽  
MP Bharathi ◽  
Peter Sequeira ◽  
Shashidhar Acharya ◽  
Meghashyam Bhat
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Dental Caries ◽  
Dental Treatment ◽  
Dental Fluorosis ◽  
Age Groups ◽  
Oral Health Status ◽  
Sugar Consumption ◽  
Treatment Needs ◽  
Periodontal Index

Objectives: To assess oral health status and practices of 5- and 12-year-old Tribal school children.Methods: A total of 418, 5-year-old children and 327, 12-year-old children were enrolled. Information on demographic characteristics of participants along with oral health behavior was collected. Clinical data were collected on dental fluorosis, periodontal status, dental caries and treatment needs. Dean's index criterion was used to assess dental fluorosis. Community Periodontal Index (CPI) for periodontal conditions and Dentition status and treatment needs for dental caries were recorded. Results: Between meal sugar consumption was high (100%). None of the children in both the age groups had visited trained health personnel for dental treatment. Dental fluorosis prevalence in 5- and 12-year olds was 11.9% and 22.9% respectively. Bleeding on probing and calculus was common between both the age groups. A low mean number of healthy sextants were found and this decreased with age. Mean dmft/DMFT values for 5- and 12-year olds were 4.13 ± 3.90 and 1.15 ± 1.62. Significant caries index (SIC) scores for 5- and 12-year olds were 7.17 ±4.30 and 3.78 ± 3.21 respectively. Conclusion: The present study reveals high sugar consumption, dental fluorosis, poor oral hygiene, and untreated dental disease of tribal children. Under these circumstances, the implementation of preventive programs including restriction of sweets in school premises for the tribal children is the key to good oral health.

scholarly journals STUDI KASUS PATOLOGI GIGI: KARIES PADA RANGKA MANUSIA ST1, SONG TERUS, PACITAN, JAWA TIMUR ( Dental Pathology Case Study: Caries On ST1 Human Remains, Song Terus, Pacitan, East Java)

2018 ◽  
Vol 10 (2) ◽  
pp. 101-115
Author(s):  
Anita Tamu Ina ◽  
Dyah Prastiningtyas ◽  
Harry Widianto ◽  
Florent Détroit ◽  
Ferry Fredy Karwur ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Human Remains ◽  
Oral Disease ◽  
Dietary Habit ◽  
Oral Diseases ◽  
Dental Pathology ◽  
Comparison Results ◽  
Depth Study ◽  
Macroscopic Observation ◽  
Song Terus

Human remains found in Song Terus (Pacitan, East Java), known as ST1, presented an opportunity of in-depth study in reconstructing how human lived during Early Holocene period in the area. This article focuses on palaeopathological aspects by examining lesions of disease observable in bones and dentition of human remains found in archaeological context. The research done for this article focuses more on dental remains, as teeth are known to have durability and longevity as archaeological finds, and could also provide information on age-at-death, types of diet, and oral diseases which may occurred during a person’s life. Dental caries is one of the most common type of oral disease found in archaeological context. Research methods used are macroscopic observation and literature reference comparison.. Results showed there were nine dentition on this individual (from a total of 27 identified dentition) suffered from caries with various degree of severity. Other types of oral disease noted during observation and analysis were periodontal disease. ST1 might have been suffering from severe caries due to lack of oral hygiene, as well as minimum dental treatment towards emerging oral disease. Nevertheless, these diseases did not seem to be directly caused by ST1’s dietary habit during lifetime. ABSTRAK Temuan rangka manusia ST1 di Song Terus (Pacitan, Jawa Timur) memberikan peluang untuk menelusuri lebih jauh pola kehidupan manusia pada periode Holosen Awal di wilayah ini. Artikel ini berfokus pada aspek paleopatologi yang merupakan salah satu kajian ilmu dalam menelusuri jejak kehidupan manusia di masa lalu melalui penyakit pada tulang dan gigi manusia yang ditemukan dalam konteks arkeologi. Materi penelitian dalam artikel ini menitikberatkan pada gigi manusia yang merekam informasi mengenai masa hidup seseorang, termasuk aspek-aspek perkiraan usia saat mati, jenis makanan yang pernah dikonsumsi, dan penyakit yang pernah diderita. Kasus patologi berupa karies menarik untuk diteliti sebab penyakit ini merupakan salah satu kasus yang umum ditemukan pada sisa rangka manusia. Metode penelitian yang digunakan adalah observasi makroskopis dan metode pustaka. Hasil analisis menunjukkan bahwa dari 27 gigi tersisa pada individu ST1, terdapat sembilan gigi yang terdeteksi mengalami karies dan beberapa gigi lain yang menderita penyakit periodontal. Karies pada individu ini tampak disebabkan oleh mikro-organisme yang berkembang di dalam mulut akibat minimalnya perawatan kesehatan gigi dan mulut, serta tidak berhubungan langsung dengan asupan nutrisi yang dikonsumsi oleh individu ini pada masa hidupnya.

scholarly journals Factors Affecting Preventive Dental Treatment of Adolescents in Korea

2020 ◽  
Vol 17 (14) ◽  
pp. 4948
Author(s):  
Seon-Hui Kwak ◽  
Soo-Myoung Bae ◽  
Sun-Jung Shin ◽  
Bo-Mi Shin
Keyword(s):  
Oral Health ◽  
Health Education ◽  
Social Deprivation ◽  
Dental Treatment ◽  
Deprivation Index ◽  
Oral Diseases ◽  
Factors Affecting ◽  
Oral Health Education ◽  
Preventive Dental ◽  
The Government

We conducted a multilevel analysis to identify factors affecting adolescents’ preventive dental treatment experience in South Korea. We sampled 72,435 students who participated in the 9th Korea Youth Risk Behavior Web-based Survey. The individual-level variables were divided into demographic factors, socioeconomic factors, oral health behavioral factors, and oral symptom experience factors. The regional-level variables included oral health resources, rate of students receiving oral health education at school by region, social deprivation index, and the number of private educational institutions. A higher rate of receiving oral health education in school by region was associated with increased fluoride application (1.04 times, p = 0.003). However, the number of private educational institutes per 1000 people was negatively associated with fluoride application experienced by students (0.64 times, p = 0.039). Students underwent more scaling when there were more dentists per 10,000 individuals (1.14 times, p = 0.008) and less scaling in areas with a higher social deprivation index (0.88 times, p = 0.024). To increase the access to preventive care for oral diseases among adolescents, a preventive system should be established in schools, and a primary dental care system should be established through the cooperation of the government, private dental clinics, and schools.

Blunt chest trauma in the elderly: an expert practice review

2019 ◽  
Vol 37 (2) ◽  
pp. 73-78
Author(s):  
Fraser Birse ◽  
Helen Williams ◽  
David Shipway ◽  
Edward Carlton
Keyword(s):  
Chest Trauma ◽  
The Elderly ◽  
Evidence Base ◽  
Spinal Fracture ◽  
Thoracic Injury ◽  
Common Mechanism ◽  
Vulnerable Patient ◽  
Practice Review ◽  
Vulnerable Patient Group ◽  
Expert Practice

Trauma in the elderly (>65 years) is an increasingly common presentation to the ED. A fall from standing height is the most common mechanism after which such patients present, and rib fracture is the most common non-spinal fracture. Thoracic injury in patients aged over 65 is associated with significant morbidity and mortality. There are currently no universally applied guidelines for assessment, investigation and management of such patients. In this expert practice review, we discuss the evidence base and options for clinical management in this vulnerable patient group.

scholarly journals Forecasting future dental treatment needs

BDJ ◽  
2020 ◽  
Vol 228 (5) ◽  
pp. 341-341
Author(s):  
Jed Y. J. Lee
Keyword(s):  
Dental Treatment ◽  
Treatment Needs

scholarly journals Missed Diagnoses and Health Problems in Adults With Prader-Willi Syndrome: Recommendations for Screening and Treatment

2020 ◽  
Vol 105 (12) ◽  
pp. e4671-e4687
Author(s):  
Karlijn Pellikaan ◽  
Anna G W Rosenberg ◽  
Anja A Kattentidt-Mouravieva ◽  
Rogier Kersseboom ◽  
Anja G Bos-Roubos ◽  
...  
Keyword(s):  
Medical Center ◽  
Patient Characteristics ◽  
Health Problems ◽  
Pituitary Hormone ◽  
Prader Willi Syndrome ◽  
Living Situation ◽  
Systematic Screening ◽  
Vulnerable Patient ◽  
Physical Examinations ◽  
Vulnerable Patient Group

Abstract Context Prader-Willi syndrome (PWS) is a complex hypothalamic disorder, combining hyperphagia, hypotonia, intellectual disability, and pituitary hormone deficiencies. Annual mortality of patients with PWS is high (3%). In half of the patients, the cause of death is obesity related and/or of cardiopulmonary origin. Health problems leading to this increased mortality often remain undetected due to the complexity and rareness of the syndrome. Objective To assess the prevalence of health problems in adults with PWS retrospectively. Patients, Design, and Setting We systematically screened 115 PWS adults for undiagnosed health problems. All patients visited the multidisciplinary outpatient clinic for rare endocrine syndromes at the Erasmus University Medical Center, Rotterdam, Netherlands. We collected the results of medical questionnaires, interviews, physical examinations, biochemical measurements, polygraphy, polysomnography, and radiology. Main outcome measures Presence or absence of endocrine and nonendocrine comorbidities in relation to living situation, body mass index, genotype, and demographic factors. Results Seventy patients (61%) had undiagnosed health problems, while 1 in every 4 patients had multiple undiagnosed health problems simultaneously. All males and 93% of females had hypogonadism, 74% had scoliosis, 18% had hypertension, 19% had hypercholesterolemia, 17% had type 2 diabetes mellitus, and 17% had hypothyroidism. Unfavorable lifestyles were common: 22% exercised too little (according to PWS criteria) and 37% did not see a dietitian. Conclusions Systematic screening revealed many undiagnosed health problems in PWS adults. Based on patient characteristics, we provide an algorithm for diagnostics and treatment, with the aim to prevent early complications and reduce mortality in this vulnerable patient group.

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