scholarly journals 540. The Impact of Diet and Oral Hygiene on the Risk of Multidrug-Resistant Organism Carriage in the Mouth and Gut

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S258-S258
Author(s):  
Ashley Kates ◽  
Lauren Watson ◽  
Julie Mares ◽  
Krista Christensen ◽  
Lindsay Kalan ◽  
...  

Abstract Background Little is known about the relationship between oral hygiene and multidrug-resistant organism in the mouth and gut. We aimed to assess the relationship of oral hygiene and diet with multidrug-resistant organism (MDRO) carriage in the oral cavity and gut. Methods Participants were adults over age 18 from the 2016–2017 Survey of the Health of Wisconsin (SHOW) and its ancillary Wisconsin Microbiome Study. SHOW surveys residents of Wisconsin, collecting health determinants including a food frequency questionnaire, oral health, as well as biologic specimens. MDROs were defined as the presence of methicillin-resistant Staphylococcus aureus, Vancomycin-resistant Enterococcus, and Fluoroquinolone-resistant Gram-negative bacteria identified via culture from saliva, oral swabs, and stool samples. Statistical analysis was performed in R v3.5.1. Univariate analyses were conducted for all variables in the data set. Any variable with a P-value < 0.2 in the univariate analysis was considered for the logistic regression. Logistic regression using the glm function was done modeling MDRO carriage in either the saliva, oral swab, saliva and oral samples combined, and stool against diet, oral health, and known confounders. Results 876 participants were included in the dataset with all 876 providing oral and stool samples and 784 providing saliva samples. Thirty-three patients were MDRO positive in the saliva (4.2%), 36 were positive in the oral swabs (4.1%), 55 were positive in either the saliva or oral swabs (6.3%), and 103 were positive in the stool (11.8%). In the logistic regression, consumption of whole grains was significantly associated with reduced MDRO carriage in the saliva (P = 0.046) and saliva and oral swab combined (P = 0.036) data sets (Table 1). Conclusion Consuming more whole grains was associated with a lower prevalence of MDRO carriage in the oral cavity. Higher levels of sugar consumption were associated with a higher prevalence of MDRO in the gut. Oral hygiene was not found to be associated with MDRO colonization in the mouth and a higher prevalence in the gut in this cross-sectional study. This may be due to over-reporting of hygiene practices by participants. Being positive for an MDRO in the oral cavity significantly increased the risk of MDRO carriage in the gut. Disclosures All authors: No reported disclosures.

2021 ◽  
Vol 19 (1) ◽  
pp. 18-22
Author(s):  
A. V. Mitronin ◽  
N. A. Apresian ◽  
D. A. Ostanina ◽  
E. D. Yurtseva

Aim. To establish the association between the presence of chronic infection in oral cavity and the severity of SARSCoV-2 infection.Materials and methods. The study was conducted among 30 people aged between18 and 22 who had had coronavirus infection from mild to severe cases. The assessment of oral health was carried out with main and additional examination methods, CFE index, PMA index, Greene, Wermillion oral hygiene index.Results. In group 1, the average value of CFE index was 4.2, in the second group – CFE index was twice higher at 7.8. PMA index in patients of group 2 was significantly higher (p> 0.01) and was at the level of 41.5%. In group 1, the PMA index was 13.3%. It was found that 17% of the respondents in the control group and 70% patients in the experimental group had an episodic exacerbation of dental diseases during COVID-19.Conclusions. The data obtained indicates a correlation between oral diseases and the severity of COVID-19. It is necessary to consider that chronic infection in the oral cavity as well as poor oral hygiene can act as a risk of complications of viral infections, in particular, of COVID-19.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Deepak Gowda Sadashivappa Pateel ◽  
Shilpa Gunjal ◽  
Liew Fong Fong ◽  
Nur Sulwana Mohd Hanapi

Background. Saliva, as a complex biofluid, plays a pivotal role in maintaining oral health and tooth integrity. There has been inconsistent data available on the relationship between salivary parameters and oral health. This study aims to investigate the association between salivary statherin, acidic proline-rich proteins (aPRP), and calcium with oral hygiene status. Methods. One hundred and eighty-eight healthy subjects aged between 18 and 50 years with varying oral hygiene status who gave consent to participate were included in this cross-sectional study. The subjects were recruited from primary oral health care of MAHSA University. Oral hygiene of all the participants was measured using Oral Hygiene Index–Simplified (OHI-S). Stimulated saliva collected using paraffin wax was analyzed for salivary statherin, aPRP, and calcium. The relationship between salivary statherin, aPRP, and calcium levels with OHI-S was assessed using Spearman’s Rank correlation coefficient; the strength of relationship was assessed by multiple linear regression analysis. Results. The study found a weak positive correlation (r = 0.179, p  = 0.014) between salivary statherin and OHI-S; weak negative correlation (r = −0.187, p  = 0.010) between salivary aPRP and OHI-S; and moderate negative correlation between salivary statherin and salivary aPRP levels (r = −0.50, p  < 0.001) which were statistically significant. Conclusion. Poor oral hygiene is associated with increased statherin and reduced aPRP levels in saliva. Thus, these salivary components may have a role in predicting oral hygiene status.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Asim Al-Ansari ◽  
Maha El Tantawi ◽  
Nasser AlMadan ◽  
Muhammad Nazir ◽  
Balgis Gaffar ◽  
...  

The study assessed the relationship between Internet addiction and oral health practices and clinical outcomes and whether this was affected by oral health perception. In 2017, a cross-sectional study included university students in the Eastern Province of Saudi Arabia. Questionnaires assessed demographic background, oral health practices (consuming sugar, tobacco use, and oral hygiene), perceived oral health, and Internet addiction. Caries experience and gingivitis were assessed using the World Health Organization criteria. The multivariate general linear analysis assessed the relationship between dependent variables (oral health practices, DMFT, and gingivitis) and exposure (Internet addiction). Data were available for 919 participants, 75.4% females, mean age = 19.8 years, and 1.6% with significant Internet use problem. The mean percentage of teeth with gingivitis was 8.5% and mean DMFT was 2.9. Among those with good perception of oral health and compared with participants with significant Internet use problem, average Internet users had lower consumption of sugar and tobacco (B = −6.52, P=0.03 and B = −2.04, P=0.03), better oral hygiene practices (B = 2.07, P=0.33), higher DMFT (B = 2.53, P=0.10), and lesser gingivitis (B = −15.45, P=0.06). Internet addiction was associated with negative oral health practices and poor clinical outcomes among young Saudis. Holistic health promotion approaches need to address the negative impact of Internet addiction on health and oral health status for this at-risk age group.


Author(s):  
O. O. Shpotyuk

Summary. The article describes the relationship between caries intensity, oral hygiene and enamel resistance during the period of secondary mineralization of teeth is an actual task, the solution of which will be the basis for the justification of caries prevention.The aim of the study – to assess the relationship between caries intensity, oral hygiene and enamel resistance during the period of secondary mineralization of the teeth.Materials and Methods. 156 children were examined, among them 76 were between 12 and 15 years of age and 80 children aged 16 to 18 years. To assess the odor of caries of chewing teeth, the intensity of the KPV index and intensity levels according criteria were determined. The condition of hygiene of the oral cavity was estimated using the hygienic index Green-Vermilion. Structural-functional resistance was determined by the TER-test Okushko V. R., Kosareva L. I. (1983).Results and Discussion. As a result of our research, we found that with an increase in the intensity of the carious process in children of both groups of the study deterioration of the hygienic state of the oral cavity according to the OHI-S index. Also between this index and TER-test there is a strong correlation relationship. When TER-test increases the value of OHI-S index enlarges.Conclusions. Unsatisfactory level of hygiene of the oral cavity, especially during the period of active mineralization of the enamel, contributes to reducing the resistance of the enamel, which plays a significant role in the development of caries in children of the study group.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maria Grazia Cagetti ◽  
Fabio Cocco ◽  
Ezio Calzavara ◽  
Davide Augello ◽  
Phunchok Zangpoo ◽  
...  

Abstract Background The aim of this survey was to evaluate the severity of dental caries among children living in Zanskar Valley (Ladakh, India) and its association with anthropometric and background variables. Methods This cross‐sectional survey was conducted on schoolchildren divided into four age groups (< 6, ≥ 6 < 11, ≥ 11 < 14 and > 14 years of age). A total of 1474 schoolchildren (607 males, 41.2%) were examined. Actual caries prevalence (dt/DT) and gingival bleeding were recorded by four calibrated dentists. An ad hoc questionnaire evaluated general health, eating habits, oral hygiene and the self-perception of oral conditions. Height, weight, waist circumference, heart-rate and oxygen-saturation were also collected directly by examiners. Responses to questionnaire items were treated as categorical or ordinal variables. The relationship between children’s caries data, gingival bleeding, gender, Body Mass Index (BMI) following the International Obesity Task Force, waist circumference and questionnaire items was assessed using the Kruskal–Wallis test and Pearson correlation. Conditional ordinal logistic regression was used to analyse associations among caries severity, gender, BMI, waist circumference, oxygen saturation and questionnaire items. A forward stepwise logistic regression procedure was also carried-out to estimate the ORs of gingival bleeding prevalence and the covariates derived from examination or questionnaire. Results Caries was almost ubiquitarian with only 10.0% of caries-free children (dt/DT = 0). Caries severity, in both primary and permanent dentitions, was statistically significantly related to gender, waist circumference, BMI, oral hygiene frequency and self-reported chewing problems (p < 0.01 in both dentitions). An increasing relative risk for caries in permanent dentition compared to caries-free subjects was observed in children with a low BMI (RRR = 1.67, 95%CI = 1.54/2.83 for subjects with 1–3 caries lesions and RRR = 1.52, 95%CI = 1.36/1.74 for subjects with > 3 caries lesions); also, children with reduced waist circumference had a higher relative risk to have 1–3 caries lesions (RRR = 2.16, 95%CI = 1.84/2.53) and an even higher risk to have more than 3 caries lesions (RRR = 4.22, 95%CI = 3.33/5.34). Conclusions A significant impact of untreated caries lesions was observed in Ladakh schoolchildren; low BMI values and reduced waist circumference showed to be the main caries risk predictors. Preventive and intervention programmes should be implemented to improve children's oral health.


2021 ◽  
Vol 15 (7) ◽  
pp. 1578-1580
Author(s):  
Roheen Shakeel ◽  
Aliya Ishaque ◽  
Aaqil Malik ◽  
Shahzad Waheed Qureshi ◽  
Gulrez Amin ◽  
...  

Aim: To explore the relationship between oral health status of mothers and caries prevalence of caries among their children in rural areas of Pakistan. Methodology: This crossectional study was conducted in 9 rural health centers of Punjab, Pakistan. Purposive convenient sampling was used to collect data. Sample size was 500 mothers with their children. Results: Socioeconomic status of family as well as the purpose for the last visit at dental hospital for the treatment of child were found positively linked with the dmfs of child. Sample of children at very low socioeconomic status (OR: 2.16; 95%CI: 1.36-2.98). Children who visited dental hospital with the reason of having dental problems (OR: 1.89; 95%CI: 1.25-2.59). Greater dmfs score was found among children with poor oral hygiene (OR: 1.98; 95%CI: 1.27-3.25). The education of mother was found to be negatively linked with dmfs score of child. Conclusion: The relationship between maternal and dental caries in children was clearly explained by socioeconomic status or dental behaviors of mother and child in terms of intake of sugar, oral hygiene and reason for last dental visit for child. Keywords: Maternal oral health, dmfs, childhood carries


2020 ◽  
Vol 2 ◽  
pp. 102-107
Author(s):  
V. Menaka ◽  
G. Kavya ◽  
R. Bhuvaneshwari ◽  
Ain Syuhada Azali ◽  
S. Aparna ◽  
...  

Objectives: Oral health correlates with systemic health, and maintaining oral health is very important because the oral cavity is considered as a reflection of the general well-being of a human body. Daily plaque removal with a toothbrush is an important component of most oral hygiene programs intended to prevent and control two globally leading oral afflictions dental caries and periodontal diseases. Failure to comply and lack of technical skills of the patient has lessened the effectiveness of conventional tooth brushing. Because of this, research efforts have focused on adjuvant therapy along with brushing for reducing and controlling plaque-induced oral diseases. One such measure is oil pulling. Oil pulling has been used extensively as a traditional Indian folk remedy for many years to prevent decay, oral malodor, bleeding gums, dryness of throat, cracked lips, etc. Most of the studies have been done using sesame oil. Since coconut oil also has many health effects such as boosting the immune system and antimicrobial properties, this can also help in fighting against various pathogens of oral cavity that will in turn act as an effective plaque control agent. Hence, with this background, this study is contemplated to evaluate the benefit of oil pulling along with normal brushing techniques in adults under the age group of 35–44 years. Materials and Methods: Forty healthy subjects belonging to both the sexes who presented with plaque-induced gingivitis will be selected for the study and will be divided into control and study groups. The patients will be informed about the nature and purpose of the study. Health education will be provided to all the students. The modified bass technique will be demonstrated to the participants and they are directed to brush twice daily for 3 min. Toothbrush and toothpaste will be provided to all participants. Among them, 20 subjects were instructed to continue their normal oral hygiene procedures along with coconut oil pulling. Data collected were subjected to appropriate statistical tests using SPSS version 20. Results: A highly statistical difference was seen between the two groups and within the groups. Conclusion: The usage of coconut oil pulling as an adjuvant to oral hygiene gives a promising result.


1970 ◽  
Vol 37 (2) ◽  
pp. 56-65
Author(s):  
AKM Bashar ◽  
MS Alam

Oral health though often considered as a distinct specialty that is separate from the body as a whole, but the health of the oral cavity can have wide-reaching effects on overall health. Poor oral health may occur concomitantly with a more serious underlying disease process or may predispose an individual to other health conditions. This article examines the relationship between poor oral health and increased risk for Pre-term low birth weight infants, underscoring that the oral cavity and its tissues are an integral part of the human body.   DOI: 10.3329/bmj.v37i2.3595 Bangladesh Medical Journal 37(2) 2008 56-65


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