The Influence of Peridontal Screening upon Dental Hygienist Practice in the Royal Navy

1988 ◽  
Vol 74 (3) ◽  
pp. 165-172
Author(s):  
A. J. Woodman

AbstractTreatment patterns and times were observed for 616 Royal Naval personnel following routine referral to a Dental Hygienist. Results were then related to the patient’s periodontal status recorded at their initial examination, using the Periodontal Index for Treatment, to determine whether the Index would allow prediction of the treatment necessary for such patients and whether the Index was being used, as intended, for prioritisation of resources for periodontal care. Results indicated that both the treatment time and oral health education time for each patient were related to the Index and thus to disease severity. However, the results failed to show that the Index was used for prioritising periodontal care and suggested that Dental Hygienist practice is dominated by the treatment of patients with little or no periodontal disease to the disadvantage of a minority of patients requiring intensive therapy for destructive periodontal disease.

2019 ◽  
Vol 31 (1) ◽  
pp. 81-86

The purpose of this study was to investigate oral health status and oral health care services utilization among Myanmar residents in Japan. A crosssectional epidemiological study was performed among 152 Myanmar residents aged 18 to 67 years in Tokyo, Japan. Clinical oral examinations and questionnaire surveys were conducted from June to July, 2017. Caries prevalence for all participants was 70.4% with mean decayed, missing, and filled teeth (DMFT) of 2.72±2.91. The prevalence of periodontal disease (Community Periodontal Index - CPI code 1) for all participants was 93.4%. A total of 67 participants (44.1%) had the experience of dental visits in Japan. Most participants (84.2%) had Japanese health insurance, and the participants with health insurance had a significantly higher number of filled teeth than those without (p=0.036). DMFT (p=0.020) and the prevalence of periodontal disease (p=0.049) were significantly lower in participants with health insurance than in those without. Further, self-perceived oral health was better in participants with health insurance than those without (p=0.001). The status of health insurance was indicated to influence on oral health status. In order to promote oral health and facilitate on owning health insurance to Myanmar residents in Japan, oral health education also should be provided to enhance their oral health knowledge.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1297.2-1297
Author(s):  
J. Protudjer ◽  
C. Billedeau ◽  
C. Stavropoulou ◽  
A. Cholakis ◽  
R. Schroth ◽  
...  

Background:Rates of periodontal disease and tooth loss are increased in rheumatoid arthritis (RA). Periodontal disease may exacerbate RA inflammation and complicate RA care. Understanding factors that contribute to the increased burden of periodontal disease in RA is critical to improving oral health and possibly arthritis outcomes. People with RA may have unique needs and/or barriers to maintain oral health.Objectives:To determine from people with RA what are their experiences and perceptions about their oral health, their most important questions relating to oral health, and how they wish to receive oral health information.Methods:Semi-structured interviews were conducted with RA patients. Recorded interview transcripts underwent iterative content analysis. Transcripts were initially reviewed to develop a coding guide. Latent content, or larger themes, were then applied to the transcripts. Constructs were considered saturated when no new themes were identified with subsequent interviews. We report identified themes with representative quotes.Results:Interviews with 11 RA (10[91%] female; all on RA medication) averaged 19 minutes (range 8-31 minutes) and were mostly conducted face-to-face. Many believed RA medication contributed to dry mouth. Most participants had not previously considered other links between oral health and RA. Themes identified included the need for complicated oral health routines, barriers of cost and access to dental care, and shame relating to oral health (Table 1). Participants preferred to receive oral health education from their rheumatologists or dentists over printed or online resources.Conclusion:RA patients have unique needs relating to oral health and report poor oral quality of life. Strategies to optimize oral health in RA may include educational tools for optimizing oral self-care appropriate for RA, and improved access to oral care professionals who are aware of the needs of arthritis patients.Disclosure of Interests:Jennifer Protudjer: None declared, Corrie Billedeau: None declared, Chrysi Stavropoulou: None declared, Anastasia Cholakis: None declared, Robert Schroth: None declared, Carol Hitchon Grant/research support from: UCB Canada; Pfizer Canada


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R S Moreira ◽  
L D R Santos

Abstract Background Oral health, such as other health conditions, reflects social inequalities. These inequalities are fed back by oral diseases, generating a vicious and sustainable circle. Racial issues play a prominent role, once they are associated with oral diseases as risk markers. Among the different oral diseases, periodontal disease associated with racial inequalities in adolescents is emblematic. Thus, this study aimed to analyse the race differentials associated with the levels of periodontal disease, regardless of other risk factors. Methods Data from the 2010 national epidemiological survey on oral health were used, with 5445 adolescents (15 to 19 years old). Multinomial logistic regression models were used. Dependent variable was the Community Periodontal Index. Independent variable was self-declared race/colour, categorized as white, pardo (mixed-race identity) and preto (black). The effect of race was controlled in the presence of the covariates sex, years of study, decayed, missing and filled permanent teeth (DMFT index), toothache and self-reported need for dental treatment. Odds Ratio (OR) was estimated and sample weights were considered. Results The simple model showed preto with 2.7 (p < 0.05) and 8 (p < 0.05) times more likely to have shallow and deep periodontal pockets, respectively, compared to white. Pardo was 1.5 (p < 0.05) times more likely to have periodontal calculus. In the multiple model, even in the presence of all independent covariates, preto showed association with shallow pockets (OR = 2.51, p < 0.05) and pardo showed association with the presence of calculus (OR = 1.37, p < 0.05). Conclusions Regardless of sex, education, perception of pain and need for treatment and the DMFT index, race/colour was associated with periodontal problems. It should be noted that skin colour is not a biological risk factor for periodontal disease. However, the findings of this study revealed racial inequities regardless of socioeconomic variables. Key messages Raises the need to guarantee health as a resource for social development, with science having a fundamental role in recovering the citizenship of this historically forgotten population. The findings of this study revealed racial inequities regardless of socioeconomic variables.


2020 ◽  
Author(s):  
Wei-Liang Chen ◽  
Yuan-Yuei Chen ◽  
Wei-Te Wu ◽  
Ching-Huang Lai ◽  
Yu-Shan Sun ◽  
...  

Abstract Objectives: Acid mist can suspend in the air and enter the body via skin contact, the respiratory tract, or even oral intake, which pose various health hazards. Previous studies have shown that occupational exposure to acid mist or acidic solutions is a major risk factor for oral diseases. However, the findings are inconsistent and do not consider individual factors and lifestyles that may cause the same oral diseases. Therefore, we conducted a comprehensive oral health survey and collected detail information to confirm the effect of acidic solution exposure on worker’s oral health. Methods: The study selected enterprises in the metal surface treatment or electroplating industries in Taiwan that employed 300 or more employees and were willing to participate in this survey. Each enrolled subject underwent a questionnaire and comprehensive teeth and oral mucosa examination by a team of qualified and uniformed trained dentists. Oral clinical mirrors and community periodontal index (CPI)-type millimetric probe clinical data were collected according to the World Health Organization (WHO) dental caries diagnostic criteria. In this cross-sectional study, a total of 309 subjects participated was surveyed. Results: The results showed that acid exposure was correlated with soft oral tissue injury rather than hard oral tissue in our survey. Besides, halitosis and age were positive associated with periodontal disease and use of dental floss reduced the risk of periodontal disease. After correcting for major factors, such as age, sex, smoking, drinking, and chewing areca, acid exposure was still statistically related to periodontal disease in LA (loss of attachment) index by 3.27-fold (p = 0.00, CI 1.69 - 6.34). Conclusion: This study showed that occupational acid exposure during acidic solution work was an independent risk factor for periodontal disease. It is important to strengthen occupational hazard control, educate workers on oral disease and related factors, and raise the awareness of oral hygiene.


2021 ◽  
Vol 10 (27) ◽  
pp. 1996-2000
Author(s):  
Raghavendra U.

BACKGROUND The attitude towards oral health reflects the overall health. Knowledge of health care professionals and their attitudes toward oral care corresponds to their understanding of the importance of preventive dental procedure and improving the oral health of patients. We wanted to assess the knowledge and practice regarding periodontal health / disease and oral hygiene among medical, ayurveda and homeopathy undergraduate students of Yenepoya (Deemed to Be University) (YU) and also determine their attitude and awareness towards oral health. METHODS The data related to their knowledge and practice towards the oral health was assembled using a self administered, validated questionnaire containing 13 questions which had multiple choice answers. The questionnaire was distributed through Google form among 341 medical, ayurveda and homeopathy undergraduate students of YU aged more than 17 years. RESULTS Survey responses were downloaded onto Google sheets and the data collected were coded, entered in Microsoft Excel and analysed using SPSS version 23 (Chicago, USA). Majority of study participants in different colleges showed lack of knowledge and practice regarding oral hygiene practices. To compare the mean scores of three colleges under YU for knowledge based and practice questions, ANOVA was performed. There was no significant difference found in knowledge and practice towards oral hygiene among medical, ayurveda and homeopathy colleges of YU. P < 0.05 was considered as statistically significant. CONCLUSIONS Professional health care students who will be the future backbone of the community health care have limited knowledge on periodontal disease and oral hygiene practices. There is no difference in knowledge and practices regarding oral hygiene among the students of medical, ayurveda and homeopathy colleges of YU. It highlights the need of incorporating oral health education in University curriculum for non dental students during their study period. KEY WORDS Knowledge, Practice, Periodontal Disease, Oral Hygiene Practices, Non-Dental Students, Oral Health Education


2021 ◽  
Vol 10 (19) ◽  
pp. 4578
Author(s):  
Martina Ferrillo ◽  
Mario Migliario ◽  
Andrea Roccuzzo ◽  
Pedro Molinero-Mourelle ◽  
Giovanni Falcicchio ◽  
...  

Periodontal disease seems to be correlated with low vitamin D serum levels, preterm birth (PTB) and low birth weight (LBW), although the literature still lacks a consensus. This study aimed to investigate this correlation in a cohort of pregnant women over 20 weeks of gestation from the University Hospital “Maggiore della Carità”, Novara, Italy. We assessed serum levels of vitamin D and oral health status through the following indexes: Oral Hygiene Index (OHI), Plaque Control Record (PCR), Gingival Bleeding Index (GBI), and Community Periodontal Index of Treatment Needs (CPTIN). Moreover, we assessed the number of PTB and LBW among the newborns. Out of 121 pregnant women recruited, 72 (mean age 29.91 ± 3.64 years) were included. There was a statistically significant correlation between preterm and OHI > 3 (p = 0.033), and between LBW and OHI > 3 (p = 0.005) and CPITN = 3 (p = 0.027). Both pregnant women with vitamin D deficiency ((25-hydroxy-vitamin D) < 30 ng/mL) and PTB plus LBW newborns were significantly correlated (p < 0.05) with poor levels of all oral health status indexes during pregnancy. Furthermore, these conditions (women with hypovitaminosis D and combination of PTB and LBW) were shown to be significantly correlated (p < 0.001). Taken together, our findings reported a high prevalence of PTB and LBW with poor oral health and vitamin D deficiency in pregnant women.


2017 ◽  
Vol 13 (3) ◽  
pp. 200-203
Author(s):  
M. Mansuri ◽  
A. Shrestha

Background Dental caries and Periodontal diseases are the most prevalent oral health problems present globally. The distribution and severity of such oral health problems varies in different parts of the world and even in different regions of the same country. Nepal is one of the country with higher prevalence rate of these problems. These problems arise in association with multiple factors.Objective This study was carried out to describe the periodontal status and to analyse the association of periodontal disease with the wearing of fixed or removable partial dentures in a Nepalese population reporting to the College of Dental Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal.Method This study comprised of a sample of 200 adult individuals. All data were collected by performing clinical examinations in accordance with the World Health Organization Oral Health Surveys Basic Methods Criteria. It included the Community Periodontal Index and dental prosthesis examination.Result A descriptive analysis was performed and odds ratio (1.048) and 95% confidence interval (1.001; 1.096) was found out. The mean age of the population participated in the study was 41.82 ± 14.80 years. A total of 93 (46.5%) males and 107 (53.5%) females participated in the study. Among these subjects, 100% presented some periodontal problems. The statistical analysis indicated that the probability of periodontal disease with regards to wearing partial dentures was not significant as suggested by the odds ratio (1.048).Conclusion There is no association of the wearing of dental prosthesis (RPD and/or FPD) with the periodontal disease and suggests a need for populations based oral health education programs, plaque control programs to reduce the incidence of periodontal disease.


2016 ◽  
Vol 7 (3) ◽  
pp. 129-134
Author(s):  
Shashidhar Acharya ◽  
Ritesh Singla ◽  
Nishu Singla

ABSTRACT Aim To compare participants’ lifestyle-related risk factors for periodontal disease between urban and rural population. Materials and methods A cross-sectional study consisting of a structured questionnaire on health practice index (HPI), oral health-related behavior, and personal habits as well as sociodemographic variables was conducted on 800 subjects aged 20 to 50 years attending dental outreach centers of Manipal College of Dental Sciences in urban and rural areas of Udupi District. Clinical examination for periodontal status was done by using community periodontal index, simplified oral hygiene index, and gingival index. Statistical analysis of the data was done using chi-square. Results It was found that except the number of hours of work/day (p = 0.02) urban participants had significantly better occupations, higher education, more income, better oral health care behaviors like dental visits, device of cleaning, frequency of cleaning, method of cleaning, healthier personal habits like tobacco chewing, pan chewing (< 0.001 respectively), physical exercise, mental stress levels and healthier overall lifestyles (p < 0.001 respectively) than the rural participants. It was also found that more number of urban participants had better oral hygiene status (p < 0.001), gingival status (p < 0.001), and healthier periodontium (p = 0.002) than the rural counterparts. Conclusion These findings suggest that rural participants had more lifestyle-related risk factors for periodontitis as well as less healthy periodontium than the urban participants. Patient's involvement in self-care by promoting healthy lifestyles is needed especially in rural areas where adequate treatment facilities are lacking. How to cite this article Singla R, Acharya S, Singla N. Comparative Study of Lifestyle-related Risk Factors of Periodontal Disease among Urban and Rural Population of India. World J Dent 2016;7(3):129-134.


2013 ◽  
Vol 1 (2) ◽  
pp. 66-71
Author(s):  
Noozhan Karimi ◽  
Vahid Esfahanian ◽  
Parvin Khadem

Introduction: Dental caries and periodontal disease are among the most common infectious diseases in the world. DMFT (Decayed, Missing, Filled, Teeth), CPITN (Community Periodontal Index of Treatment Needs), and plaque indices are applied as suitable criteria for evaluating these two diseases and oral health. Given the significance of dental caries and periodontal disease, the objective of this study was to determine the incidence of dental caries and periodontal disease in the Iranian city of Shiraz. Material and Methods: The samples were evaluated in the four categories of medical, manufacturing, educational, and office centers within Shiraz, and then the DMFT, CPITN, and plaque indices in addition to nutrition status were all measured among them. Results: Having considered the DMFT to be below 15% and the CPITN less than 1.5 (the variables’ mean in the population under study), respectively, as resistant to dental caries and periodontal disease while at the same time taking into account the plaque index of less than 1.25 (mean) as the low level of this very index not disregarding the nutritional status of the population under study: the resistant individuals ratio to the two diseases equaling 10%, those individuals prone to these two diseases equaling 55%, the ratio of resistant people to periodontal disease and, simultaneously, prone to dental caries equaling 14%; and, lastly, the ratio of individuals resistant against dental caries simultaneously prone to periodontal disease equaling 20% (estimated). Conclusion: The research was performed in medical, manufacturing, educational, and office centers in Shiraz, Iran. There was no significant difference in terms of periodontal disease and dental caries between the four groups. [GMJ. 2012;1(2):66-71]


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