scholarly journals Associations of streptococci and fungi amounts in the oral cavity with nutritional and oral health status in institutionalized elders: a cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hanako Sato ◽  
Akira Yano ◽  
Yu Shimoyama ◽  
Toshiro Sato ◽  
Yukiko Sugiyama ◽  
...  

Abstract Background Disruption of the indigenous microbiota is likely related to frailty caused by undernutrition. However, the relationship between undernutrition and the oral microbiota, especially normal bacteria, is not obvious. The aim of this study was to elucidate the associations of nutritional and oral health conditions with prevalence of bacteria and fungi in the oral cavity of older individuals. Methods Forty-one institutionalized older individuals with an average age ± standard deviation of 84.6 ± 8.3 years were enrolled as participants. Body mass index (BMI) and oral health assessment tool (OHAT) scores were used to represent nutritional and oral health status. Amounts of total bacteria, streptococci, and fungi in oral specimens collected from the tongue dorsum were determined by quantitative polymerase chain reaction (PCR) assay results. This study followed the STROBE statement for reports of observational studies. Results There was a significant correlation between BMI and streptococcal amount (ρ = 0.526, p < 0.001). The undernutrition group (BMI < 20) showed a significantly lower average number of oral streptococci (p = 0.003). In logistic regression models, streptococcal amount was a significant variable accounting for “not undernutrition” [odds ratio 5.68, 95% confidential interval (CI) 1.64–19.7 (p = 0.06)]. On the other hand, participants with a poor oral health condition (OHAT ≥ 5) harbored significantly higher levels of fungi (p = 0.028). Conclusion Oral streptococci were found to be associated with systemic nutritional condition and oral fungi with oral health condition. Thus, in order to understand the relationship of frailty with the oral microbiota in older individuals, it is necessary to examine oral indigenous bacteria as well as etiological microorganisms.

2021 ◽  
Author(s):  
Hanako Sato ◽  
Akira Yano ◽  
Yu Shimoyama ◽  
Toshiro Sato ◽  
Yukiko Sugiyama ◽  
...  

Abstract Background:Disruption of the indigenous microflora is likely to relate with frailty caused by undernutrition. However, relationship between undernutrition and oral flora, especially normal indigenous bacteria, is not obvious. The aim of this study was to elucidate the associations of nutritional and oral health conditions with bacteria and fungi prevalence in oral cavity of older individuals.Methods:Forty-one institutionalized older individuals with an average age ± standard deviation of 84.6 ± 8.3 years were enrolled in this study. Body mass index (BMI) and Oral health assessment tool (OHAT) were used to represent nutritional and oral health status. Amounts of total bacteria, streptococci, and fungi in oral specimens collected from the tongue dorsum were determined by quantitative polymerase chain reaction (PCR) assay results. Results:There found a significant correlation between BMI and streptococcal amount (ρ=0.526, p<0.001). In addition, the undernutrition group (BMI <20) showed a significantly lower average number of oral streptococci (p=0.003). In logistic regression models, streptococcal amount was the significant variable accounting for “not undernutrition” [odds ratio 5.68 and 95% confidential interval (CI) was 1.64-19.7 (p=0.06)]. On the other hand, participants with poor oral health condition (OHAT ≥5) harbored significantly higher level of fungi (p=0.028). Conclusion:Oral streptococci were associated with systemic nutritional condition and oral fungi were associated with oral health condition. Thus, it is necessary to examine oral indigenous bacteria as well as etiological microorganisms in order to understand the relationship of frailty with oral microflora in older individuals.


2021 ◽  
pp. 073346482110283
Author(s):  
Padmore Adusei Amoah ◽  
Adwoa Owusuaa Koduah ◽  
Razak M. Gyasi ◽  
Kingsley Atta Nyamekye ◽  
David R. Phillips

We examined the moderating role of social capital (SC) in the association of socioeconomic status (SES) and health literacy (HL) with oral health (OH) status and the intentions to use OH services (IUOHS) among older Ghanaians. Data were derived from a cross-sectional survey ( n = 522) and analyzed using ordinal and binary logistic regressions. Bridging SC moderated the relationship between HL and oral health status ( B = 0. 0.117, p < .05) and the association of SES with IUOHS (adjusted odds ratio [AOR] = 1.144; 95% confidence interval [CI] = [1.027, 3.599]). Trust modified the association between HL and IUOHS (AOR = 1.051; 95% CI = [1.014, 3.789]). Bonding SC moderated the association between SES and oral health status (B = 0.180, p < .05). However, bonding SC negatively modified the association between SES and IUOHS (AOR = 0.961; 95% CI = [0.727, 0.997]). Cognitive and structural SC modify the associations of SES and HL with OH and IUOHS.


2014 ◽  
Vol 94 (3) ◽  
pp. 411-416 ◽  
Author(s):  
Susan M. Bridges ◽  
Divya S. Parthasarathy ◽  
Hai Ming Wong ◽  
Cynthia K.Y. Yiu ◽  
Terry K. Au ◽  
...  

2019 ◽  
Vol 6 (6) ◽  
pp. 1783
Author(s):  
Varsha Singh ◽  
Anuj Shamsher Sethi

Background: Dental caries and Gum diseases are the major public health problem in developed and developing countries both and the prevalence is more during the childhood specially in lower socioeconomic strata of our society so present study was conducted to find out the prevalence of dental and gum diseases among the 15 years of age school going children.Methods: This study was conducted among 15 years old children of government rural schools in the catchment area of Sri Aurobindo Institute of Medical Sciences, District Indore after getting ethical approval from institutional ethical committee, 400 students were included till the required sample size was achieved. Oral cavity examination was done by a team of evaluated for oral health status by a trained examiner who took training in department of community dentistry and Pedo-odontology. Data was entered and analysed by using SPSS.Results: Present study reveals that 38% of participants had dental decay out of which was more there in boys and found statistically significant <0.05. Majority of participants (70%) had normal gums only 4% had bleeding gums. 9% of the the participants had hypoplastic enemal.Conclusions: The current study explores that the dental decay is the major oral health problem followed by calculus. Oral health education and oral cavity examination should be done at a regular interval study.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Małgorzata Radwan-Oczko ◽  
Irena Duś-Ilnicka ◽  
Pamela Richards ◽  
Anna Marie Thomsen ◽  
Claus Rasmussen

Objective. Rheumatoid arthritis (RA) and periodontal disease (PD) are common chronic, immunoinflammatory, destructive, and progressive diseases; however, the correlations between those two are not yet widely discussed. The purpose of this study was to evaluate the relationship between the selected demographic and clinical parameters of RA patients and oral health status parameters, on the basis of self-assessment. Materials and Methods. Three hundred patients under treatment were included in the study. Questionnaires were completed by 164 out of 300 patients. Results. A total of 100 females and 64 males took part in the study, with a mean age of 65 ± 11.1 years. In younger patients, the disease activity score (DAS28) was higher, and it was associated with pain or discomfort in the oral cavity and with difficulties in toothbrushing. Discomfort or pain in the oral cavity was to a significant extent associated with the poor gingival state, gingival bleeding, and difficulties in biting or chewing. Conclusions. In RA patients, difficulties in biting or chewing, discomfort or pain in oral cavity, feeling of the presence of movable teeth, and gingival bleeding are indications of periodontal infection. Maintaining awareness of oral health and RA is a key issue in the simultaneous management of proper oral care and RA due to the mutual influence of those two factors.


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