scholarly journals Oral health status of patients infected with human immunodeficiency virus and related factors, Iran: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Soheila Shaghaghian ◽  
Mojtaba Homayooni ◽  
Maryam Amin ◽  
Fahimeh Rezazadeh

Abstract Background Human immunodeficiency virus (HIV) continues to be a major global issue. HIV-infected patients commonly experience oral health problems. This study aimed to assess oral health status of the patients and its related factors in Shiraz, Iran. Methods In this cross-sectional study, by using simple random sampling, 250 HIV-infected patients were selected from Shiraz Voluntary Counseling and Testing Center in 2019. Patients' decayed, missing, and filled tooth (DMFT) index, plaque index (PI), and community periodontal index (CPI) were determined. Associations between patients' characteristics and the above-mentioned indices were examined by using Pearson correlation, one-way ANOVA, chi-square, and independent sample T test. The effect of possible confounding factors was controlled by using multiple linear regression and logistic models. Results Of the 222 participants, 111 (50%) had 15 or more missing teeth and 79 (35.6%) were edentulous. Their mean (SD) DMFT and PI were 20.71 (10.74) and 1.11 (0.79), respectively. About 40% of them had healthy gingiva. DMFT (p < 0.001), PI (p < 0.001), and CPI (p = 0.002) were significantly worse in men than women. The patients' DMFT and edentulous status were significantly associated with their age (both p < 0.001) and duration of disease (p = 0.001 and p = 0.008, respectively). Unemployed patients had the worst DMFT, PI, and CPI (all p < 0.001) and the highest percentage of edentulous individuals (p = 0.003). All examined indices were significantly worse in cigarette smokers, alcoholics, addicts, and patients with a previous history of imprisonment (all p < 0.001). The odds ratio of being edentulous was 5.74 times in addicted patients than in non-addicted ones (p < 0.001). The odds increased 0.11 with every year that the patients' age increased (p < 0.001). Multiple linear regression models also showed that the addicted patients had significantly more scores in DMFT index, PI, and CPI (all p < 0.001). Conclusions Overall, oral health status of the HIV-infected patients was unsatisfactory. Therefore, effective interventional programs are needed for prevention and early treatment of dental problems among this population, especially for more vulnerable groups such as older men with low socioeconomic status, and those with high-risk behaviors.

2021 ◽  
Author(s):  
Soheila Shaghaghian ◽  
Mojtaba Homayooni ◽  
Maryam Amin ◽  
Fahimeh Rezazadeh

Abstract Background: Human immunodeficiency virus (HIV) continues to be a major global issue. HIV-infected patients commonly experience oral health problems. This study aimed to assess oral health status of the patients and its related factors in Shiraz, Iran.Methods: In this cross-sectional study, by using simple random sampling, 250 HIV-infected patients were selected from Shiraz Voluntary Counseling and Testing Center in 2019. Patients' decayed, missing, and filled tooth (DMFT) index, plaque index (PI), and community periodontal index (CPI) were determined. Associations between patients' characteristics and the above-mentioned indices were examined by using Pearson correlation, one way ANOVA, chi-square, and independent sample T test. Results: Of the 222 participants, 111 (50%) had 15 or more missed teeth and 79 (35.6%) were edentulous. Their mean (SD) DMFT and PI were 20.71 (10.74) and 1.11 (0.79), respectively. About 40% of them had healthy gingiva. DMFT (p<0.001), PI (p<0.001), and CPI (p=0.002) were significantly worse in men than women. The patients' DMFT and edentulous status were significantly associated with their age (both p<0.001) and duration of disease (p=0.001 and p=0.008, respectively). Unemployed patients had the worst DMFT, PI, and CPI (all p<0.001) and the highest percentage of edentulous individuals (p=0.003). All examined indices were significantly worse in cigarette smokers, alcoholics, addicts, and patients with a previous history of imprisonment (all p<0.001).Conclusions: Overall, oral health status of the HIV-infected patients was unsatisfactory, which might indicate their inadequate access to dental services. Therefore, effective interventional programs are needed for prevention and early treatment of dental problems among this population, especially for more vulnerable groups such as older men with low socioeconomic status, and those with high-risk behaviors.


Author(s):  
Kitty Jieyi Chen ◽  
Ni Zhou ◽  
Biao Xu ◽  
Yuexiao Li ◽  
Shinan Zhang ◽  
...  

Background: The aim of this cross-sectional study was to investigate the oral health status of Hani 12-year-old children in Yunnan, a province in Southwest China. Method: This study employed a multistage sampling method to recruit children from local primary schools. Two calibrated dentists examined the status of dental caries, gingival bleeding and dental fluorosis by adopting the diagnosis criteria recommended by the World Health Organization. A self-administrated questionnaire was distributed. The chi-square test and multivariate logistic regression were conducted. Results: This study invited 480 Hani children, and recruited 413 children (52% boys) (response rate: 86%). The dental caries prevalence was 52%, and the caries experience associated with the mean (standard deviation) decayed, missing and filled teeth (DMFT) score was 1.10 (1.46). Gingival bleeding was diagnosed in 252 children (61%), and dental fluorosis was found in two children (0.5%). The results of the regression model indicated the prevalence of dental caries were associated with sugary snacking habits (p = 0.002). The prevalence of gingival bleeding was related to the mother’s education level as well as the child’s monthly pocket money (p < 0.05). Conclusion: Dental caries and gingival bleeding were prevalent among 12-year-old Hani children in the Yunnan province in China. Dental fluorosis was uncommon.


2020 ◽  
pp. 1-9
Author(s):  
Alessandro de Sire ◽  
Marco Invernizzi ◽  
Martina Ferrillo ◽  
Francesca Gimigliano ◽  
Alessio Baricich ◽  
...  

BACKGROUND: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease affecting upper and lower motor neurons. The current practice of caring for patients affected by ALS involves a multidisciplinary team without any indication about oral health care. OBJECTIVE: We sought to investigate the functional status and oral health in patients with ALS to define a specific multidisciplinary management. METHODS: In this cross-sectional study, we included patients affected by ALS, evaluating their functional status, using the Revised ALS Functional Rating Scale (ALSFRS-R) and their oral health status through specific parameters, including Brief Oral Health Status Examination (BOHSE), Winkel Tongue Coating Index (WTCI), and Oral Food Debris Index (OFDI). RESULTS: All 37 patients (mean age: 61.19±11.56 years) showed a poor oral status, independent from the functional status and strictly correlated to the severity of sialorrhea (p = 0.01). OFDI index was negatively correlated with the ALSFRS-R upper limb (p = 0.03). Patients with bulbar onset had significantly lower ability to perform adequate tongue movements in terms of protrusion (p = 0.006) and lateralization (p <  0.001). Significant negative correlations between survival rate and BOHSE (p = 0.03) was found. CONCLUSIONS: Taken together, our findings showed that a poor oral health status might be correlated to a worse functional status and survival time. Thus, an adequate oral health care and rehabilitation should be considered as crucial in the multidisciplinary management of patients with ALS.


2021 ◽  
Vol 12 (1) ◽  
pp. 50
Author(s):  
Gunjan Kumar ◽  
Shilpa Rai ◽  
AlokKumar Sethi ◽  
AkhileshKumar Singh ◽  
RanjanMani Tripathi ◽  
...  

2013 ◽  
Author(s):  
Leon Bilder ◽  
Nirit Yavnai ◽  
Avi Zini

Background: Many Long-Term Care (LTC) patients suffer from dental neglect due to difficulties in achieving appropriate dental professional care; although oral health has important influence on the quality of life among them. Dental care of the long term institutionalized adults is often limited to emergency and first aid care and there is insufficient data regarding oral health status in this population.Objectives: To describe the oral health status of the long-term hospitalized adults. Materials and methods: A cross-sectional study including clinical oral examinations was carried out among institutionalized LTC patients aged 18 and older in a geriatric - psychiatric Hospital in Israel. Main outcome measures were: edentulousness, presence of dentures, mucosal findings, number of teeth, number of functional teeth, level of dental hygiene and, dental caries. Results: Subjects’ mean age was 65 years; 31.3% of the patients were edentulous, and only 14% had partial or full dentures. Only 17.2% were caries free. Females had significantly higher number of caries cavitation than men (p=0.044). The number of caries cavitation was higher among patients with higher plaque scores (p<0.001) and when taking Clonex (p=0.018). Number of residual teeth in mouth was higher in the low plaque score group (p<0.001). Carious teeth percentage was higher among the high plaque score group (p<0.001)


2020 ◽  
Vol 27 (33) ◽  
pp. 41876-41884
Author(s):  
Nara Santos Araujo ◽  
Maria das Graças Alonso Oliveira ◽  
Antenor Vieira Borges Neto ◽  
Ynara Bosco de Oliveira Lima Arsati ◽  
Jean Nunes dos Santos ◽  
...  

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