scholarly journals Oral health in asthmatic patients: a review

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Federica Gani ◽  
Marco Caminati ◽  
Fabio Bellavia ◽  
Andrea Baroso ◽  
Paolo Faccioni ◽  
...  

Abstract Different drugs used to treat asthma, such as beta 2 agonists and inhaled steroids, may promote a higher risk of caries, dental erosion, periodontal disease and oral candidiasis. This article reviews the evidences of mechanisms involved in oral diseases in patients affected by asthma. The main mechanism involved is the reduction of salivary flow. Other mechanisms include: acid pH in oral cavity induced by inhaled drugs (particularly dry powder inhaled), lifestyle (bad oral hygiene and higher consumption of sweet and acidic drinks), gastroesophageal reflux, and the impairment of local immunity. In conclusion asthma is involved in the genesis of oral pathologies both directly and indirectly due to the effect of the drugs used to treat them. Other cofactors such as poor oral hygiene increase the risk of developing oral diseases in these patients. Preventive oral measures, therefore, should be part of a global care for patients suffering from asthma.

2021 ◽  
Vol 9 (2) ◽  
pp. 12
Author(s):  
Javzan Badarch ◽  
Suvd Batbaatar ◽  
Edit Paulik

Brushing at least twice a day is one of the most effective methods for the prevention of dental caries and oral diseases. The aim of the present study was to determine the prevalence and correlates of poor oral hygiene in Mongolian school-going students. A secondary analysis of nationally representative data from the 2013 Mongolian Global School-based Health Survey (GSHS) was performed. In the survey, a questionnaire was completed by 5393 students aged 12–16 years old. The prevalence of poor oral hygiene and its association with some independent variables were analyzed by frequency distribution, chi-squared test, and logistic regression. The overall prevalence of poor oral hygiene was 33%. In the multivariate analysis, male students, inadequate fruit and vegetable intake, parents’ smoking, being exposed to second-hand smoke, poor parental supervision and connectedness, physical inactivity, and sedentary behavior were significantly associated with poor oral hygiene. Meanwhile, students who ate fast food and drank carbonated soft drink were found to be less likely to be poor tooth-brushers in 2013. Various determinants were identified in connection with poor oral hygiene. Based on these findings, it is recommended that an oral health promotion program should be combined with general health promotion and lifestyle intervention programs for this target population.


2017 ◽  
Vol 4 (1) ◽  
pp. 56
Author(s):  
Addina Aimana Sabila ◽  
Ade Ismail A.K ◽  
Rochman Mujayanto

Background: Nosocomial infections can develop in the oral cavity due to poor oral hygiene. Oral Candidiasis is one of the most frequent nosocomial infection in oral cavity. The objective of this study is to describe the oral hygiene and oral candidiasis in hospitalized patients. Method: This analitical observational study used cross sectional design. Subject of the study were 74 adult patients aged 20-65 who are hospitalized at the Sultan Agung Islamic Hospital Semarang. Oral hygiene assessed from the presence of debris and calculus on the tooth surface using Simplified Oral Hygiene Index (OHIS) that were grouped in three categories (good, moderate, bad). Oral candidiasis diagnosed through clinical examination and swab procedure of suspicious lesions, and identified the presence of its spores and hyphae under a microscope observation. Kendal Tau test is used to analyze the correlation between oral hygiene with oral candidiasis. Results: Results showed patients with oral candidiasis in the poor and moderate oral hygiene were 29.7% and 1.4%, whereas patients without oral candidiasis in the poor and moderate oral hygiene were 60.8% and 8.1%. Kendall Tau correlation test results p value of 0.235 (p> 0.05). Conclusion: Conclusion of this study showed there is no association between oral hygiene with oral candidiasis.


2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Daniel Gati ◽  
Alexandre R. Vieira

Root caries is one of the most significant dental problems among older adults today. Many studies have demonstrated that older adults are at greater risk for developing root caries. Here we examine what risk factors older adults are prone to and explain how they contribute to higher rates of oral disease, in particular root caries. The elderly are at risk for root caries due to dentures, lack of dexterity, a shift from complex to simple sugars, and poor oral hygiene. Decreased salivary flow and its manifestations with other social/behavioral and medical factors may provide a more comprehensive explanation to a higher frequency of root caries in older adults.


Author(s):  
M. Yu. Antonenko ◽  
L. L. Reshetnyk ◽  
E. V. Moskalenko ◽  
N. A. Zelinska ◽  
O. A. Znachkova

Aim: to study the state of local immunity and oral hygiene in patients with GP suffering from AN.Materials and methods: 35 patients with AN were examined at the age of 19-35 years. In the study we used immunological methods, an index assessment of the state of oral hygiene (PMA, API, GI).Results and discussion: in patients of I group poor oral hygiene was established. The amount of lysozyme in the oral fluid in I group was 0.014 ± 0.07 g/l. A decrease SIgA (11SIgA) was established in patients of I group: I, II and control (135.31 ± 23.17, 130.26 ± 24.21 and 300.34 ± 27.38 mg/l, respectively). A tendency to an increase in the level of IgG in the oral fluid in patients of group II compared with I and the control group (5.35 ± 0.36, vs. 4.57 ± 0.04 and 4.98 ± 0.23 g/l, respectively) was established.Conclusions: poor oral hygiene is an objective indicator which reflects low motivation to maintain oral health. The observed immunodeficiency (11SIgA) in patients with GP is a mirror image of changes occurring in the body of patients with AN.


Author(s):  
Shriprasad B. Alure ◽  
Arun S. Dodamani ◽  
Prashanthkumar Vishwakarma ◽  
Vardhaman M. Jain ◽  
Gaurav V. Mali ◽  
...  

Background: Poor oral hygiene is a major etiological factor for oral diseases. Urban slums are identified as a risk group population as the burden of oral diseases is high among them. So, the aim of the study was to evaluate oral hygiene status among the urban slum population.Methods: A cross-sectional study was carried out on 480 urban slum people aged between 18 to 75 years. A cluster random sampling method was adopted. Data were collected by structured questionnaire. The questionnaire included information related to patient’s knowledge, attitude, and practices related to their oral hygiene. Descriptive statistics were used to analyse the data.Results: The majority of people brushed their teeth once a daily (58.3%) by using a toothbrush and toothpaste (65%) followed by mishri and charcoal. 81.7% of people did not use any other oral hygiene aid. The majority of people did not use interdental aids, tongue cleaner, mouthwash. The majority of people (72%) know the harmful effect of tobacco still they consume various forms of tobacco. The results showed an acute lack of oral hygiene awareness and practices as well as the effect of poor oral hygiene on systemic health.Conclusions: There is a need to educate the urban slum population regarding proper dental care, oral hygiene methods, and prevention of dental diseases through dentists, outreach programs, effective oral health education, and promotion programs to make healthy individuals and healthy society.


2018 ◽  
Vol 17 ◽  
pp. 1-11
Author(s):  
Ana de Lourdes Sá de Lira ◽  
Aline Cardoso Torres

Aim: To investigate the relationship between oral candidiasis and users of dental prostheses. Methods: A cross-sectional study was carried out which the inclusion of adults and elderly people of both genders using dental prostheses. Lectures were given with guidelines on oral hygiene techniques and dental prostheses, preventive measures of candidiasis, highlighting their influence on the oral and general health of the individual for the 240 users of dental prostheses. Of this number, 153 did not want to participate in the clinical examination. Signals and symptoms were analyzed in 87 patients, and lesions were present in only 21, and a cytological complement of the lesions was performed. Data were analyzed using SPSS version 15.0 with Chi-square (χ2 ) test at p < 0.05. Results: The 21 patients presented oral candidiasis, with erythematous (prosthetic) stomatitis being the most prevalent. There was a correlation between the presence of Candida and the use of prostheses (p- value 0.00*). Candidiasis was associated with poorly adapted prostheses, poor oral hygiene, inadequate prostheses and prolonged use of them. Conclusion: There was a correlation between oral candidiasis and users of dental prostheses. The most prevalent type of candidiasis was erythematous stomatitis (prosthetic), and nystatin was used to treat all cases. The preventive activities carried out were extremely important, since patients were not aware of oral candidiasis and the factors that trigger it, such as poor oral hygiene and dental prostheses.


2019 ◽  
Vol 3 (10) ◽  
pp. 469
Author(s):  
Sri Hernawati

Candida albicans (C.albicans) is the main causative agent in oral candidiasis. Candida spp is a commensal microorganism or normal flora in the mouth without causing symptoms. Candida spp can be a pathogen when the body's condition decreases, systemic medical therapy for a long time, nutritional deficiencies and poor oral hygiene. This study aimed to determine the predisposing factors for the causes of oral candidiasis in 10-year-old pediatric patients who came to the Department of Oral Medicine, Dental Hospital of Dentistry Faculty of Jember University. The results of this study indicate a relationship between nutritional deficiencies and poor oral hygiene with oral candidiasis in children. White pseudomembranous plaque lesions are mostly found in the dorsal area of the tongue. Therapy for the patients is by applying nystatin anti-fungal, multivitamins, and education to improve nutrition and oral hygiene. Keywords: nutritional deficiency; the oral cavity hygiene; oral candidiasis


2020 ◽  
Vol 32 (3) ◽  
pp. 164
Author(s):  
Dyah Indartin Setyowati ◽  
Leni Rokhma Dewi ◽  
Sri Hernawati ◽  
Iin Eliana Triwahyuni ◽  
Safira Zahra Marari

Pendahuluan: Merokok merupakan salah satu kebiasaan yang sering dilakukan oleh masyarakat, termasuk kelompok lanjut usia (lansia). Kebiasaan merokok dapat mempengaruhi sekresi saliva pada lansia yang secara fisiologis mengalami penurunan sekresi saliva dan penipisan epitel mukosa mulut karena proses penuaan. Perubahan sekresi saliva dan penipisan epitel mukosa mulut dapat meningkatkan resiko infeksi rongga mulut seperti kandidiasis oral. Tujuan penelitian ini adalah untuk menganalisis perbedaan sekresi saliva melalui pengukuran laju aliran saliva serta terjadinya kandidiasis oral pada pasien lansia perokok dan bukan perokok, di Rumah Sakit Gigi Mulut  Universitas Jember (RSGM UNEJ). Metode: Penelitian ini merupakan analitik observasional pada pasien lansia RSGM UNEJ di Bagian Penyakit Mulut meliputi status merokok, pengukuran laju aliran saliva unstimulated, dan insidensi kandidiasis oral berdasarkan hasil pemeriksaan mikrobiologi oral swab. Populasi dalam penelitian ini adalah seluruh pasien lansia RSGM UNEJ Bagian Penyakit Mulut periode September 2019-Januari 2020. Metode pengambilan sampel yang digunakan adalah  total sampling. Hasil: Hasil uji Mann-Whitney menunjukkan tidak ada perbedaan signifikan antara sekresi saliva unstimulated pasien lansia perokok dan bukan perokok. Terdapat perbedaan kejadian kandidiasis oral antara pasien lansia yang merokok dengan yang tidak merokok (nilai p=0,065; derajat kepercayaan=90%). Simpulan: Tidak terdapat perbedaan laju aliran saliva pada lansia perokok dan bukan perokok, namun terdapat perbedaan terjadinya kandidiasis oral antara lansia perokok dan bukan perokok.Kata kunci: Laju aliran saliva, merokok, kandidiasis oral, lansia. ABSTRACTIntroduction: Smoking is one of the habits often carried out by the community, including the elderly. Smoking habits can affect salivary secretion in the elderly, who physiologically experience decreased salivary secretion and thinning of the oral mucosal epithelium due to the ageing process. The salivary secretion change and thinning of the oral mucosal epithelium can increase the risk of oral infections such as oral candidiasis. The purpose of this study was to analyse the differences in salivary secretion by measuring the salivary flow rate and the occurrence of oral candidiasis in elderly smokers and nonsmokers at the University of Jember Dental Hospital. Methods: This study was an observational analytic study in elderly patients of the Department of Oral Diseases University of Jember Dental Hospital, including the smoking status, measurement of unstimulated salivary flow, and the incidence of oral candidiasis based on the results of the oral microbiological swab. This study’s population were all elderly patients at the Department of Oral Diseases University of Jember Dental Hospital for September 2019-January 2020. The sampling method used was total sampling. Results: The Mann-Whitney test results showed no significant difference between the unstimulated saliva secretion of elderly smokers and nonsmokers. There was a difference in the incidence of oral candidiasis between elderly smokers’ patients and nonsmokers (p-value = 0.065; confidence level = 90%). Conclusion: There is no difference in the salivary flow rate in elderly smokers and nonsmokers, however, there are differences in the occurrence of oral candidiasis between elderly smokers and nonsmokers.Keywords: Salivary flow rate, smoking, oral candidiasis, elderly.


2020 ◽  
Vol 4 ◽  
pp. 82-87
Author(s):  
Rosana Nazaryan ◽  
Maryna Tkachenko ◽  
Oksana Piontkovska

Cystic fibrosis (CF) promotes the development of gingivitis in children. The high prevalence and early manifestation of gingivitis is due to a combination of many factors. The pathogenic mechanisms of cystic fibrosis lead to disruption of normal physiological processes in the oral cavity, in particular, to a decrease in the level of salivation, to an increase in the viscosity of saliva, to a suppression of local immunity. Therefore, poor oral hygiene contributes to oral diseases. The aim of the study was to determine the level of oral hygiene in children with CF as one of the reasons for the development of gingivitis, and to select dental hygiene products that active towards factors that affect plaque. Material and methods. A total of 24 children with CF in the Ukrainian population participated in the study. The hygienic index OHI-S (J. C. Green, J. R. Wermillion, 1964) was calculated. The data were analyzed using Student’s criterions. The analysis was performed with a confidence level of 95 %. Results. The level of hygiene of the oral cavity was unsatisfactory among patients (OHI-S=2.19±0.11). Hygiene methods and dental hygiene products, to taking into account the manifestation of the pathogenesis of somatic disease, were selected. A follow-up study after 3 months revealed a significant positive trend in indicators of oral hygiene. Conclusions. This study has shown the low level of oral hygiene in children with CF. Hygienic education and motivation of these patients could help them achieve a higher level of oral health knowledge and are important starting points for the treatment and prevention of gingivitis. There was a significant improvement of the oral hygiene level after training children and after the proper selection of hygiene products. The dentists should use means and methods that have not contraindicate in patients of this category. It is recommended to monitore the hygiene indices to establish the effectiveness of the measures and necessity for individually therapy correction.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Caleb Shitsuka ◽  
Fausto Medeiros Mendes ◽  
Maria Salete Nahás Pires Corrêa ◽  
Mariana Ferreira Leite

Background. The etiology of dentine hypersensitivity (DH) is still inconclusive and there are few studies concerning it in children.Aim. To evaluate clinical, dietary, and salivary variables in children with DH complaints.Design. Forty-eight children were asked about DH. Data regarding dietary habits were collected from the children’s parents and an examination was performed to determine dental erosion. Dental biofilm was estimated by oral hygiene status, according to Greene and Vermillion’s Simplified Oral Hygiene Index (OHI-S). Whole saliva was collected under mechanical stimulation and evaluated salivary flow rate, initial pH, buffer capacity, and calcium and phosphate concentrations. The temperature of soft drinks, drinking method, sense of bitter taste, and other variables were also determined. Possible factors associated with DH were analyzed by univariate and multiple Poisson regression analyses. The prevalence ratio (PR) values and 95% confidence intervals (95% CI) were calculated.Results. DH was associated with the presence of dental erosion (PR; 95% CI = 2.23; 1.05 to 4.71) and salivary flow rate (2.49; 1.05 to 5.91). When the presence of erosion was not included, other variables were retained as follows: bitter taste (2.36; 1.38 to 4.03), OHI-S (0.47; 0.23 to 0.97).Conclusion. DH in children is associated with factors related to dental erosion.


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