scholarly journals Selected issues of oral diseases in the work of a district nurse and primary care nurse

2017 ◽  
Vol 16 (4) ◽  
pp. 36-39
Author(s):  
Małgorzata Migut ◽  
Bogumił Lewandowski

AbstractIntroduction. Oral health condition and its influence on general health is widely known and does not raise any doubts.Aim. The study presents some selected problems of oral diseases and dental issues, which, according to the authors, can be useful or even necessary in the work of an environmental nurse.Material and methods. A Polish literature review was made concerning broad subject of oral diseases. Online research included the following databases: PubMed, Google Scholar PL, Termedia, Viamedica, Polish Medical Bibliography. The searched terms included: “health education”, “dental caries”, “nurse”, “environment”, “periodontal diseases”, “focal infection”. The analysis was based on the Polish articles from the years 1998-2016.Results. Issues concerning dentistry should be known not only to dental teams but also to all members of medical staff: nurses, midwives, general practitioners, pediatricians, and emergency medical workers. In the study there discussed the most frequent - carious disease and related issues concerning oral disease prevention.

2020 ◽  
Author(s):  
Carole. A. Palmer ◽  
Zhangmuge Cheng

Oral diseases are among the most prevalent diseases affecting global health. In his report on the crisis in oral disease in America, the Surgeon General warned that one cannot be truly healthy without oral health. Oral health means freedom from all oral health problems; tooth decay (dental caries), periodontal diseases, tooth loss, oral-facial pain, oral cancer and the effects of its treatment, oral infections, craniofacial birth defects and more. The relationships between oral conditions and systemic health and disease are many and synergistic, and most involve dietary and/or systemic nutritional factors. Diet and nutrition can play important roles in the etiology, prevention, and/or management of oral conditions, as they do in overall health and disease. Today, all health professionals and educators need to be aware of and consider oral issues and their possible diet/nutritional implications as a component of optimal health care and education. This review article provides a brief overview of how diet and nutrition impact and are impacted by oral conditions, and offers general guidelines and resources for providing meaningful interventions throughout the life cycle. This review contains 3 figures, 3 tables, and 57 references Key Words: biofilm, cariogenic, dental caries, dental plaque, ECC-early childhood caries, lactobacillus, mucositis, non-cariogenic, periodontal disease, Streptococcus mutans


Author(s):  
Yongde Yang ◽  
Xuan Yu ◽  
Xue Yang ◽  
Kuan Zeng ◽  
Guangya Liu ◽  
...  

The poor oral health condition of individuals who abuse methamphetamine (MA) is well known. The roles of the oral and fecal microbiomes in addiction and nervous system diseases have been the focus of many studies. However, changes in the microbiota composition of MA users have not been reported. This was addressed in the present study in 20 MA users and 14 sex-matched healthy subjects. Saliva samples were collected and high-throughput 16S rRNA sequencing and bioinformatic analysis were performed to evaluate oral microbiome profiles. The results showed that species richness was significantly lower in the MA group than in the control group. Bacterial taxa that are known to be related to oral diseases such as Negativicutes, Veillonellaceae, Veillonella, and Selenomonadales had higher relative abundance in the MA group than in the control group, and the relative abundance of Prevotella melaninogenica—a putative etiologic agent of periodontal disease—was also higher. Avoiding MA use and improving oral hygiene practices over a short term (i.e., during hospitalization for 2 weeks) did not alter the oral microbiota composition of MA users. Although the causal relationship between changes in oral microbiome profile and MA abuse remains to be determined, our results suggest that oral disease prevention and treatment strategies are important for MA users.


2020 ◽  
Vol 6 (1) ◽  
pp. 96-108
Author(s):  
H. Leggett ◽  
J. Csikar ◽  
K. Vinall-Collier ◽  
G.V.A. Douglas

Introduction: Dental caries, gum disease, and tooth loss are all preventable conditions. However, many dental care systems remain treatment oriented rather than prevention oriented. This promotes the treatment of oral diseases over preventive treatments and advice. Exploring barriers to prevention and understanding the requirements of a paradigm shift are the first steps toward delivering quality prevention-focused health care. Objectives: To qualitatively explore perceived barriers and facilitators to oral disease prevention from a multistakeholder perspective across 6 European countries. Methods: A total of 58 interviews and 13 focus groups were undertaken involving 149 participants from the United Kingdom, Denmark, Germany, the Netherlands, Ireland, and Hungary. Interviews and focus groups were conducted in each country in its native language between March 2016 and September 2017. Participants were patients ( n = 50), dental team members ( n = 39), dental policy makers( n = 33), and dental insurers ( n = 27). The audio was transcribed, translated, and analyzed via deductive thematic analysis. Results: Five broad themes emerged that were both barriers and facilitators: dental regulation, who provides prevention, knowledge and motivation, trust, and person-level factors. Each theme was touched on in all countries; however, cross-country differences were evident surrounding the magnitude of each theme. Conclusion: Despite the different strengths and weaknesses among the systems, those who deliver, organize, and utilize each system experience similar barriers to prevention. The findings suggest that across all 6 countries, prevention in oral health care is hindered by a complex interplay of factors, with no particular dental health system offering overall greater user satisfaction. Underlying the themes were sentiments of blame, whereby each group appeared to shift responsibility for prevention to other groups. To bring about change, greater teamwork is needed in the commissioning of prevention to engender its increased value by all stakeholders within the dental system. Knowledge Transfer Statement: The results from this study provide an initial first step for those interested in exploring and working toward the paradigm shift to preventive focused dentistry. We also hope that these findings will encourage more research exploring the complex relationship among dental stakeholders, with a view to overcoming the barriers. In particular, these findings may be of use to dental public health researchers, dentists, and policy makers concerned with the prevention of oral diseases.


2011 ◽  
Vol 139 (3-4) ◽  
pp. 242-247
Author(s):  
Mirjana Ivanovic ◽  
Olivera Jovicic ◽  
Jelena Mandic ◽  
Dusko Bogetic ◽  
Marcelo Madalone

Oral manifestations are often present in all types of leukaemia, and are particularly severe in children. Oral diseases may result as complications of aggressive cytotoxic therapy. On the other hand, oral diseases that are already present in the oral cavity could be aggravating the patient?s general condition and lead to serious life-threatening infections. The aim of this paper was to highlight the importance of preventive measures in maintaining oral health, as well the measures for controlling oral disorders onset during the course of illness and applied therapy in children with acute leukaemia. All preventive measures that include proper, regular hygiene and intervention depend on the patient?s haematological status and general health condition, and are performed with the consultation and approval of the haematologists-in-charge. The preventive program can be implicated in three stages; before the beginning of cytotoxic therapy, during active cytotoxic therapy and after cytotoxic therapy. Having in mind that oral disease can influence general treatment in children with acute leukaemia dramatically, developing protocols on the implementation of all measures of oral prevention and treatment is mandatory.


Praxis medica ◽  
2020 ◽  
Vol 49 (1-2) ◽  
pp. 35-40
Author(s):  
Radojica Stolić ◽  
Vekoslav Mitrović ◽  
Naja Suljković ◽  
Dušica Miljković-Jakšić ◽  
Aleksandra Balović ◽  
...  

Objective: In the available literature data, there is not much information about problems of patients with end stage kidney disease in relation to oral health. Our objective was to show the importance of oral diseases for patients on hemodialysis. Data sources: In this review article, the sources of data are review articles and scientific articles in the English language published in MEDLINE database. The choice of studies was based on keywords: Chronic kidney disease, Hemodialysis, Oral health, Periodontal diseases. Results: It is assumed that almost 90% patients with chronic kidney disease manifest some symptoms of oral disease. Therefore, it is important to determine the impact of periodontal disease on the progression of kidney failure in these individuals, to evaluate inflammatory parameters in this patient population, to assess the degree of bone loss and periodontal disease index, to determine the presence of bacterial strains, paradontopathy of gingival fluid and antibody titers, to examine correlations of proinflammatory cytokines in the gingival sulcus and serum, as well as to determine the relationship between periodontal tissue and inflammatory mediators. Periodontal diseases can increase the possibility of developing chronic kidney disease by 1.5 to 2 times. These oral diseases include gingival hyperplasia, periodontitis, xerostomia, unpleasant breath, changes in the oral mucosa, malignancies, oral infections, dental abnormalities and bone lesions. Conclusion: This requires serious cooperation between nephrologists and dentists to make proper communication possible, in order to provide quality dental care for this growing patient population in accordance with new treatment strategies.


Blood ◽  
2008 ◽  
Vol 112 (11) ◽  
pp. 5125-5125
Author(s):  
Timothy F Meiller ◽  
Mark A Scheper ◽  
Dianna Weikel ◽  
Mary Ann Jabra-Rizk ◽  
Ashraf Z. Badros

Abstract Oral complications have the potential to significantly increase patient morbidity when they occur during myelosuppressive chemotherapy. In a present cohort of multiple myeloma patients, 276 patients were evaluated for oral disease status prior to peripheral blood stem cell transplant (PBSCT) in order to validate the hypothesis that preexisting oral disease is predictive of complication outcomes. The incidence and frequency of periodontal diseases in this study population was 34% mild, 36% moderate and 30% severe/advanced, using the highest clinical classification present in at least 2 sextants of natural teeth. These assessments are part of the standard of care at the Greenebaum Cancer Center, and include panoramic radiography, selected periapical imaging and soft tissue assessment; with calculation of disease severity by dental sextant. Oral risks and complications that are regularly followed include the use of oral bisphosphonates and occurrence of osteonecrosis of the jaw (ONJ), incidence of mucositis and the incidence of viral and fungal infections during periods of myelosuppression. The results of this preliminary study indicate that patients with moderate to severe periodontal disease suffer complications at approximately a 2:1 ratio over those patients without preexisting periodontal/oral diseases. Specifically, oral mucositis occurred in 60% of those with preexisting periodontal diseases and 34% of the patients without disease. Relative to bisphosphonate induced ONJ, 66% of our 35 active ONJ patients had moderate to severe periodontal diseases prior to their development of ONJ. Analysis of fungal and viral infections was equivocal between the groups with and without disease. Since oral diseases are known to lead to elevations in local and plasma levels of proinflammatory cytokines, including TNF alpha, and IL17a among others, we have undertaken a preliminary assessment to relate oral disease to cytokine levels. To assess any potential relationship, analysis was performed on stored samples of plasma from selected patients in the cohort. Patients were identified by the characteristics of oral complications and then grouped into those with ONJ, those with preexisting moderate to advanced periodontal disease, and those with mild periodontal disease. Plasma from six patients was evaluated in an effort to demonstrate proof of principle that inflammatory cytokines vary based on these characteristics. Included in this analysis were 5 patients with multiple myeloma and one normal control. The normal control has a healthy periodontium and no evidence of chronic oral disease. Of the 5 patients undergoing PBSCT 1 patient had a healthy oral state with no evidence of oral disease and 4 patients had dental disease at initial examination. One patient had mild periodontal disease but demonstrated ONJ and 3 patients had moderate to severe disease, 1 with ONJ and 2 without ONJ. Plasma Levels of TNF Alpha and IL17A Patient MM Pre PBSCT Oral Disease ONJ Present TNF Alpha * IL17A * ‘expressed in picograms/ml 001 + ++ − 30.08 24.06 002 + ++ + 38.92 23.46 003 + ++ − 25.81 21.76 004 + + + 26.43 17.61 005 + − − 14.87 9.83 006 − − − 10.62 8.24 These data indicate a clear difference in cytokine levels of TNFalpha and IL17a. The patient with moderate to advanced periodontal disease coupled with the presence of ONJ had the highest levels of pro-inflammatory cytokines, whereas all other patients have lower levels as compared to the normal control. These data indicate that oral disease may correlate with elevations in cytokine levels and with the oral complication of ONJ after its onset. Even though there were 2 and 3 fold differences, this is a small sample of patients and the predictive value of these assessments in a larger more controlled study is the focus of our ongoing investigations.


2019 ◽  
Vol 14 (1) ◽  
pp. 80
Author(s):  
Dr. Zahraa Ali Al-Awadi ◽  
Dr. Baydaa Hussien Hussien

Background: Although they are not life threatening, dental caries and periodontaldisease are the most predominant and widely spread oral diseases throughout theworld. The aims of the study included the investigation of the prevalence andseverity of dental caries, gingivitis and dental plaque in relation to gender,furthermore, nutritional status was assessed in relation to oral health condition(dental caries).Materials and Methods: This oral health survey was conducted among primaryschool children aged 9 years old in Dewanyiah city in Iraq. The total samplecomposed of 600 child (320 males and 280 females) selected randomly fromdifferent school in Dewanyiah city. Diagnosis of dental caries was according tothe criteria described by WHO (1987). Plaque index of Silness and Loe (1964)was used for plaque assessment, gingival index of Loe and Silness (1963) wasfollowed for recording gingival health condition. Nutritional status was assessedaccording to body mass index (BMI) indicator using anthropometric measurement(height and weight).Results: Results showed that the prevalence of dental caries was 85% for 9 year-oldschool children. Regarding primary and permanent dentition, dental caries washigher among females compared to males with statistically significant difference(P<0.05) for primary dentition, on the other hand, males showed higher values offilled surfaces compared to females with statistically significant difference(P<0.05) for primary dentition and highly significant difference (P<0.01) forpermanent dentition. Finding of this study revealed that 100% of the children hadgingival inflammation. Furthermore, the values of plaque and gingival indiceswere higher among males compared to females with statistically highly significantdifferences (P<0.01). In current study, the prevalence of malnutrition described bythe BMI indicator was 5.3%. For total samples no significant difference wasrecorded in dmfs /DMFS values among wasting and well nourished children(P>0.05).Conclusion: A high prevalence of dental caries and gingivitis were recorded.Improvement in the prevention educational programs is needed among schoolchildren.


1985 ◽  
Vol 110 (1) ◽  
pp. 43-47 ◽  
Author(s):  
William E. Wright ◽  
Julie M. Haller ◽  
Shelley A. Harlow ◽  
Philip A. Pizzo

BDJ Open ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Catalina Opazo-García ◽  
Jeel Moya-Salazar ◽  
Karina Chicoma-Flores ◽  
Hans Contreras-Pulache

Abstract Introduction Dental care is provided for high-performance athletes at national and international sports events. Elite athletes may seek care for sports-related injuries and pre-existing oral diseases. Previous studies indicate an association between oral health problems and negative performance impacts in elite athletes. Objectives To determine the prevalence of the most common oral pathologies in high-performance athletes during the emergency dental care performed at the Lima 2019 Pan American Games (JPL-19). Methodology All reports of athletes (≥18 years old, of both sexes, from 41 countries) who received emergency dental care at Pan American Villas during the JPL-19 were included. Injuries and types of oral diseases were classified according to the Injury and Disease Surveillance System proposed by the International Olympic Committee. Results Of the 6680 participating athletes, 76 (1.14%) presented as dental emergencies, 90.8% (69/76) of the athletes seen presented pre-existing oral pathological conditions, the most frequent were periodontal diseases (34%, 26/76) and dental caries (29%, 22/76). Among the sports with the most cases, there were 22 (29%) in athletics, 6 (8%) in soccer, and 6 (8%) in taekwondo. The most frequent dental emergencies came from Peru, Puerto Rico, Bahamas, Grenada, and Venezuela. Conclusions Pre-existing oral diseases were more frequent than sports-related accidents. The most prevalent diseases were periodontal disease and dental caries disease. It is necessary to implement new care strategies for athletes, based on prevention, before and during sports competitions.


2020 ◽  
pp. 232020682098024
Author(s):  
Balaji Ganesh S ◽  
Kalaivanan Sugumar

We are living in an era where medicine and dentistry are evolving. Dental caries, tooth malalignment and periodontal diseases are being encountered by dental specialists in their daily practices. New digital technologies are emerging in dentistry for diagnostic and treatment purposes. Digitization enhances our efficiency and saves time. One of the recent smart technological innovation in healthcare field is the Internet of Things (IoT). IoT consists of a network of physical gadgets embedded with instrumentation electronics, mounted chips and sensors. Through cloud web technology and internet connectivity, the required data collection is enabled. Acquired data is then exchanged to the doctors and analysis is done. This review article deals about the concept of IoT and its futuristic role in dentistry. The review article is based on the electronic searching and analysis of various international and national publications on the IoT concept in dentistry, medicine and biomedical engineering. A bench marking analysis was made on various applications, pros and cons of IoT in dentistry. IoT will play a paramount role in the clinical advancement aspects of diagnosis and management of various oral diseases in the forthcoming decades.


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