scholarly journals Sociomedical and epidemiological analysis of patients aged 18-34 years visiting the dental office

2016 ◽  
Vol 126 (4) ◽  
pp. 184-186
Author(s):  
Beata Kubić-Filiks ◽  
Leszek Szalewski ◽  
Elżbieta Pietryka-Michałowska ◽  
Kamila Fux-Zalewska ◽  
Jolanta Szymańska

Abstract Introduction. Carelessness in caring for oral cavity in adults may contribute to severity of dental caries, periodontal diseases and diseases of mucous membranes that pose a risk to health of both dental and systemic character. Aim. The aim of the study was to assess the relationship between selected demographic factors and the cause of visiting the dental practitioner and the dental health status in adults. Material and methods. The study comprised 194 patients, aged 18-34 who visited in 2015 one of the dental offices in Lublin, which offers treatment under the framework of an agreement with the National Health Fund or for a fee. Gender, age, the place of residence and the reason for visiting the dental office were analyzed. The place of residence was a village, a town of less than 200 thousand inhabitants or the city of more than 200 thousand inhabitants. The reason for visiting the dental office was a checkup visit, loss of filling or a toothache. Dental condition was assessed by calculating the DMF index. The results were statistically analyzed. Results. In the group of respondents, women accounted for 53.62%, and men – 45.88%. The prevalence of dental caries was 100% and the incidence expressed by the mean DMF index was 14.64±5.78, and increased with age. The main reason for visiting the dentist for 65.46% of respondents was a check-up visit, for 17.53% – loss of filling and for 17.01% – a toothache. The lowest incidence of tooth decay was found in people visiting the dentist for a check-up, higher in patients appearing with the loss of filling and toothache. Conclusions. A high percentage of people visiting the dentist because of toothache, confirms the low level of health-related knowledge in adult patients. High incidence of tooth decay proves the need to intensify preventive measures against the carious disease in adults. It is necessary to intensify educational activities and programs addressed to the adult part of Polish society to prevent the development of dental caries.

2016 ◽  
Vol 126 (3) ◽  
pp. 138-141
Author(s):  
Ewa Kuchta ◽  
Renata Chałas ◽  
Leszek Szalewski ◽  
Elżbieta Pietryka-Michałowska ◽  
Jolanta Szymańska

Abstract Introduction. Evaluation of the oral health among adult Poles carried out in the framework of the “National Monitoring of Oral Health and Its Determinants” study and the research results of clinical centers in Poland indicate that dental caries, periodontal diseases and missing teeth are a major health problem. Aim. The aim of the study was determining the reasons for reporting to the dentist of 35-54-year-old people, the assessment of dental health and prosthetic needs. Material and methods. The study comprised 154 patients aged 35-54 reporting in 2015 to the dental clinic in Lublin, which offers treatment financed by the National Health Fund or for a fee. Gender, age, the place of residence and the reason for the reporting to the dentist were analyzed. The place of residence was a village, a town of less than 200 thousand inhabitants or the city of more than 200 thousand residents. The reason for reporting to the dental clinic was a check-up visit, toothache or loss of filling. Dental condition was assessed by calculating the DMF index. The prosthetic state and needs were evaluated. The results were statistically analyzed. Results. Most patients reporting to the dental examination were women (59.09%) and residents of a big city (70.78%). More than a half of the patients (55.84%) had a check-up appointment, 25.32% appeared due to the loss of filling, and 18.83% - because of a toothache. The frequency of decay in the study group was 100% and the DMF index values ranged from 2.0 to 32.0, assuming an average of 21.18±5.02, and with the age the DMF index values increased. The highest number of decayed and extracted teeth were found in the rural population. Both residents of big cities and patients who reported for regular check-ups had the biggest number of fillings. Conclusion. Dental caries is still a major health problem in Polish population aged 35-44. Poor oral health among the adult population in Poland is due to the low health awareness of society. This requires launching large-scale dental educational campaigns and prevention measures among adult Polish citizens, especially in rural areas.


2016 ◽  
Vol 126 (1) ◽  
pp. 24-27
Author(s):  
Beata Kubić-Filiks ◽  
Joanna Rosiak ◽  
Leszek Szalewski ◽  
Elżbieta Pietryka-Michałowska ◽  
Jolanta Szymańska

Abstract Introduction. The results of epidemiological and socio-medical studies of specific age groups in Poland indicate that tooth decay and periodontal diseases still pose a significant health problem. Aim. The aim of the study was the assessment of the reasons for reporting to the dental office and the assessment of oral health in children aged 0-6 years. Material and methods. The study comprised 45 patients in the preschool age (2-6 years old), who for the first time reported in 2015 to the dental office, which offers treatment under the framework of an agreement with the National Health Fund or for a fee. Gender, age, the place of residence and the reason for the reporting to the dentist were analyzed. The place of residence was a village, a town of less than 200 thousand inhabitants or the city of more than 200 thousand inhabitants. The reason for reporting to the dental office was a check-up visit, toothache or loss of filling. Dental condition was assessed by calculating the dmf index. The results were statistically analyzed. Results. Among the surveyed, there were no children younger than 2-year-olds. It was found that the dmf index was ranging in an individual patient from 0 to 20, in half of them the dmf index value was ≤ 7, while in all of the patients the average dmf index was 6.42. The percentage of respondents with dmf=0 was significantly higher among children living in the city than children living in rural areas. Conclusion. It is necessary to intensify educational activities concerning oral health of children, addressed to pregnant women, parents and people from the living environmental of a little child. This applies in particular to promoting early reporting to the first ever, the adaptive visit of a child to the dentist, frequent and regular check-up visits, during which, regardless of the examination, prophylaxis or treatment activities can be carried out if necessary.


2020 ◽  
Vol 77 (8) ◽  
pp. 852-858
Author(s):  
Vladan Djordjevic ◽  
Mila Jovanovic ◽  
Sanja Colic ◽  
Milena Stasevic ◽  
Amina Asotic ◽  
...  

Background/Aim. According to the World Health Organization (WHO), there is an increasing prevalence of mental disorders among children and adolescents worldwide. Previous studies have shown that people with mental disorders, regardless age, have an increased prevalence of dental caries due to several reasons. The aim of this study was to determine prevalence of dental caries in adolescents with mental disorders and to consider possible risk factors that might contribute to their current dental health status. Methods. The study was conducted as an observational cross-sectional study. The study group comprised 70 randomly selected hospitalized adolescents with mental disorders. The control group comprised 70 randomly chosen mentally healthy adolescents. They were matched to the study group by gender and age. All the participants were subjected to targeted dental examination according to criteria recommended by the WHO. Collection of data related to mental disorders of the study group was obtained from the patient?s medical records. All collected data were organized and analyzed by descriptive statistical parameters and regression models. Results. Majority of the study group patients were diagnosed with schizophrenia, schizotypal and delusional disorders (F20-F29), as well as behavioral and emotional disorders usually occurring in childhood and adolescence (F90-F98). Almost 90% of them were treated with antipsychotics of the second generation, as monotherapy or in combination with first-generation antipsychotics. Adolescents with mental disorders had significantly more carious and extracted teeth and three times less filled teeth than mentally healthy adolescents in the control group. The mean value of the decay-missing-filled teeth (DMF) index in the study group patients was also significantly higher than the mean value of DMF index in the control group subjects. Conclusion. It seems that mental disorder among adolescents mainly affects oral health indirectly, decreasing motivation of patients in maintaining oral hygiene.


1989 ◽  
Vol 3 (1) ◽  
pp. 3-6 ◽  
Author(s):  
H. Löe

The celebration of the 40th anniversary of the National Institute of Dental Research (NIDR) provides an opportunity for reviewing the growth of dental research over the decades. The Institute owes its origin to public and professional concern over the dental health of Americans and the prospect that a Federal investment in dental research could pay off. The early years of the Institute were devoted to studies of fluoride and dental caries, with notable achievements in clinical trials of water fluoridation and caries microbiology. During the 1960s came the discovery that the periodontal diseases, like dental caries, were bacterial infections that could be prevented. Basic and clinical research expanded, and the research manpower pool grew with the addition of microbiologists, immunologists, salivary gland investigators, and other basic biomedical and behavioral scientists. The Institute created special broad-based Dental Research Institutes and Centers to foster interdisciplinary research, and continued to expand its research base. A national survey undertaken by NIDR in the late 1970s showed major declines in caries prevalence in schoolchildren. Recent NIDR surveys of adults and older Americans as well as a second children's survey have demonstrated overall improvements in oral health and a continued decline in childhood caries. There remain serious oral health problems among older Americans and among individuals and groups susceptible to disease. NIDR will focus on these high-risk individuals in future research aimed at eliminating edentulousness. At the same time, the Institute will continue the cell and molecular biology studies in the area of development, oncology, bone research, and other basic and clinical fields that mark the emergence of dental research as a major force and contributor to biomedical advances today.


Author(s):  
Gianmaria D’Addazio ◽  
Manlio Santilli ◽  
Bruna Sinjari ◽  
Edit Xhajanka ◽  
Imena Rexhepi ◽  
...  

The literature highlights differences in the dental conditions of people with disabilities compared with the general population. The aim of this study was to provide an overview of the dental health of people with disabilities in order to understand if their needs are met and to identify their most critical issues as per dentists. A paper and a Google Form platform were used in conducting a survey in Central Italy (the Abruzzo region), by performing an analysis on different points of view as reported by people with disabilities and dentists. The results showed that only 69.2% of dentists treat persons with disabilities. Of these, 73.5% treat less than 10 patients with physical disabilities per year. However, 54% of dentists do not treat people with cognitive impairment and a poor ability to collaborate during treatment. More than 80% of respondent dentists report that people with disabilities do not have good oral hygiene. On the other hand, 49.1% of people with disabilities (or their caregivers in cases where the patient was unable to answer) report that they rarely or never go to the dental office. Moreover, when they do go, it is mainly for emergencies. Despite this, respondents are well aware of their dental problems. However, they have difficulties in communicating their dental problems to their dentist. The 50% of dentists who treat people with cognitive impairment do not include them in follow-up, while only 20% of these patients reported being regularly recalled. This illustrates the importance of the implementation of follow-up. In addition, training courses could help clinicians to reduce this gap and create barrier-free dental offices.


Author(s):  
N. I. Bodnaruk ◽  
T. Y. Lysak

Musculoskeletal disorders (MSD) occupy a leading place among the diseases affecting the dental health of children. The composition and properties of the oral fl uid are an appropriate refl ection of the various processes in the body and can help to study the pathogenesis of tooth decay associated with MSD.The aim of the study – to determine mineral ingredients composition of saliva in children with MSD and to identify its relationship with dental caries.Materials and Methods. 90 5-year old children were examined and divided into three groups of 30 persons in each: fi rst – children with dental caries and MSD; the second – children with dental caries, MSD and undifferentiated connective tissue disease (UCTD); the third – children with dental caries without somatic pathology (comparison group). The deft values and levels of caries prevalence were evaluated. Mineral components of the saliva were determined by photometric method.Results and Discussion. The deft value was (6.17±0.52) in children with MSD, (8.00±0.50) in children with MSD and UCTD and (4.37±0.47) in children of the comparison group. In children with MSD total calcium level in the saliva was 33.80 % lower compared to that in comparison group and 25.53 % higher than in children with MSD and UCTD. The concentration of inorganic phosphorus in the saliva of children with MSD was 29.73 % lower compared to that in comparison group and 15.71 % higher than in children with MSD and UCTD. The same pattern has shown the magnesium level. Alkaline phosphatase activity in the saliva of both groups of children with MSD was lower than in comparison group.Conclusions. In the saliva of children with dental caries and MSD the defi ciencies of total calcium, inorganic phosphorus and magnesium, as well as reduced activity of alkaline phosphatase were revealed.


Author(s):  
Olga Reyzvikh ◽  
Stanislav Shnayder ◽  
Ludmila Anisimova

The ever-chaning dynamics of tooth growth in children 6–15 years old was observed over a 9-year as well as the level of dental care the children received was determined in collaboration with the local school’s dental personell, The scientific evidence collected in this study showed the social significance of erecting and maintaining the practice of proper dental care in the new politico-economic climate. This was confirmed by the increase in the level of dental care from insufficient (47 %) to satisfactory (75 %) over the course of 6 years due to the presence of a dental hygienist as part of the medical personelle in a secondary school. The level of dental care ranged from 23 % at the age of 6 to 75 % among graduates (same children) at the age of 17. Annually, routine examinations performed by the dental hygienist at the school covered 92.3 % of children, as a result of which over 4 years of follow-up (12–15 years old children) the number of exacerbated tooth decay decreased 3,02 times and the the prevalence of permanent tooth decay decreased. Objective performance indicators of the school dental office substantiate the importance of school dentistry. Key words: children of school age, condition of hard tissues of teeth, caries of teeth, condition of periodontal, oral hygiene. For citation: Reyzvikh OE, Shnayder SA, Anisimova LV. Dynamics of the prevalence and degree of caries and periodontal diseases and tooth decay in children aged 6-15 years in Chernomorsk, over a 9 year period. Journal of the National Academy of Medical Sciences of Ukraine. 2019;25(3):332–6


2018 ◽  
pp. 41-44
Author(s):  
O.V. Vozniy ◽  
T.Ye. Shumna ◽  
Ye.S. Lepetchenko

Tooth decay is the most important early age children problem of the health of the oral cavity. It is medical and social problem of many developed countries and countries with transitional economy. According to WHO, in some countries the frequency and the intensity of dental caries decrease, however the same indexes in Ukraine increase rapidly and systematically. The interconnection of dental diseases and general somatic pathology is known well and it occupies one of the leading places amongst the main reasons of dental caries. The occurrence of bronchial asthma among child population varies from 1% till 18%. Therefore, children with the diseases of respiration organs have higher marks of caries lesions than healthy children. The aim of the work is to carry out the analysis of the specialized scientific literature for the data generalization on the modern looks on the prophylaxis and treatment of dental caries, its complications and the condition of dental health in children with bronchial asthma. Materials and methods. We have studied and analyzed the scientific literature available in the last years, which is devoted to the peculiarity of prevalence of dental diseases, prophylaxis and treatment of tooth decay, its complications and the condition of dental health in children with bronchial asthma. There are different indexes of caries prevalence and intensity in Ukraine according to our research. Thus, in the western regions the prevalence comes up to 93-100% and intensity 3,4-6,5, whereas in the central and south-east regions the same marks are up to 73-93% and 2,0-4,3. There is a huge influence on the caries prevalence by genetic tendency, attendant somatic pathology, social and hygienic factors. It is known that patients with bronchial asthma use inhalation glucocorticosteroids as basic treatment. This fact places them into the group of higher risk of caries development. But the influence of these drugs on the progress of tooth decay and saliva secretion is not studied well. Scientists confirm that the use of inhalation glucocorticosteroids can change chemical and immune compound of oral liquid (decrease saliva secretion speed, pH, number of calcium, phosphor, lysozyme and the raise of saliva viscosity). All these changes along with decrease of Ig A and ptyalin amount makes these children defenseless to caries and assists in development of cariogenic situation in the oral cavity. Moreover, children with allergic pathology have changes of immune reactivity and dysfunction of albumen and mineral exchange. At the same time the lesion of hard tissues of teeth in children with hypoxia which is determined as inborn and heritable diseases most often appear as the systemic hypoplasia in combination with plural caries. Caries prevalence in children with bronchial asthma is about 88-89% according to the latest news. We need also to draw attention to the changes of the osseous tissue. It depends not only on burden and duration of bronchial asthma, but also on the peculiarity of progression of caries process. These children have low mineral density and modified indexes of mineral and bone exchanges. All this facts confirm the systemic character of the bone lesion in these patients. Therefore, the rate of alterations grows up proportional to intensity of tooth decay. Conclusions. Thus, the analysis of the data, as well as our own research, have demonstrated the necessity of study of described problem and elaboration of specific prophylaxis program of dental caries and its complications in children with bronchial asthma more deeply.


2018 ◽  
pp. 42-46
Author(s):  
O.V. Voznyi ◽  
T.Ye. Shumna ◽  
Ye.S. Lepetchenko

Tooth decay is the most important early age children problem of the health of oral cavity. It is medical and social problem of many developed countries and countries with transitional economy. According to WHO, in some countries the frequency and the intensity of dental caries decrease, however the same indexes in Ukraine increase rapidly and systematically. The interconnection of dental diseases and general somatic pathology is well known and it occupies one of the leading places among the main reasons of dental caries. The prevalence of bronchial asthma among child population varies from 1% till 18%. Herewith, children with the diseases of respiration organs have higher marks of caries defeat than healthy children. The aim of the work is to carry out the analysis of the specialized scientific literature for the data generalization about modern looks to the prophylaxis and treatment of dental caries, its complications and the condition of dental health in children with bronchial asthma. Materials and methods. We have analyzed and studied the available scientific literature in the last years, which is devoted to the peculiarity of prevalence of dental diseases, prophylaxis and treatment of tooth decay, its complications and the condition of dental health in children with bronchial asthma. According to our research, there are different indexes of caries prevalence and intensity in Ukraine. Thus, in the western regions prevalence come up to 93-100% and intensity 3,4-6,5, whereas in the central and south-east regions the same marks come up to 73-93% and 2,0-4,3. There is a huge influence on the caries prevalence by genetic tendency, attendant somatic pathology, social and hygienic factors. It is generally known that patients with bronchial asthma use inhalation glucocorticosteroids as basic treatment. This fact places them into the group of higher risk of caries development. But the influence of these drugs on the progress of tooth decay and saliva secretion is not well studied. Scientists confirm that the use of inhalation glucocorticosteroids can change chemical and immune compound of oral liquid (the descent of saliva secretion speed, pH, number of calcium, phosphor, lysozyme and the upsurge of saliva viscosity). All these changes along with diminution of Ig A and ptyalin amount makes these children more defenseless to caries and assist in development of cariogenic situation in the oral cavity. Moreover, children with allergic pathology have changes of immune reactivity and dysfunction of albumen and mineral conversion. At the same time the defeat of hard tissues of teeth in children with hypoxia which is determined by inborn and heritable diseases most often appear as the systemic hypoplasia in combination with plural caries. Caries prevalence in children with bronchial asthma is about 88-89% according to the latest news. We need also to draw attention to the changes of the osseous tissues. They depend not only on burden and duration of bronchial asthma, but on the peculiarity of progression of caries process. These children have low mineral density and modified indexes of mineral and bone exchange. All this facts confirm about the systemic character of the bone defeat in this patients. Herewith, the stage of alteration grows up proportional to intensity of tooth decay. Conclusions. Thus, the analysis of literary data, as well as own research, have demonstrated the necessity of in-depth study of described problem and elaboration of specific prophylaxis program of dental caries and its complications in children with bronchial asthma.


2021 ◽  
Vol 11 (2) ◽  
pp. 20-25
Author(s):  
Shaikh Abdullah Al Jami ◽  
Ashek Elahi Noor

This cross-sectional type of descriptive study was conducted to assess the DMFT, oral health related behavior and practice in Rajer Deuri Government primary school in old Dhaka, Bangladesh.About 158 school children were selected by the purposive type of non-probability sampling technique. Face to face interview with questionnaire followed byChecklist. Out of 158 students, 78 (49.4%) were 12-14 years whereas maximum 80 (50.6%) of them were male and 78 (49.4%) were female. Againmajority students fathers were secondary level 34.2 and mothers were primary level passed 41.1%. Maximum family income belongs to 81 (51.3%) which is ranges from 10000-20000 Tk.Majority 89(56.3%) of the respondents never visited dentist. Again, maximum uses tooth paste with brushes 155(98.1%) and also majority 64(40.5%). use a new tooth brush as long as last Maximum make a visit to the dentist about 62(39.2%) on having toothache. Moreover,though128 (81.0%) agree that consumption of sugar in between meals causes dental caries but 130(82.3%) did not know about fluoride. Again, 64(40.5%) respondents knows not cleaning their teeth may cause tooth decay. In addition, 89(56.3%) students don’t know aboutgum bleeding while 52(32.9%). About 116 (73.4%) of the students didn’t know how to protect their gumMoreover, 118(74.7%) & 135(85.4%) of the respondents don’t know about dental plaque & calculus but 136(86.1%) & 98(62.0%) knows sweet food & soft drinks may affect dental health. Again, maximum 100(63.3%) respondents think that the health of mouth impact on the health of body as well as their treatment is also important. About130 (82.3%) of the respondents thinks that brushing teeth may prevent tooth decay while maximum 134 (84.8%) of the respondents did not know using fluoride strength their teeth. Maximum, 122 (77.2%) & 134(84.8%) did not know using toothbrush& floss help them preventing periodontal disease. Though 79(50.0%) of the respondents mentioned that using toothbrush & flossing is the best method for prevention of tooth decay. About 89(56.3%) of the respondents brush their teeth more than 2 minutes. Maximum 83(52.5%) & 129 (81.6%) of them did not know about the number of their permanent & deciduous tooth. About 136(86.1%) of the students did not know eruption time of 1st permanent molar. Finally, 118 (74.7%) out of 158 get knowledge about oral health from their family.There is a significant association between fathers & mothers education with knowledge which resembles (P value is 0.001). Again, therewas a statistical significant association between cleaning in between teeth and their knowledge (P value is 0.012) and also on having toothache maximum did not visit to the dentist where (P value is <0.001).There is also statistical significant association between DMFT and their knowledge where (P value is 0.004).Finally, a comprehensive oral health educational program for both children and their parents are required to achieve this goal. Update Dent. Coll. j: 2021; 11(2): 20-25


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