scholarly journals Oral health profile of participants of an elderly cohabitation program in the state of Santa Catarina, Brazil

2019 ◽  
Vol 48 ◽  
Author(s):  
Rafaela LASTA ◽  
Angélica DEVILLA ◽  
Vanessa SIMONI ◽  
Jéssica Caroline FORALOSSO ◽  
Michele Gassen KELLERMANN ◽  
...  

Abstract Introduction Cohabitation and social interaction programs have been shown to enhance several aspects of the quality of life of the elderly. Objective This observational study assessed the oral health and oral health perception of participants of an elderly cohabitation program in the state of Santa Catarina, Brazil. Material and method Calibrated dental students examined/interviewed 235 participants of the program. The oral examination considered Decayed, Missing, and Filled Teeth (DMFT) index, Community Periodontal Index (CPI), Periodontal Attachment Loss (PAL), use and need of prostheses, and presence of oral mucosal lesions. Oral health perception was verified with the Geriatric Oral Health Assessment Index (GOHAI) questionnaire. Data were analyzed with descriptive statistics and chi-square test (α=0.05). Result The mean DMFT index was 24.3 teeth, with emphasis on the ‘Missing’ category. Upper and lower prosthetic needs were 53.6 and 71.1%, respectively. Fifty-five per cent of participants presented oral mucosal lesions. Moderate oral health perception prevailed (43%), with mean GOHAI score of 29.9. The negative perception on physical and pain/discomfort dimensions was statistically associated with lower prosthetic need (p<0.05). Conclusion The participants of the cohabitation program presented poor oral health and prevalence of moderate oral health perception. Lower prosthetic need was associated with negative perception.

Author(s):  
◽  
◽  
◽  

Background: Liver cirrhosis is an ultimate complication of all chronic liver diseases. The oral cavity especially the periodontium is affected by malnutrition, coagulation disorders, immunodeficiency which are some of the main features present in patients with liver cirrhosis. The aim of this study was to determine the prevalence and determinants of oral pathologies in patients with decompensated liver cirrhosis in two hospitals of Yaoundé Cameroon. Patients and Methods: This was a cross-sectional and analytical study comparing the oral health status of decompensated liver cirrhotic patients in Yaoundé with sex and age (±3 years) matched healthy controls from the same area. We enrolled patients with liver cirrhosis (Child Pugh score greater than or equal to 7) and their corresponding healthy controls. For each participant, socio-demographic data, clinical data on liver cirrhosis and on oral examination were collected. Oral examination evaluated the level of oral hygiene, gingival index (GI), probing depth (PD) and Clinical attachment loss (CAL), determined and identified oral mucosal lesions. The mean Decayed-Missing-Filled-Teeth (DMFT) index and prevalence of dental caries were also determined. The groups were then compared with regards to periodontal oral mucosal and dental variables using chi square test and Mantel – Haenszel odds ratio was used to determine the strength of association between decompensated liver cirrhosis and oral pathologies. The student‘s T-test was used to compare mean values of quantitative variables. A p-value ˂ 0.05 was statistically significant. Results: We included a total of 80 participants among which 40 liver cirrhotic patients and 40 sex and age (±3 years) matched controls. The mean age was 50.0(±19.0) years for the cases and 52.4(±17.9) years for the healthy controls. Hepatitis B virus (HBV) and Hepatitis C virus (HCV) were the main aetiology of liver cirrhosis representing 42.5% and 30% respectively and Child Pugh class B (65% of cases) was the most represented stage of the disease. A number of past bucco-dental consultations was significantly less frequent in the cases than the controls (09 versus 18, p = 0.03). Over 80% of cases used an inappropriate brushing technique compared to 60% of controls and 55% of cases used toothbrushes and toothpaste compared to 85% controls (p=0.09). A frequency of brushing at least twice daily was 42.5% in cases compared to 55% in controls (p=0.19). Patients with decompensated liver cirrhosis had a significantly greater prevalence of periodontal disease than the controls (95% versus 77.5%, p = 0.013). In addition, they had greater mean PI (1.8(±0.7) versus 1.6(±0.5), p = 0.182), mean GI index (1.9(±0.8) versus 1.3(±0.64), p = 0.004) and periodontal recession (77.5% versus 47.5%). Oral mucosal lesions and salivary lesions were more frequent in cirrhotic patients than in the healthy controls. These lesions include xerostomia (45% versus 17.5%, p ˂0.001), oral candidiasis (7.5% versus 0%, p = 0.120), lichen planus (17.5% versus 2.5%, p = 0.028), petechiae (57.5% versus 5%, p ˂ 0.001), halitosis (50% versus 7.5%, p ˂0.001) and sialadenitis (17.5% versus 0%, p = 0.006). Higher prevalence’s of dental and mean DMFT index were found in cases than in controls. Factors associated with the development of oral pathologies in decompensated cirrhotic patients were oral consultations (p = 0.046), presence of cytolysis (OR = 2.58, p = 0.042) and inadequate brushing technique (p = 0.004). Conclusion: The prevalence of oral pathologies is higher in patients with decompensated liver cirrhosis than corresponding age-sex matched healthy controls.


2015 ◽  
Vol 79 (2) ◽  
pp. 140-145 ◽  
Author(s):  
Mohammad A. Ali ◽  
Bobby K. Joseph ◽  
Devipriya B. Sundaram

Author(s):  
Ghobad MORADI ◽  
Amjad MOHAMADI BOLBANABAD ◽  
Ardavan MOINAFSHAR ◽  
Hemn ADABI ◽  
Mona SHARAFI ◽  
...  

Background: The Decayed, Missing and Filled Teeth (DMFT) is a valuable index used for determining and monitoring the oral health status in a community. This study aimed to determine the oral health status and its associated factors based on the DMFT index among people aged 15 to 45 yr old in Kurdistan Province, west of Iran. Methods: This study was conducted on 2000 people aged 15-40 yr old in Kurdistan, western Iran in 2015. Using a questionnaire, data were collected by four trained dental students. The dependent variable was the DMFT index. The collected data were analyzed using T-test, ANOVA, Pearson statistics, Kendall statistics, and multiple regression. Results: The mean (SD) values of Decayed teeth (DT), Missing teeth (MT), and Filled teeth (FT) indices in the participants were 2.85±1.7, 1.15±1.84, and 3.33±1.7, respectively. The mean (SD) value of total DMFT index was 7.33±3.0. The results of multiple regression showed that the frequency of using dental floss (coefficient= - 0.296, P=0.001), socio-economic status (coefficient=-0.199, P=0.001), parental education (coefficient= -0.183, P=0.001), frequency of brushing (coefficient=-0.182, P=0.001), and frequency of the use of mouthwash (coefficient=-0/143, P=0.001) had the highest level of with association with the DMFT index. Conclusion: The oral health status of the adult population is alarming and undesirable. The oral and dental health status can be improved via changing behavioral habits (such as brushing, using mouthwashes, and dental floss), promoting socioeconomic status, increasing individual’s and parent's level of education, and enhancing people’s access to health insurance.


2015 ◽  
Vol 4 (2) ◽  
pp. 77-79
Author(s):  
Minimol K Johny ◽  
T Aby Mathew

ABSTRACT Background Oral health status of prisoners has been an area of concern worldwide. The prison population is unique in nature because of the complexities of their psychological, social and behavioral aspects. Limited oral healthcare facilities in prison settings have resulted in neglect of oral health among prisoners. Aim The present study aims to assess oral mucosal lesions among prisoners in Central Prison, Chennai. Materials and methods A cross-sectional epidemiological survey was conducted in Central Prison, Puzhal, Chennai. The study population consisted of 1060 prisoners from three divisions of the Central Prison. Oral mucosal lesions among the prisoners were assessed by a single investigator according to World Health Organization (WHO) specifications. Results The present study shows that among the study subjects, 37.7% of males and 17.1% of females developed oral mucosal lesions. The prevalence of smokers melanosis was 27.6% among males and 8.6% among females. The prevalence of oral mucosal lesions was found to be highest in study subjects of 55 years and above. Conclusion A large proportion of the study subjects had oral mucosal lesions. Oral mucosal lesions like oral submucosis fibrosis, smokers palate and smokers melanosis was found to be common among males than females. Oral healthcare facilities should be incorporated in prison settings which would intercept the progress of oral mucosal lesions. How to cite this article George B, Johny MK, Mathew TA. Oral Mucosal Lesions among Prisoners in Central Prison, Chennai, India. Int J Experiment Dent Sci 2015;4(2):77-79.


2020 ◽  
Vol 7 (9) ◽  
pp. 625-634
Author(s):  
Ayşegül Saygın ◽  
Ömer Fahrettin Göze ◽  
Hatice Reyhan Eğilmez

Objective: The prevalence of oral mucosal lesions, together with information on the risk habits associated with oral health, such as tobacco and alcohol use, can help in planning future oral health studies and screening programs. Material and Methods: This study presents the findings of 805 oral mucosal biopsies from patients, received over twelve years period. The cases represent 0.6 per-cent of the total number of reports examined (130.680). The data were revised and compiled for diagnosis site, age, and sex. The patients were divided into nine age groups according to decades. The classification was modified and divided into eleven main groups Results: Connective tissue lesions formed the largest group of diagnoses (24.4per cent) followed by white lesions (17.8 %per cent), verrucal-papillary lesions (15.4%per cent), red-blue lesions (14%per cent), ulcerous lesions (12.2%per cent), periodontal diseases (10%per cent), lymphoid tissue lesions (1.3%per cent), other tumors (2%per cent), pigmented lesions (0.6%per cent) only 1 metabolic disease (cherubism) (0.1per cent). Approximately 60 %per cent of the biopsies were from the second group patients with an almost equal distribution among sexes. The predominant site of the biopsies was gingiva (28%per cent) followed by lips (19.2%per cent). Conclusion:  The majority of the lesions were in the category of reactive and inflammatory lesions with most occurring in the thirty age group (31-40 age) that represents permanent dentition. These results suggest that the difficulties in maintaining oral hygiene or the presence of trauma may be the primary factor in mucosal lesions occurring in the permanent dentition period.


2020 ◽  
Vol 14 (1) ◽  
pp. 34-39
Author(s):  
Parvin Parvaei ◽  
Afsaneh Dorri-giv ◽  
Gholamreza Sharifzadeh ◽  
Hakimeh Malakimoghadam ◽  
Elham Atabati

Introduction: Rheumatoid Arthritis (RA) may cause malfunction in the immune system and the inability to observe oral hygiene in patients due to physical deficits. A bacterial infection caused as such can constitute a significant risk factor for the development of systemic infection. The present study aimed to investigate the oral mucosal lesions, the DMFT index, and the Modified Gingival Index (MGI) in RA patients treated in Birjand city. Materials and Methods: This descriptive cross-sectional study was performed with 80 RA patients referred to rheumatology clinics of Birjand in 2018. Data were collected through observation, clinical examination, information forms, and medical records. After the patients were informed about the research purposes and signed consent forms for participation, they were examined at the rheumatology clinics. The collected data were analyzed in SPSS software (version 19). Results: Of the 80 patients, n = 64 (80%) had oral mucosal lesions. Dry mouth (66.3%) was the most common finding. The mean DMFT index score was 18.7. Conclusion: Oral mucosal lesions and the mean DMFT index score seem to be at high levels in RA patients, possibly due to the complications of the disease or the consumed medications.


2010 ◽  
Vol 14 (5) ◽  
pp. 449-456 ◽  
Author(s):  
Rodrigo Queiroz Aleixo ◽  
Alexandre Prado Scherma ◽  
Gustav Guimarães ◽  
José Roberto Cortelli ◽  
Sheila Cavalca Cortelli

2018 ◽  
Vol 21 (3) ◽  
pp. 283-292 ◽  
Author(s):  
Camila Zanesco ◽  
Danielle Bordin ◽  
Celso Bilynkievycz dos Santos ◽  
Erildo Vicente Müller ◽  
Cristina Berger Fadel

Abstract Objective: To identify factors that determine the negative perception of the health of the Brazilian elderly, considering sociodemographic conditions, functional limitations and illness, patterns of utilization of health services and oral health condition. Method: A cross-sectional study with data from the National Health Survey (2013), involving 23,815 elderly persons was carried out. Once the database was treated, dimensionality reduction was performed using the Waikato Environment for Knowledge Analysis. The variables related to health perception were evaluated through logistic regression to measure the magnitude of the associations. Health perception and 36 independent variables were considered as outcome variables. Results: The variables most strongly related to the negative perception of the health of the elderly were illiteracy (OR=1.48), low educational level, total difficulty in performing instrumental activities of daily living (OR=2.04), impossibility of performing any activity (OR=3.20), presence of a diagnosis of physical or mental illness (OR=2.44), negative self-perception of oral health (OR=1.92), an increased need for health services in recent weeks (OR=1.16), medical visits and hospitalization in the last 12 months (OR=1.40). Conclusion: The use of multidimensional methodologies can identify the influence of determinants of a negative perception of health among Brazilian elderly persons, and can support the formulation of public health policies aimed at the elderly population.


2018 ◽  
Vol 8 (2) ◽  
pp. 727-734
Author(s):  
Nisha Rani Yadav ◽  
Meena Jain ◽  
Ankur Sharma ◽  
Roma Yadav ◽  
Meetika Pahuja ◽  
...  

Background: It has been seen that very less attention has been given to the oral health of the geriatric population residing in old age homes and as the oral mucosal lesions are a matter of concern for this growing population. Therefore, a study was done with the objective of finding the prevalence of oral mucosal lesions and the distribution of oral mucosal lesions among 65-74 year old residents of old age homes in Delhi, India. Materials and Methods: A cross sectional study was done on 65-74 year old age group elders of old age homes in Delhi. A total of 464 subjects participated in the study. Oral Health Assessment Form, WHO was used for assessing oral mucosa. Clinical examination was performed using two mouth mirrors under natural illumination in a systematic manner. Data was processed and analyzed using SPSS version 23. Results: Out of a total of 464 subjects, 291 (62.70%) were males and 173 (37.30%) were females. Oral mucosal lesions seen in the study subjects were malignant tumours, leukoplakia, lichen planus, ulcerations, ANUG, Abscess and candidiasis. Leukoplakia was seen in 70 subjects (15%) and was present on buccal mucosa in the majority. A malignant tumour was seen in 7 subjects (1.5%) and commonly seen area is floor of mouth. Conclusion: Prevalence of oral mucosal lesions among residents of old age homes shows the need for increased preventive and diagnostic measures for prevention and early identification of oro-mucosal lesions. Taking adequate care for oro-mucosal health of elderly people residing in old age homes is necessary.


Sign in / Sign up

Export Citation Format

Share Document