scholarly journals Analysis of the effectiveness of rehabilitation measures for dental caries

2012 ◽  
Vol 93 (2) ◽  
pp. 235-237 ◽  
Author(s):  
A I Shaikhutdinova ◽  
V V Gilyazeva
Keyword(s):  
Dental Caries ◽  
Oral Cavity ◽  
Oral Hygiene ◽  
Medical Records ◽  
Dental Treatment ◽  
Dental Patients ◽  
The Status ◽  
Pathogenetic Therapy ◽  
Rehabilitation Measures

Aim. To evaluate the effectiveness of rehabilitation measures for dental caries. Methods. Studied were 246 patients aged 18-50 years (146 women and 100 men) who received dental treatment for dental caries and its complications, the duration of follow-up was 18 months. Conducted was an expert evaluation of 246 medical records of dental patients and patients’ management. The hygienic status of the oral cavity was assessed by the criteria of OHI-S (Oral Hygiene Index Simplified) and PHP (Patient Hygiene Performance), for values of OHI-S (PHP) 0.6±0.1 (0.4±0.03) the status was considered good, for values 1.3±0.1 (0.7±0.02) - satisfactory, for values 2.6±0.1 (1.8±0.04) - unsatisfactory. Results. Good oral hygiene status was noted in 64 patients (first group), satisfactory - in 88 (second group), unsatisfactory - in 94 patients (third group). In the third group, the share of fully intact restorations and fillings during middle and deep caries after 6 months was 89 and 81%, at 12 months - 80 and 78.2%, after 18 months - 79.7 and 71.8%, respectively; in the second group after 6 months - 94 and 92.8%, after 12 months - 89 and 85.3%, after 18 months - 87.5 and 81.2%, respectively; in the first group at 6 months - 96 and 96%, after 12 months - 96 and 91.3%, after 18 months - 94.5 and 90.5%, respectively. Only 152 of the 246 patients fulfilled all the recommendations and prescriptions, 34 (13.8%) did not complete the rehabilitation of the oral cavity. Prevention and rehabilitation activities were performed in 30% of cases: in 15% - in full, in the remaining 15% primarily professional oral cleaning and remineralization therapy was conducted. Conclusion. The program of rehabilitation of dental patients should include regular inspections, monitoring of the oral hygiene, professional cleaning of the oral cavity, grinding and polishing of the restorations and fillings, pathogenetic therapy.

scholarly journals Phenytoin-Induced Gingival Overgrowth Management with Periodontal Treatment

2015 ◽  
Vol 26 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Bruno César de Vasconcelos Gurgel ◽  
Carlos Roberto Batista de Morais ◽  
Pedro Carlos da Rocha-Neto ◽  
Euler Maciel Dantas ◽  
Leão Pereira Pinto ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Pocket Depth ◽  
Gingival Overgrowth ◽  
Probing Pocket Depth ◽  
Supportive Periodontal Therapy ◽  
Continuous Use ◽  
Oral Hygiene Instruction

Phenytoin-induced gingival overgrowth (PIGO) is a common complication of the continuous use of medications. This paper presents a case of PIGO hindering oral function and compromising oral hygiene and aesthetics, which was treated with a combination of nonsurgical and surgical periodontal therapies. A 39-year-old male patient was referred for dental treatment with several complaints, especially upper and lower gingival overgrowth that hindered speech and swallowing. Generalized deep probing pockets and bone loss were detected. Diagnosis of gingival overgrowth associated with phenytoin and chronic periodontitis was established. The treatment plan consisted of conservative therapy with education on oral health, motivation and meticulous oral hygiene instruction in combination with scaling and root planing. During the revaluation period, a marked reduction in the clinical parameters was noted, particularly probing pocket depth reduction. Surgical therapy for removal of gingival overgrowth was also performed to achieve pocket reduction. Supportive periodontal therapy was proposed and the patient is currently under follow-up for 4 years. Management of PIGO may be obtained by the use of periodontal procedures combined with good oral hygiene and periodontal supportive care.

scholarly journals Case Report: a 5-Year Follow-up of Proximal Caries Lesion Diagnosis

2018 ◽  
Vol 20 (3) ◽  
pp. 158
Author(s):  
Renata Espíndola Silveira ◽  
Isabela Pereira Furtado ◽  
Marco Aurélio Carvalho ◽  
Lawrence Gonzaga Lopes ◽  
João Batista Souza ◽  
...  
Keyword(s):  
Dental Caries ◽  
Clinical Examination ◽  
Oral Hygiene ◽  
Dietary Habits ◽  
Treatment Plan ◽  
Preventive Treatment ◽  
Diagnostic Methods ◽  
Carious Lesions ◽  
Oral Hygiene Instructions

Abstract This clinical case was aimed at reporting and discussing diagnostic methods for early detection and preventive treatment of proximal carious lesions. The patient presented to the dental clinic seeking treatment of a problem she reported as being “dental caries”. The patient’s orthodontist diagnosed dental caries, by means of radiographic exam. There was no evidence of any proximal carious lesion in the intraoral examination. The bitewing radiographs presented a radiolucent area limited to enamel in the mesial of maxillary left-second-bicuspid. For the purpose of confirming the intraoral diagnosis, an immediate tooth separation was performed. The immediate separation was unable to provide sufficient access; thus, the slow separation approach was performed. After 24-hours, tooth separation of 1mm was obtained, providing enough access for clinical examination. The proximal areas were evaluated by transillumination and impression taking. During the visual inspection, an area of enamel staining was observed, with no roughness due to tactile inspection and the evaluation by transillumination and impression showed no cavitation. The following preventive treatment plan was endorsed: oral hygiene instructions with emphasis to the importance of flossing the proximal areas, and healthy dietary habits. After a 5-years period of follow-up, the enhanced oral hygiene and heathy dietary habits were observed. A clinical examination with immediate tooth separation and bitewing radiographs was performed and showed no cavitation. Thecombination of methods for detecting carious lesions in proximal surfaces was effective in obtaining a diagnosis of cariesin the permanent dentition. The absence of cavitated lesions must be indicative of preventive treatment.Keywords: Dental Caries. Preventive Dentistry. Diagnosis, Oral.ResumoEste caso clínico objetivou relatar e discutir os métodos diagnósticos para detecção e tratamento preventivo de lesões cariosas proximais. A paciente procurou atendimento restaurador com queixa de cárie diagnosticada por exame radiográfico realizado após término de seu tratamento ortodôntico. Ao exame clínico não havia suspeita de lesão cariosa. A avaliação radiográfica revelou, na face mesialdo dente 25, presença de área radiolúcida limitada à metade externa do esmalte. Para confirmação do diagnóstico realizou-se a separação interdentária imediata, porém como a mesma não permitiu adequada visualização foi realizada a separação mediata e após 24 horas obteve-se adequada separação (1 mm) para o exame clínico. Em seguida, a superfície proximal foi avaliada por transiluminação e moldagem. Durante a inspeção visual foi constatada área de manchamento do esmalte, com ausência de rugosidade pela inspeção tátil e a avaliação tanto por transiluminação da superfície proximal, quanto por moldagem revelou ausência de cavitação. Devido o diagnóstico obtido o seguinte tratamento preventivo foi indicado: reforço de higiene oral com ênfase na importância do uso do fio dental e hábitos dietéticos saudáveis. Após 5 anos de acompanhamento melhoria da higiene oral e hábitos dietéticos foram constatados. O exame clínico com separação interdentária imediata e exame radiográfico revelaram ausência de cavitação. Conclui-se que a combinação de métodos de detecção de lesões cariosas proximais foi efetivo no diagnóstico da cárie dentária na dentição permanente. O resultado deste relato de caso mostrou que a ausência de lesões cariosas cavitadas deve ser um indicativo de tratamento preventivo.Palavras-chave: Cárie Dentária. Odontologia Preventiva. Diagnóstico Bucal.

scholarly journals Factors Related To Dental Caries Among The Patients Attending At The Outpatient Department (OPD) Of Dhaka Dental College And Hospital

2013 ◽  
Vol 3 (1) ◽  
pp. 16-20
Author(s):  
MHA Khan ◽  
MAA Polan ◽  
A Nahar ◽  
MM Raihan
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
Family Income ◽  
Education Programme ◽  
Structured Interview ◽  
Sampling Procedure ◽  
Outpatient Department ◽  
Preventable Disease ◽  
Preventative Measures ◽  
The Status

Dental caries is one of the most common health problem in the dental practices in both developed and developing countries including Bangladesh. The overall influence of dental caries on the general health of the community is harmful. The main objective of the study was to assess the factors related to dental caries among the patients attending at the Outpatient Department (OPD) of Dhaka Dental College and Hospital. The study was carried out during the month of January to June, 2002. Data were collected by the researcher himself with a pretested structured interview schedule from 167 patients selected by systematic random sampling procedure. The study showed that (29.3%) patients were in the age group of 21-30 years. Their mean age was 30.04 years, SD was ±14.60 and age range was 12-72 years. Among the patients, 55.1% were males and 44.9% were females. 76.6% patients were Muslims, 15.6% were Hindus, and only 7.8% were Christians. Regarding the educational level, the maximum (63%) were below HSC education level, only 37% were HSC and above. The patients having more than four affected teeth, maximum (34.3%) were from illiterate mothers. Patients having mother's education HSC and above were nil in this group. The rates of dental caries were high among those who consumed excess sweets and who did not maintain oral hygiene adequately. Majority of the patients knew how dental caries occur and maximum of them thought that dental caries is a preventable disease. The above study showed that no age and sex is without problem. The ignorance, illiteracy, low family income, inadequate practice of oral hygiene, consumption of excess sweets etc. are the major contributory factors for the occurrence of dental caries. As dental caries is a multifactorial preventable disease, proper preventative measures including health education programme should be intensified to minimize the disease. Further study is also needed to assess the status of the problem and to find out the factors related to the disease. DOI: http://dx.doi.org/10.3329/bjdre.v3i1.16590 Bangladesh Journal of Dental Research & Education Vol.3(1) 2013: 16-20 Dental caries is one of the most common health problem in the dental practices in both developed and developing countries including Bangladesh. The overall influence of dental caries on the general health of the community is harmful. The main objective of the study was to assess the factors related to dental caries among the patients attending at the Outpatient Department (OPD) of Dhaka Dental College and Hospital. The study was carried out during the month of January to June, 2002. Data were collected by the researcher himself with a pretested structured interview schedule from 167 patients selected by systematic random sampling procedure. The study showed that (29.3%) patients were in the age group of 21-30 years. Their mean age was 30.04 years, SD was ±14.60 and age range was 12-72 years. Among the patients, 55.1% were males and 44.9% were females. 76.6% patients were Muslims, 15.6% were Hindus, and only 7.8% were Christians. Regarding the educational level, the maximum (63%) were below HSC education level, only 37% were HSC and above. The patients having more than four affected teeth, maximum (34.3%) were from illiterate mothers. Patients having mother's education HSC and above were nil in this group. The rates of dental caries were high among those who consumed excess sweets and who did not maintain oral hygiene adequately. Majority of the patients knew how dental caries occur and maximum of them thought that dental caries is a preventable disease. The above study showed that no age and sex is without problem. The ignorance, illiteracy, low family income, inadequate practice of oral hygiene, consumption of excess sweets etc. are the major contributory factors for the occurrence of dental caries. As dental caries is a multifactorial preventable disease, proper preventative measures including health education programme should be intensified to minimize the disease. Further study is also needed to assess the status of the problem and to find out the factors related to the disease.

scholarly journals Perception Of Oral Hygiene Practices And Dental Treatment Permissible During Fasting Amongst Dental Patients: A Cross-Sectional Study In Pakistan

2020 ◽  
Author(s):  
Khaloud Tariq ◽  
Arooj Ul Hassan ◽  
Muhammad Hassan ◽  
Shahab Ud Din ◽  
Zunaira Arooj ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Root Canal ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Root Canal Treatment ◽  
Teaching Hospitals ◽  
Cross Sectional ◽  
Dental Patients ◽  
Hygiene Practices ◽  
Hygiene Measures

Abstract Background: Fasting places prohibitions on eating and drinking for a certain period of time. Although many dental treatments have been said to be safe and can be performed while fasting, other may result in breaking of fast. The study aims to evaluate the perception of dental patients of Lahore, Pakistan regarding effect of such treatments and hygiene measures during fasting. Methods : It was a cross-sectional survey carried out in 2 dental teaching hospitals of Lahore, Pakistan from September- October 2018. Patients were asked to complete a self-administered structured questionnaire developed to assess the knowledge regarding dental treatments, and hygiene practices while fasting. The questionnaire consisted of 7 items regarding the influence of dental treatments such as filling, scaling, and extraction etc. on fasting. Questions were also added regarding maintenance of oral hygiene such as brushing and its effect on fast. Frequencies and percentages are used to display results. Chi-squared test was used for statistical analysis to estimate difference between gender, and educational status with perception of procedures breaking fast. Results : Out of 415 responses, 374 were included for analysis. About 76.2% respondents believed that undergoing extraction broke fast. Scaling was thought to nullify the fast by 45.5% of respondents. 52.9% perceived root canal treatment to break fast along with 67.6%, who believed anaesthesia administration broke fast. As far as oral hygiene was concerned, brushing was reported to break fast by 57.5% with the use of mouthwash invalidating fast by 63.4%. Conclusion : The respondents were generally aware of some procedures not breaking fast however, most thought that administration of anaesthesia, undergoing root canal treatment, and extraction invalidated fast. Also, hygiene maintenance measures such as brushing and use of mouthwash during was also thought to break fast. It is imperative that the healthcare providers should be familiar with the effect of dental treatments and oral hygiene measures on fasting state that can influence the treatment plan of the patients.

scholarly journals PECULIARITIES OF DENTAL TREATMENT OF PATIENTS WITH BACTERIAL VAGINOSIS AND THEIR SEX PARTNERS

2020 ◽  
pp. 21-24
Author(s):  
A.D. Krutikova
Keyword(s):  
Oral Cavity ◽  
Bacterial Vaginosis ◽  
Oral Hygiene ◽  
Dental Treatment ◽  
Periodontal Diseases ◽  
Sexual Partners ◽  
Gardnerella Vaginalis ◽  
Initial Degree ◽  
Significant Difference ◽  
Atopobium Vaginae

Patients with bacterial vaginosis are diagnosed with chronic generalized inflammatory and inflammatory-dystrophic periodontal diseases, such as chronic catarrhal gingivitis, periodontitis of initial and first severity. The aim of the study was to compare the effectiveness of the treatment of inflammatory and inflammatory-dystrophic periodontal diseases in women with bacterial vaginosis and their sexual partners. Materials and methods. 28 heterosexual couples aged 18-45 years took part in the survey. Clinical dental examination was performed at the time of treatment and 3 months after completion of treatment. Green-Vermilion indices, RMA (in Parma modification), complex periodontal index according to Leus (KPI), Svrakov's number were determined. Both groups of patients were examined for the presence of Gardnerella vaginalis and Atopobium vaginae in the oral cavity by PCR testing. The therapeutic course was the same for all groups of patients. General therapy included: "Fluconazole" 50 mg 1 time per day (7 days), "Clindamycin" 150 mg every 6 hours (5 days), starting from the 3rd day of antibiotics - probiotic "Symbiter acidophilus concentrated "(21 days), Calcium-D3-Nycomed 1 tab. during dinner 30 days. Local treatment included: oral baths of the drug "Stomatophyte" after morning and evening hygienic procedures (7 days), application of "Metrogil-dent" on the gums (7 days), the drug "Lizak" 1 tab. keep in the mouth until complete dissolution every 6 hours (5 days), after the use of "Stomatophyte" and "Metrogil - dent" - application of "Symbiter omega" on the gums in silicone caps at night (21 days). Results. In women, chronic generalized catarrhal gingivitis was detected in 10.71%, chronic generalized periodontitis of the initial degree in 64.29% and chronic generalized periodontitis of the I degree in 25%. In men who are carriers of pathogens of BV, chronic generalized catarrhal gingivitis was found in 7.14%, chronic generalized periodontitis of the initial degree in 60.71% and chronic generalized periodontitis in grade 32.1. General and local dental treatment of women with bacterial vaginosis and their sexual partners showed a positive objective dynamics of dental status. Thus, after 3 months of clinical and laboratory observations, there were no complaints, the state of oral hygiene improved significantly. If before the treatment the Green-Vermilion index in general in women with BV was 1.323 ± 0.035 points, then after 3 months it was equal to 1.032 ± 0.021. A similar dynamics was determined in men: from the starting index of 1.336 ± 0.041, the Green-Vermilion index decreased to 1.048 ± 0.036. 3 months after treatment, the PMA of patients decreased by 49.03%, in men - by 51.95%, no significant difference between the indicators of groups I and II was registered, while the difference between the results in the middle of groups I and II is significant . According to the KPI index, women had a significant difference between baseline and post-treatment outcomes of 1.98 points, while men had a score of 2.01 points. No significant difference was found between the results of groups I and II both before and after treatment. A similar positive dynamics characterizes the indicator - Srakov's number, according to this indicator before treatment and after differences between groups was not detected. The significant difference between the indicators in the group of women and men was 2,789 and 2,831, respectively. Before treatment and after the detection rate in the oral cavity, Gardnerella vaginalis and Atopobium vaginae did not have a significant difference between the group of men and women, but there was a clear difference between the parameters obtained at the initial examination and 3 months after treatment in the middle and second groups. Thus, Gardnerella vaginalis was detected less by 67.87% and 61.59%, Atopobium vaginae - by 65.79% and 58.65% in women and men, respectively. Conclusions. The developed and patented treatment regimen for patients with bacterial vaginosis contributes to the regression of inflammatory phenomena, improves oral hygiene, and is suitable for the treatment of women with this comorbidity and for the treatment of their sexual partners. The dynamics of reducing the percentage of detection of bacterial vaginosis pathogens corresponded to the dynamics of the clinical picture of periodontal disease in both women with bacterial vaginosis and men who were their sexual partners, which once again confirms the equal effectiveness of treatment for both gender groups.

scholarly journals Prevalence of odontogenic infections and their risk factors among the general population of Hyderabad, Pakistan.

2019 ◽  
Vol 26 (11) ◽  
pp. 1931-1936
Author(s):  
Khurram Anwar ◽  
Naveed Irfan ◽  
Mudassar Iqbal Arain ◽  
Saira Shahnaz
Keyword(s):  
Risk Factors ◽  
Oral Health ◽  
Family History ◽  
Dental Caries ◽  
General Population ◽  
Periodontal Disease ◽  
Oral Hygiene ◽  
Odontogenic Infections ◽  
Dental Patients ◽  
Dental Diseases

Objectives: Oral health performs a central part in general health which is associated with good oral hygiene. Teeth and their supporting (periodontal) structures are considered most important to oral health. Therefore, Most prevalent oral diseases such as odontogenic infections (dental caries, gingivitis, periodontal disease) gum disease, oral mucosal and congenital dental problems are foremost oral health dilemma in general population. Objective: The main objective of current study was to find out the Prevalence of odontogenic infections and their risk factors among the general population. Study Design: This is a descriptive cross sectional study. Setting: Dental patients who came to different dental clinical settings of Hyderabad, Pakistan. Period: August to December 2018. Material and Methods: A total of 300 patient’s data were collected. In current study, the variables of interest are microbial odontogenic infections such as dental caries, gingivitis and periodontal disease were included in study. Following risk factors were explored: gender, age, residence, education level, disease duration, smoking, family history, and tooth paste habit. All information/data were personally collected by interview technique and oral cavity examination. The observational data were reported in the specific form and used descriptive statistics to find out the results. Results: A total of 300 dental patients having various infections such as gingivitis (47%), dental caries (20.7%) and periodontal infection (32.3%) were reported in this study. Of these, 162(54%) were females and 138(46%) of males. The most common age of patients i.e. 41.7% were from 41 to 60 years. Education status showed that 86% of the dental patients had education and 35.3% had family history of dental diseases. Factors such as mostly duration of diseases were > 6 months(33.7%) and almost 66% patients has habit of cleaning the teeths, However, Calculus and tarta deposited in 62.7% patients teeth. Smoking (21.3%) and 46.6% patients used sweet foods on daily purpose. Moreover, amoxicillin most frequently prescribed antimicrobial agent 39% followed by metronidazole 32.7%. Conclusion: Dental diseases are common public health problem among our society, poor oral hygiene & dietary habits and deposition of calculus are associated factors for odontogenic infections. Moreover, prescribing pattern shows that Amoxicillin and Metronidazole has been considered as first-line treatment for oral infections. Therefore, oral hygiene education, dietary and proper cleaning of teeth habits and dental visit at early stage of disease should be recommended for patients to avoid and cure dental odontogenic infections.

scholarly journals Dental Treatment for a European Red Tail Deer

2020 ◽  
Vol 77 (2) ◽  
pp. 174
Author(s):  
Raluca Ioana NEDELEA ◽  
Adrian TOMA ◽  
Andreea MĂRINCUȘ
Keyword(s):  
Differential Diagnosis ◽  
Oral Cavity ◽  
Periodontal Disease ◽  
Dental Treatment ◽  
Dental Pain ◽  
Oral Examination ◽  
One Year ◽  
Cold Metal

The veterinarian doctor has to be prepared to help various kind of species. Our team had to perform dental treatment for a five years old European red tail deer. The deer was eating with difficulty. Even thou it was a hot summertime, the hind presented late shedding. Her calm and kind behaviour changed into an aggressive one. She was biting cold, metal objects, obviously to calm her dental pain. Our approach aimed to re-establish the biological and physiological balance of the oral cavity. A thorough general exam was performed for differential diagnosis. Oral examination revealed an aggressive periodontal disease. Surgical extractions were the only possible treatment. One year follow up is good, changing the prognosis from a reserved one into very good.

scholarly journals GAMBARAN TINGKAT KARIES BERDASARKAN STATUS KEBERSIHAN GIGI DAN MULUT PADA ANAK USIA 12-13 TAHUN DI SMP KATOLIK SANTO YOHANIS PENGINJIL DESA LAIKIT MINAHASA UTARA

e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Putri R. Dengah ◽  
Ni Wayan Mariati ◽  
Juliatri .
Keyword(s):  
High School ◽  
High School Students ◽  
Dental Caries ◽  
Junior High School ◽  
Oral Hygiene ◽  
Junior High ◽  
Age Groups ◽  
Total Sample ◽  
School Students ◽  
The Status

Abstract: Dental caries is a major problem in the oral cavity and can be found in all age groups. One of the causes of dental caries is poor oral hygiene. This study aimed to determine the level of caries and oral hygiene status in children aged 12-13 years in Junior High School St. Yohanis Laikit Village North Minahasa. Status caries and oral hygiene can be assessed using DMF-T index according to WHO and OHI-S is the score or the value of dental and oral examination according to Greene and Vermillion by summing Debris index (DI) and Calculus index (CI). This was a descriptive study conducted in Junior High School Santo Yohanis Laikit Village North Minahasa class 7 and 8. In general, the students belonged to the age group of 12-13 year olds. The total sample consisted of 57 students. The technique of sampling used total sampling. The results showed that the average DMF-T index was 2 (WHO categorized as low category), the average OHI-S index was 1.4 (WHO categorized as medium category. Conclusion: The status of caries and oral hygiene of Junior High School students of St. Yohanis Laikit village belonged to the medium category. Based on the dental and oral hygiene, the highest percentage of caries was in the medium category.Keywords: caries, oral hygiene, student junior high school.Abstrak: Karies gigi merupakan masalah utama pada rongga mulut dan dapat ditemukan pada semua golongan umur. Salah satu penyebab karies yaitu kebersihan gigi dan mulut yang buruk. Penelitian ini bertujuan untuk mengetahui tingkat karies dan status kebersihan gigi dan mulut pada anak usia 12-13 tahun di SMP Santo Yohanis Penginjil Desa Laikit Minahasa Utara. Status karies dan kebersihan gigi dan mulut dapat dinilai menggunakan indeks DMF-T menurut WHO dan OHI-S merupakan skor atau nilai pemeriksaan gigi dan mulut menurut Greene and Vermillion dengan menjumlahkan Debris index (DI) dan Calculus index (CI). Penelitian ini bersifat deskriptif dan dilakukan di SMP Santo Yohanis Penginjil Desa Laikit Minahasa Utara kelas 7 dan 8 yang pada umumnya merupakan kelompok remaja umur 12-13 tahun dengan jumlah sampel sebanyak 57 orang. Teknik pengambilan sampel menggunakan total sampling. Hasil penelitian menunjukkan indeks DMF-T rata-rata sebesar 2 (dalam kategori WHO termasuk kategori rendah) dan indeks OHI-S rata-rata sebesar 1,4 (dalam kategori WHO termasuk dalam kategori sedang). Simpulan: Status karies dan kebersihan gigi dan mulut siswa SMP Santo Yohanis Penginjil Desa Laikit termasuk dalam kategori sedang. Berdasarkan status kebersihan gigi dan mulut, presentase karies terbanyak terdapat pada kategori sedang.Kata kunci: karies, kebersihan gigi dan mulut, siswa smp.

scholarly journals DEVELOPING AN INDIVIDUALIZED TREATMENT PLAN FOR DENTAL PATIENTS WITH ACCOMPANYING SENSITIZATION TO BACTERIA, FOOD, POLLEN, AND MORE

2020 ◽  
Vol 26 (4) ◽  
pp. 3378-3382
Author(s):  
Mariana Cekova-Yaneva ◽  
◽  
Iliyana Stoeva-Ivanova ◽  
Georgi S. Nikolov ◽  
◽  
...  
Keyword(s):  
Oral Cavity ◽  
Dental Treatment ◽  
Cell Damage ◽  
Treatment Plan ◽  
Holistic Approach ◽  
Individualized Treatment ◽  
Treatment Result ◽  
Type I ◽  
Dental Patients ◽  
Wide Range

Contemporary dental medicine offers a wide range of materials and techniques for the rehabilitation of the dentomaxillofacial system, which in recent years has led to a dramatic increase in allergic reactions in sensitized patients after dental treatment. Once in the oral cavity, saliva and gastrointestinal tract, dental medication or dental material release products that, under certain conditions, can cause direct cell damage or induce an immunological/allergic reaction. The local and systemic reactivity in each individual is different and this explains why biocompatible materials that persist in the oral cavity elicit an immune/allergic response in some patients while none is evident in others. Dental medications, and especially materials that permanently remain in the oral cavity (composites, plastics, metal alloys, etc.), cause hypersensitivity reactions mainly of type IV (slow) and less often of type I (fast). It is very important to develop an individualized treatment plan for dental patients with accompanying sensitization to bacteria, food, pollen, and more. There is no doubt that the implementation of a holistic approach in the treatment of sensitised patients is a prerequisite for a much more successful treatment performed by the dentist. This imposes work in close collaboration with an interdisciplinary team using the possibilities of the modern achievements of immunology and allergology. Patients’ history data and the results from skin allergy tests are the basis of application of individualized treatment approach and personalized immunotherapy for each separate patient, as well as of treatment result control.

scholarly journals Evaluation of Oral Hygiene in Patients with Generalized Periodontitis of II Degree and Stage II Hypertension

2016 ◽  
Vol 23 (4) ◽  
pp. 2016419
Author(s):  
Tetiana Vivcharenko ◽  
Mykola Rozhko
Keyword(s):  
Oral Cavity ◽  
Periodontal Disease ◽  
Oral Hygiene ◽  
Main Group ◽  
Stage Ii ◽  
Personal Hygiene ◽  
Control Group ◽  
Poor Oral Hygiene ◽  
Periodontal Tissues ◽  
The Status

Generalized periodontitis is the most common form of periodontal pathology, especially in the second half of life. Nowadays, the problem of periodontal disease is relevant due to its high prevalence, tendency to progression, multifaceted influence on the dentoalveolar system and the whole organism as well as uncertain treatment. Therefore, there is a need to find optimal ways of prevention and treatment of this disease. Close relationships between periodontal pathology and systemic diseases, such as hypertension, which affects every 2nd-3rd adult were determined.The objective of the research was to determine the status of oral cavity hygiene in patients with generalized periodontitis of II degree and stage II hypertension.Materials and methods. The study included 30 patients with generalized periodontitis of II degree and stage II hypertension being treated in the Ivano-Frankivsk Regional Clinical Cardiology Dispensary; the average age ranged from 35 to 54 years (the main group). The control group included 10 patients of the same age without generalized periodontitis and somatic pathology .The status of oral cavity hygiene was determined using the Green Vermillion index. The diagnosis of periodontal disease was made on the basis of the classification proposed by M.F. Danilevskyi. The obtained results were subjected to variation-statistical analysis using statistical package “Stat Soft 6.0”; classical methods of variational statistics were applied; mean values and their reliability were evaluated.Results. The results of examination showed poor oral hygiene in almost all patients. The analysis of hygienic indices showed the following results: in patients of the main group, the Green Vermillion index was 1.99 ± 0.13 points (p<0.001) which corresponds to unsatisfactory level of oral hygiene. In patients of the control group, this index was 1.10 ± 0.17 points which corresponds to satisfactory level of oral hygiene. According to the index, 9 (30.0%) patients of the main group had satisfactory oral hygiene, 12 (40.0%) patients had poor oral hygiene, and in 9 (30.0%) patients, poor oral hygiene was observed.In the control group, 2 (20.0%) patients had good oral hygiene, 6 (60.0%) patients had satisfactory oral hygiene and in 2 (20.0%) patients, unsatisfactory oral hygiene was observed. There were no patients with poor oral hygiene. The analysis of the indicators of the Green Vermillion index showed that in case of the pathological process exacerbation the oral hygiene status in patients deteriorated.Conclusions. The level of oral hygiene in patients of both groups was low due to incorrect selection of personal hygiene products or their untimely replacement. In patients with generalized periodontitis of II degree and stage II hypertension, the level of oral hygiene was lower than in somatically healthy persons: the worse status of oral cavity hygiene – the more pronounced changes in the periodontal tissues. We can suppose that high blood pressure affects the status of the oral cavity, creates a higher risk and exacerbates the periodontal diseases.

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