scholarly journals Dental caries in association with viral load in children living with HIV in Phnom Penh, Cambodia: a cross-sectional study

2020 ◽  
Author(s):  
Kimiyo Kikuchi ◽  
Junko Yasuoka ◽  
Sovannary Tuot ◽  
Sumiyo Okawa ◽  
Sokunthea Yem ◽  
...  

Abstract Background: Oral health status is known to be associated with overall health among people living with HIV. However, it is unclear whether dental caries is associated with viral load among this population. In particular, dental caries among children living with HIV needs to be better understood, as this can affect their overall health and future well-being. This study assessed the association between dental caries and viral load among children living with HIV in Phnom Penh, Cambodia.Methods: This cross-sectional study was conducted at the National Paediatric Hospital as a baseline survey of a randomized controlled trial. The study population included children living with HIV aged 3–15 years and their primary caregivers. We collected data on the children’s oral health status by oral examination and the latest HIV viral load data stored in the patients’ information system at the hospital. We also conducted a questionnaire-based interview of the children and their primary caregivers. Multiple logistic regression analysis was conducted to assess the association between dental caries and viral load. The cut-off point for undetectable viral load was set at <40 copies/mL.Results: Data from 328 children were included in the analysis; 68.3% had an undetectable viral load. The mean number of permanent or deciduous teeth with caries was 7.7 (standard deviation, 5.0). In the regression analysis, dental caries in permanent or deciduous teeth was positively associated with detectable viral load (adjusted odds ratio: 1.07, 95% confidence interval: 1.01–1.14). Conversely, antiretroviral therapy of ≥1 year and self-reported better adherence to antiretroviral drugs were negatively associated with detectable viral load. Among children with detectable viral load, dental caries in permanent or deciduous teeth was also positively associated with non-suppression of viral load (>1000 copies/mL) (adjusted odds ratio: 1.12, 95% confidence interval: 1.03–1.23).Conclusions: Dental caries was associated with viral load status detection among children living with HIV. This finding suggests that oral health status may affect the immune status of children. The oral health of children living with HIV should be strengthened, and further research is needed to clarify the causal relationship between viral load and oral health status.

2020 ◽  
Author(s):  
Kimiyo Kikuchi ◽  
Junko Yasuoka ◽  
Sovannary Tuot ◽  
Sumiyo Okawa ◽  
Sokunthea Yem ◽  
...  

Abstract Background: Oral health status is known to be associated with overall health among people living with HIV. However, it is unclear whether dental caries is associated with viral load among this population. In particular, dental caries among children living with HIV needs to be better understood, as this can affect their overall health and well-being in future. This study assessed the association between dental caries and viral load among children living with HIV in Phnom Penh, Cambodia. Methods: This cross-sectional study was conducted at the National Paediatric Hospital as a baseline survey of a randomized controlled trial. The study population included children living with HIV aged 3–15 years and their primary caregivers. We collected data on the children’s oral health status by oral examination and the latest HIV viral load data stored in the patients’ information system of the hospital. Multiple logistic regression analysis was conducted to assess association between dental caries and viral load. The cut-off point of undetectable viral load was set at <40 copies/mL. Results: Data from 328 children were included in the analyses. Moreover, 68.3% had an undetectable viral load. The mean number of permanent or deciduous teeth with caries was 7.7 (standard deviation [SD], 5.0). In the regression analysis, dental caries in permanent or deciduous teeth were positively associated with detectable viral load (adjusted odds ratio [AOR]: 1.07, 95% confidence interval [CI]: 1.01, 1.14). Having received antiretroviral therapy ≥1 year and self-reported excellent adherence to the antiretroviral drug were also negatively associated with detectable viral load. Among children with detectable levels of viral load, dental caries in permanent or deciduous teeth were also positively associated with non-suppression of viral load (>1000 copies/mL) (AOR: 1.12, 95% CI: 1.03, 1.23). Conclusions: Dental caries was associated with viral load status detection among children living with HIV. This finding suggests that oral health status may affect the immune status of the children. Oral health of children living with HIV should be strengthened, and further research is needed to clarify the causal relationship between viral load and oral health status.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kimiyo Kikuchi ◽  
Junko Yasuoka ◽  
Sovannary Tuot ◽  
Sumiyo Okawa ◽  
Sokunthea Yem ◽  
...  

Abstract Background Oral health status is associated with the overall health among people living with human immunodeficiency virus (HIV) infection. However, it is unclear whether dental caries is associated with the viral load in this population. Particularly, dental caries among children living with HIV needs better understanding as this can affect their overall health and future well-being. This study assessed the association between dental caries and viral load among children living with HIV in Phnom Penh, Cambodia. Methods This cross-sectional study, conducted at the National Pediatric Hospital as a baseline survey of a randomized controlled trial, included 328, 3–15-year-old children living with HIV and their primary caregivers. Calibrated and trained examiners conducted oral examinations for dental caries (DMFT/dmft index) in the children and retrieved the latest HIV viral load data from the hospital’s patient information system. On the dental examination day, the children and their caregivers were invited to answer a questionnaire-based interview. Multiple logistic regression analysis was conducted to assess the association between dental caries and viral load. The cut-off point for undetectable viral load was set at < 40 copies/mL. Results Data from 328 children were included in the analysis; 68.3% had an undetectable viral load. The mean DMFT/dmft was 7.7 (standard deviation = 5.0). Adjusted regression analysis showed that dental caries in permanent or deciduous teeth was positively associated with detectable viral load (adjusted odds ratio [AOR]: 1.07, 95% confidence interval [CI]: 1.01–1.14). Conversely, antiretroviral therapy of ≥ 1 year and self-reported better adherence to antiretroviral drugs were negatively associated with detectable viral load. Among children with detectable viral load, dental caries in permanent or deciduous teeth was positively associated with non-suppression of viral load (> 1000 copies/mL) (AOR: 1.12, CI: 1.03–1.23). Conclusions Dental caries was associated with viral load status detection among children living with HIV. This finding suggests that dental caries may affect their immune status. The oral health of children living with HIV should be strengthened, and further research is needed to clarify the causal relationship between viral load and oral health status.


2021 ◽  
Author(s):  
Kimiyo Kikuchi ◽  
Junko Yasuoka ◽  
Sovannary Tuot ◽  
Sumiyo Okawa ◽  
Sokunthea Yem ◽  
...  

Abstract Background: Oral health status is known to be associated with overall health among people living with HIV. However, it is unclear whether dental caries is associated with viral load among this population. In particular, dental caries among children living with HIV needs to be better understood, as this can affect their overall health and future well-being. This study assessed the association between dental caries and viral load among children living with HIV in Phnom Penh, Cambodia.Methods: This cross-sectional study was conducted at the National Paediatric Hospital as a baseline survey of a randomized controlled trial. The study population included children living with HIV aged 3–15 years and their primary caregivers. Calibrated examiners collected data on dental caries status (WHO index) and the latest HIV viral load data stored in the patients’ information system at the hospital. On the day of the dental examination, children’s caregivers and older children were invited to answer a questionnaire-based interview. Multiple logistic regression analysis was conducted to assess the association between dental caries and viral load. The cut-off point for undetectable viral load was set at <40 copies/mL.Results: Data from 328 children were included in the analysis; 68.3% had an undetectable viral load. The mean decayed, missing, or filled permanent/deciduous teeth was 7.7 (standard deviation = 5.0). In the regression analysis, dental caries in permanent or deciduous teeth was positively associated with detectable viral load (adjusted odds ratio: 1.07, 95% confidence interval: 1.01–1.14). Conversely, antiretroviral therapy of ≥1 year and self-reported better adherence to antiretroviral drugs were negatively associated with detectable viral load. Among children with detectable viral load, dental caries in permanent or deciduous teeth was also positively associated with non-suppression of viral load (>1000 copies/mL) (adjusted odds ratio: 1.12, 95% confidence interval: 1.03–1.23).Conclusions: Dental caries was associated with viral load status detection among children living with HIV. This finding suggests that dental caries may affect the immune status of children. The oral health of children living with HIV should be strengthened, and further research is needed to clarify the causal relationship between viral load and oral health status.


Author(s):  
Kitty Jieyi Chen ◽  
Ni Zhou ◽  
Biao Xu ◽  
Yuexiao Li ◽  
Shinan Zhang ◽  
...  

Background: The aim of this cross-sectional study was to investigate the oral health status of Hani 12-year-old children in Yunnan, a province in Southwest China. Method: This study employed a multistage sampling method to recruit children from local primary schools. Two calibrated dentists examined the status of dental caries, gingival bleeding and dental fluorosis by adopting the diagnosis criteria recommended by the World Health Organization. A self-administrated questionnaire was distributed. The chi-square test and multivariate logistic regression were conducted. Results: This study invited 480 Hani children, and recruited 413 children (52% boys) (response rate: 86%). The dental caries prevalence was 52%, and the caries experience associated with the mean (standard deviation) decayed, missing and filled teeth (DMFT) score was 1.10 (1.46). Gingival bleeding was diagnosed in 252 children (61%), and dental fluorosis was found in two children (0.5%). The results of the regression model indicated the prevalence of dental caries were associated with sugary snacking habits (p = 0.002). The prevalence of gingival bleeding was related to the mother’s education level as well as the child’s monthly pocket money (p < 0.05). Conclusion: Dental caries and gingival bleeding were prevalent among 12-year-old Hani children in the Yunnan province in China. Dental fluorosis was uncommon.


2013 ◽  
Vol 7 (1) ◽  
pp. 24-32 ◽  
Author(s):  
R Gupta ◽  
K Dhanker ◽  
NA Ingle ◽  
N Kaur

ABSTRACT Objectives To assess the oral health status and treatment needs of inmates of, District Jail Mathura. MATERIALS AND METHODS A cross sectional study was carried out on the inmates (N=870) in the district jail of Mathura. Proforma related to general demographic information was filled by the examiner and the subjects were clinically examined using WHO 1997 “Oral Health Assessment Form RESULTS This study revealed that 92.5% of the inmates were male. 53.8% never visited the dentist & 87% never received any type of dental care during imprisonment. Prevalence of pro-mucosal lesion was 59.8%. Inmates had poor periodontal conditions and 79% inmates had dental caries with mean DMFT of 4.79. CONCLUSION Periodontal disease, mucosal lesions and dental caries are major public health problem among the inmates, which require special attention and efforts from government and other organizations to meet their treatment needs.


2018 ◽  
Vol 3 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Mohammed Al-Thani ◽  
Al-Anoud Al-Thani ◽  
Abdulla Al-Emadi ◽  
Walaa Al-Chetachi ◽  
Benjamin Vinodson ◽  
...  

Background The national oral health survey-Qatar was carried out in 2011 in an attempt to establish the baseline information about oral health status among youth. This article describes the oral health status of 12 and 15-year-old students in Qatar. Methods Cross-sectional survey data were analyzed for 12 (N=1060) and 15 (N=1064) year-old students. The caries status based on decayed, missing, filled teeth or DMFT=0 (no caries) & DMFT≥1 (caries present). Mean indices among nationalities and sex were compared by student’s t-test. Analysis of variance (ANOVA) was used to compare means by the type of the school. Logistic regression was used to examine associations among available variables. Results In the overall sample, 53.3% (n=565) of 12-year-olds and 55.4% (n=589) of 15-year-olds had varying levels of dental caries. The odds of dental caries were higher among girls compared to boys aged 12 years (OR=1.3, CI=1.0-1.6, P=0.05) as well as 15 years old (OR=1.28, CI=1.01-1.6, P=0.04) respectively. By nationality, Qatari students had a higher mean DMFT value (1.3 ± 1.2) compared to non-Qataris (0.82 ± 1.1). The public/independent attendees had higher mean DMFT values (1.31 ± 1.2) compared to the other two school categories. Fifteen-year-old students had lower odds (OR=0.81, CI- 0.68-0.97, P=0.02) of gingival bleeding and higher odds (OR=1.68, CI=1.4-2.1, P<0.001) of calculus compared to 12-year-olds. Dental fluorosis was found among 15% of 12 years old and 16.6% of 15 years old. The odds of fluorosis were higher among 15 years old but this relationship was not significant (OR=1.1, CI=0.88-1.4, P=0.36). Lower odds of bleeding teeth (OR=0.81, CI=0.68-0.97, P=0.02) and higher odds of calculus were found among 15 years old (OR=1.68, CI=1.4-2.1, P<0.001) compared to 12 years. Conclusions The results provide directions to further strengthen the oral health strategies through various evidence-based interventions.Background


Author(s):  
Azlan Jaafar ◽  
Normaliza Ab Malik ◽  
Aws Hashim Ali Al-Kadhim

Oral health literacy is the ability of an individual in making an appropriate decision to achieve optimum oral health. This study aimed to assess the oral health literacy and oral health status of undergraduate university students. This is a cross sectional study conducted among students from various faculties in USIM. A written consent was obtained before the administration of OHLI-M questionnaire via Google form. Oral examination was conducted after completing the questionnaire. A descriptive data analysis was performed to determine the adequacy of oral health literacy and oral health status among the students. A total of 280 students participated in this study. The mean age was 22 years old (SD=1.17) with the majority of them being female (82.1%) and coming from urban residences (57.1%). The prevalence of dental caries and periodontal disease was 58.9% (95% CI= 53.2 to 64.6) and 13.2% (95% CI= 9.6 to 17.1) respectively. Students with adequate oral health literacy had better oral health status. Those with inadequate oral health literacy had a high percentage of dental caries.


2013 ◽  
Vol 1 (1) ◽  
pp. 2-5
Author(s):  
Md Asif Iqbal Khan ◽  
Md Mahfuzur Rahman ◽  
Md Mahfuz Hossain ◽  
Abu Syem Md Shahin

Background Despite remarkable reduction in the prevalence of dental caries in developed countries, dental caries is still a highly prevalent disease among children in developing countries. Objectives To estimate the oral health status of children under five years of age by assessing decayed, missing and filled teeth (dmft) status of primary teeth along with their tooth cleaning and food habits. Materials and Methods This cross-sectional study on oral health status of children under five years of age was carried out among 107 children attending the Outpatient Department of Sapporo Dental College and Hospital, situated at Uttara, Dhaka. Data was collected both in English and Bengali with a pre-tested structured questionnaire and a checklist. Results Dental caries (d) was found in 69.2% of the children while missing (m) and filled (f) teeth were recorded in 14% and 21.5% of the children respectively. Almost three quarter children (72%) demonstrated an overall dmft score 1 or higher; whereas one third children (28%) demonstrated dmft score 0 or free from any form of dental decay, missing teeth and dental filling. Increased age of the children was directly associated (p<0.05) with the number of decayed, missing or filled teeth. The study also revealed that correct method of brushing was practiced by only 44% of the children and recommended brushing time (1-3 minutes) was done by 37.3% only. Children who were assisted by their parents during brushing experienced less caries compared to the children who brushed their teeth by themselves and this finding was statistically significant (p<0.05). Taking snacks between meals was preferred by 106 children and among them 97.2% did not clean their mouth after having snacks. DOI: http://dx.doi.org/10.3329/updcj.v1i1.13945 Update Dent. Coll. j: 2011; 1 (1): 02-05


2015 ◽  
Vol 3 (3) ◽  
pp. 711
Author(s):  
Ganesh Shenoy Panchmal ◽  
Kelvin Peter Pais ◽  
Praveen Dinatus ◽  
Pai Vinitha ◽  
Sabin Siddique ◽  
...  

AIM: This study was to evaluate saliva parameters of identical and non identical twins with their dental caries and oral hygiene status. MATERIAL AND METHODS: A cross sectional study was conducted to assess the oral health status and investigate the salivary parameters of identical and non–identical twins in Kodhini Village, Kerala. The WHO Oral Health Assessment Form was used to record the oral health status. The Simplified Oral Hygiene Index and Gingival Bleeding Index were also included. Unstimulated saliva was collected. Immunoglobulin A levels in saliva was estimated by Turbidimetric Immunoassay. Salivary Cortisol was analysed using ELISA method. For TAC thiobarbituric acid reactive from Fenton’s reaction. RESULTS: Since the absolute difference of the salivary parameters between the pairs of twins was not symmetrically distributed, we report median and interquartile range to describe these differences. There were no observed significant variations in the above salivary parameters. CONCLUSION: The similarity in their environmental factors as well as perhaps the similar genetic predisposition on salivary factors has led to the similarity in the dental caries experience in these twin children.


2015 ◽  
Vol 2015 ◽  
pp. 1-9
Author(s):  
Yotat Michele Lolita ◽  
Agbor Ashu Michael ◽  
Ntumba Hubert ◽  
Djachechi Florence ◽  
Bolenge Jacques

Objectives. The aim of this study was to determine the oral health status of elderly persons in Tonga, West Region of Cameroon.Methodology. This is a cross-sectional study of persons of at least 65 years, living in Tonga village, West Region of Cameroon.Results. A total of 183 persons aged between 65 and 94 years, mean age of 73 years ±7 s.d., 83 (45,4%) males, and 100 (54,6%) females participated in the study. The most represented age range was 65–74 years (60.1%); 86 (47.3%) and elders above 65 constituted 1.8% of the total population. More than a third 117 (41.4%) had visible dental plaque, 117 (48,6%) had periodontal pockets >4 mm, 153 (54,1%) had teeth with total crown destruction, 70 (38.3%) had not lost a tooth, 23 (12.6%) had lost 1 tooth, 19 (10.4%) have lost at least 2 teeth, 100 (55.7%) were partially edentulous at the maxilla and 98 (53.6%) at the mandible, 2 (1.1%) were completely edentulous at the maxilla and 3 (1.6%) at the mandible, and 3.8% had removable dentures. The mean DMF index was 6.11 and 69.4% had dental caries. Risk factors to dental caries were toothbrushing and tobacco consumption while dental plaque was associated to pocket depth of 4–6 mm. Barriers to oral health care included ignorance 47 (25.7%), financial difficulties 124 (67.8%), and distance to the nearest clinic 12 (6.5%).Conclusion.The oral status of the elderly was generally poor.


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