scholarly journals MENOPAUSE AS A FACTOR OF ORAL HEALTH

2021 ◽  
Vol 78 (4) ◽  
pp. 117-126
Author(s):  
Iryna Mazur ◽  
Tetiana Tatarchuk ◽  
N. V. Kosey ◽  
О. V. Zanko ◽  
Olga Efimenko

General increase of longevity in Ukraine and around the world along with the increasing number of women over 50 necessitates implementation of comprehensive scientifically based programs aimed to improve health and quality of life of this part of population. The aim of this review of international and Ukrainian studies was to investigate in depth hormone associated mechanisms of pathologic conditions formation in peri- and postmenopausal women. Materials and methods. Studies on association of climacteric symptoms and symptoms of dental pathology were analyzed. Results. Our literature review showed worse condition of dental health in menopausal women. The pres­ence of estrogen receptors in oral mucosa and salivary glands increases the risk of dental pathology when ovarian function diminishes. Gradual decrease of ovarian steroids in female body causes changes in oral microbiota and changes microbial landscape of periodontal pockets and effects local immunity. This causes increase of oral mucosa pathology such as glossodynia or burning mouth syndrome, lichen planus and angular cheilitis. It also causes the increase of periodontal diseases rate. Conclusions. Cross-disciplinary interaction of dentists and gynecologists-endocrinologists will provide possibilities to discover more common causes and pathogenic mechanisms of periodontal diseases and oral mucosa in menopausal women. This will provide possibilities for the development of comprehensive approach to diagnosis, treatment and prophylaxis.

Author(s):  
Divya Sreenath J ◽  
Henavathi SK ◽  
Anjali M. V. ◽  
A. Nalinakshan

Menopause is a universal phenomenon and an unavoidable physiological transition process in a women’s life, which marks the end of women’s reproductive capacity. It is caused by the depletion of ovarian function followed by the cessation of menstruation. In Ayurveda literature, the term Rajonivṛtti (menopause) is used for menopause and it considered as a sign of aging or Jarā. As a result of change in hormones after menopause certain psychological and biological changes affect women’s health and degrade her quality of life. Ācāryā Vāgbhaṭa had mentioned that in Kaphaprakṛti (body type) individual, and women who are having a habit of taking ghee (Vātapitta Prasamana - pacify Vata Pitta humors) and milk ( Jeevaniya), and who are having a pleasant mind in those subjects the Ārtava (menstruation) retains long . The aim of the study was to assess the menopausal symptoms that is mentioned in the menopausal rating scale (MRS) in relation to Prakruti of an individual. For that a survey study is conducted in 250 menopausal women in Sakthikulangara village (Kollam district) who satisfy the inclusion and exclusion criteria. It was observed that out of the 11 menopausal symptoms 9 symptoms shows statistically significant association with Vātapittaprakṛti.


2021 ◽  
pp. 5-9
Author(s):  
A. K. Iordanishvili

Goal. To investigate dental health and oral microbiota in elderly people who use domestic care products after the completion of their sanitation.Material and methods. The prevalence and intensity of the course of dental caries, periodontal pathology, pathology of the oral mucosa, as well as the microbiota in 96 people aged 61 to 73 years were studied using conventional research methods in dentistry in elderly patients who visited a dentist for a year according to the appealability (group 1) or were under dynamic supervision and regularly carried out individual oral hygiene with the help of domestic ASEPTA products (group 2).Results. Individual prophylactic and hygienic measures for the care of the oral cavity, regularly carried out by elderly patients of group 2, significantly improved their dental health, contributed to the secondary prevention of periodontal diseases and a significant reduction in periodontal pathogens in the oral cavity.Conclusion. Elderly patients who are regularly observed by a dentist with a complex of measures for the primary and secondary prevention of dental diseases carried out 2 times a year, as well as with their proper adherence to oral care, it is possible to achieve effective treatment of the pathology of hard dental tissues, remission of inflammatory pathology of periodontal disease, and also good oral hygiene, which has a positive effect on their quality of life.


2020 ◽  
Vol 16 (1) ◽  
pp. 14-21
Author(s):  
Irina Anisimova ◽  
Larisa Lomiashvili ◽  
Irina Barkan ◽  
Laura Simonyan

Background. In this article, we have studied the frequency of the combination of diseases of the oral mucosa with somatic pathology and local factors of the oral cavity of gerontological patients. A clinical dental examination of the elderly and old people who addressed to the Department of Therapeutic Dentistry in Omsk State Medical University on the basis of Omsk dental polyclinics No. 1 was carried out. Objectives ― to study the frequency of combinations of diseases of the oral mucosa with somatic pathology and local oral factors. Methods. 120 patients aged 55―85 with periodontal diseases, the oral mucosa and red border were examined. Out of those 120 people 96 ones (80 %) were women; 24 (20 %) were men. Informed consent was obtained from all patients for examination, treatment, observation and «health questionnaires» were filled out. The analysis of the personalized advisory conclusions of the local therapist is carried out. An analysis was made of the oral hygiene index, galvanic current indicators, and the indications of gerontological patients in prosthetic treatment were fulfilled. Results. An analysis of the personalized advisory conclusions by the local physician showed that diseases of the oral mucosa of gerontological patients were combined with somatic pathology. The analysis of the hygiene index revealed unsatisfactory hygiene in 72 % cases. Galvanic currents were found in the oral cavity of gerontological patients in 52.2 % cases. Conclusions. In 100 % cases, somatic pathology was combined with diseases of the oral mucosa of gerontological patients. Local unfavourable factors: poor hygiene, galvanosis, irrational denture exacerbated the course of diseases of the oral mucosa and worsened the quality of life of gerontological patients.


2019 ◽  
Vol 15 (2) ◽  
pp. 32-36
Author(s):  
Анна Степанова ◽  
Anna Stepanova ◽  
Марина Нагаева ◽  
Marina Nagaeva ◽  
Елена Дзюба ◽  
...  

Background. The high prevalence of inflammatory periodontal diseases in young people determines the relevance of the study of the diagnosis and treatment of pathologies. Chronic generalized periodontitis of moderate severity is a General medical and socio-economic problem. Mobility and loss of teeth, the presence of a focus of chronic infection in periodontal pockets, gum recession and bad breath lead to psychological discomfort associated with difficulty in communicating, eating, daily life. Thus, the quality of life of patients due to dental health is an important indicator of the subjective evaluation of the effectiveness of therapeutic measures. Objectives ― study of the dynamics of quality of life in patients with chronic generalized periodontitis on the background of traditional therapy Methods. In the course of the study, the treatment of chronic generalized periodontitis of moderate severity was carried out using the traditional treatment regimen, and the long-term indicators of the quality of life due to dental health were studied on the basis of the OHIP-14-RU questionnaire. Results. As a result of our study revealed a significant improvement in the quality of life due to dental health in patients with chronic generalized periodontitis of moderate severity in the long term. At the same time, after 12 months, some patients in the questionnaires recorded problems in communication, after 6 and 12 months – problems in everyday life. Conclusions. Our study demonstrates an improvement in the quality of life due to dental health in patients with chronic generalized periodontitis of moderate severity against the background of traditional treatment. However, the emergence of problems in communication in the long term after therapy suggests the need to optimize treatment aimed at their elimination.


2018 ◽  
Vol 14 (2) ◽  
pp. 12-18
Author(s):  
Инна Жаркова ◽  
Inna Zharkova ◽  
Миляуша Кабирова ◽  
Milyausha Kabirova ◽  
Лариса Герасимова ◽  
...  

Background Diabetes mellitus is a chronic disease that affects several hundred million people. In the presence of type 1 diabetes mellitus, there is a xerostomia, a violation of microcirculation, epithelial regeneration, a change in local immunity, the accumulation of glycated hemoglobin, which disrupts the supply of nutrients, and reduces the resistance of tissues to the action of foreign microorganisms, leading to the formation of a hard-to-treat chronic mechanical injury of the oral mucosa. Objectives Conduct an analysis of the efficacy of the complex treatment for chronic mechanical trauma of the oral mucosa in patients with type 1 diabetes based on clinical, dental, immunological, sociological research methods and functional vascular studies. Methods The dental, clinical status, overall quality of life, local immunological status and hemodynamics of the oral mucosa before and after treatment of chronic injuries of the oral mucosa in patients with type 1 diabetes mellitus by the traditional method compared with the scheme developed by us. Results As a result of the study, the success of treatment of chronic injuries of the oral mucosa in patients with type 1 diabetes according to our method is more effective than traditional treatment: by 20 % in terms of dental status, clinical symptoms and cytokine profile; complete disappearance of inflammatory changes in the oral mucosa 50 % improved the quality of life; the condition of the microcirculatory channel of the oral mucosa reached the figures of the control group. Conclusions With the application of the method of treatment of chronic mechanical trauma proposed by us in patients with type 1 diabetes mellitus using the Optotan physiotherapeutic laser apparatus with 5 % of mexidol and Ozonid oil, the therapy proved highly effective, based on the results of the study.


Author(s):  
Наталия Александровна Полушкина ◽  
Наталия Владимировна Чиркова ◽  
Жанна Владимировна Вечеркина ◽  
Елена Александровна Лещева ◽  
Кристина Павловна Кубышкина

Особое место в структуре стоматологической заболеваемости занимает патология пародонтального комплекса, в частности - хронический генерализованный пародонтит, который по данным ВОЗ находится на втором месте по частоте распространения среди всех стоматологических заболеваний, уступая лишь кариесу. Первые признаки воспаления пародонта начинают проявляться уже в молодые годы, а к пожилому периоду - распространенность заболеваний пародонта достигает значений, стремящихся к 100%. Решение проблемы своевременной диагностики, профилактики и лечения патологии пародонта по-прежнему является актуальнейшей задачей современной стоматологии. Генерализованный пародонтит - это не только очаг хронической инфекции и источник сенсибилизации организма, но также ведущая причина потери зубов (особенно в старших возрастных группах), приводящая к серьезным деструктивным последствиям, дезорганизующим зубочелюстной аппарат. Данный факт способен серьезным образом повлиять на качество жизни человека, делая пародонтологическую проблему не только медицинской, но и социальной. Несмотря на очевидную актуальность данного вопроса, а также большой интерес к научным исследованиям в области пародонтологии, стоит признать, что уровень стоматологического здоровья, а также оказания пародонтологической помощи, в том числе пожилому населению - далеки от идеала. Во многом это объясняется сложностью этиологии и патогенеза заболеваний пародонта, а также, нередко, отсутствием комплексного понимания данной патологии при ее терапии A special place in the structure of dental morbidity is occupied by the pathology of the periodontal complex, in particular, chronic generalized periodontitis, which, according to the WHO, is in second place in terms of prevalence among all dental diseases, second only to caries. The first signs of periodontal inflammation begin to appear already in the young years, and by the old age the prevalence of periodontal diseases reaches values tending to 100%. Solving the problem of timely diagnosis, prevention and treatment of periodontal pathology is still the most urgent task of modern dentistry. Generalized periodontitis is not only a source of chronic infection and a source of sensitization of the body, but also a leading cause of tooth loss (especially in older age groups), leading to serious destructive consequences that disorganize the dental apparatus. This fact can seriously affect the quality of life, making periodontal problems not only medical, but also social. Despite the obvious relevance of this issue, as well as the great interest in scientific research in the field of periodontology, it is worth recognizing that the level of dental health, as well as the provision of periodontal care, including the elderly population, is far from ideal. This is largely due to the complexity of the etiology and pathogenesis of periodontal diseases, as well as, often, the lack of a comprehensive understanding of this pathology during its therapy


Dental Update ◽  
2021 ◽  
Vol 48 (9) ◽  
pp. 761-768
Author(s):  
Shalini Nayee ◽  
Cameron Herbert ◽  
Pepe Shirlaw ◽  
Richard Cook

Dry mouth has numerous causes, including medications, radiotherapy and rheumatological conditions, such as Sjögren's syndrome. This article presents the common causes of dry mouth, and details the assessment, investigations and management required for patients with dry mouth within primary dental care, in addition to outlining secondary care investigations and management. CPD/Clinical Relevance: Dry mouth is common in the general population, with widespread implications for dental health and patients' quality of life. Dental professionals have a key role in both its identification and long-term management.


Author(s):  
Tatiana Nikolaevna Novozemceva ◽  
E. E Olesov ◽  
I. M Makeeva ◽  
V. N Olesova ◽  
I. A Kryazhinova ◽  
...  

High health indicators, including dental health, are a condition of professional activity of cosmonauts. The assessment of indicators of dental status in members of the squad of astronauts on the basis of the survey on the Map-assessment of dental status of the who in the age groups under 35 years 35 - 44 years old over 45 years old. The values of the intensity of caries and periodontal disease, the quality of light-curing seals and endodontic treatment, the presence of orthopedic structures, including implants are presented. The lower intensity of caries, as well as the prevalence and intensity of periodontal diseases among the members of the cosmonaut team in comparison with the Russian indicators; insufficient quality of previous dental treatment regarding fillings and root canal obturation; low need for treatment of caries and dental prosthetics in connection with timely and quality treatment and replacement of removed teeth in specialized clinics of Moscow after enrollment in the cosmonaut corps, as well as in connection with the real dispensary dental care of cosmonauts.


2020 ◽  
Vol 16 (3) ◽  
pp. 53-59
Author(s):  
Anastasia Kozmenko ◽  
Sergey Griroriev ◽  
Nina Chernyshova ◽  
Aleksandr Ustyuzhanin ◽  
Natalia Makerova

Subject. Microorganisms are a fundamental factor in the development of inflammation. The choice of a medicinal composition in the form of a gel can provide a prolonged introduction of dosage forms into the focus of inflammation. For our research, the herbal medicine Gum balm "Forest Balm" was selected. The main components are aloe juice, bisabolol, panthenol and ginger extract, which have an anti-inflammatory and wound-healing effect; troxerutin, which helps reduce gum bleeding; fir extract, which blocks the growth of pathogenic oral microbiota. Purpose ― to assess the effectiveness of the use of gum balm "Forest Balsam" in the treatment of inflammatory periodontal diseases Methodology. A survey of 30 volunteer patients aged 20 to 22 years was conducted. Dental examinations were performed at the following time intervals: before application, after the 1st application, after 3 days, after 5 days and 7 days of application. The prevalence of the inflammatory process was assessed using the papillary-marginal-alveolar index and the Muhlemann bleeding index (modified by Cowell). Qualitative and quantitative study of microbiological material was performed by measuring the buccal epithelial colonization index to determine the status of local immunity. Results. Changes in the cytological picture in the direction of normocenosis are determined on the third day of applying the gum balm "Forest balm". On the 7th day of application, it eliminates all visible symptoms of gum disease (bleeding, inflammation, swelling). Conclusions. Gum balm "Forest balm" improves the protective function of the oral cavity by activating cellular defense mechanisms, strengthens local immunity, activates its own immune defense of the oral cavity to fight opportunistic microorganisms, increases the colonization resistance of the oral mucosa to opportunistic microorganisms.


Author(s):  
В.Г. Антоненко ◽  
Н.В. Шилова ◽  
Е.Н. Лукаш ◽  
Э.Р. Бабкеева ◽  
В.Н. Малахов

Представлены результаты экспертной оценки качества цитогенетических исследований в лабораториях РФ в системе межлабораторных сличительных испытаний «ФСВОК» в 2018-2019 гг. Обсуждаются наиболее частые причины неудовлетворительных результатов экспертизы и возможные пути улучшения качества цитогенетических исследований. We report the results of quality assessment for preparation of cytogenetic slides and chromosomal analysis in the laboratories of Russian Federation in the system of the interlaboratory comparative examinations “FSVOK” in 2018-2019. Common causes of poor results of assessment and the ways for improvement of quality for cytogenetic investigations are discussed.


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