scholarly journals Periodontal and chronic kidney diseases: A modifiable association

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Foujan Jabbarzadehkhoei ◽  
Soheila Bakhshandeh ◽  
Mahshid Namdari ◽  
Mina Pakkhesal ◽  
Mohammad Hossein Khoshnevisan

Objectives: The purpose of this study was to assess the relationship between periodontal diseases and CKD duration. Methods: This descriptive cross-sectional study was conducted on referral CKD patients to a teaching hospital in 2017. Two instruments were used for data collection. The first one was a self-reported questionnaire regarding oral health status and patients’ behaviors. The second questionnaire was used for the clinical assessment of oral health status. Results: Out of 192 patients, 46.9% were male and 53.1% female with a mean (SD) age of 51.9 (±15.1) years. The mean duration of CKD was 7.70 (±7.34) years. About 67.7% of patients experienced toothache in the past year. Also, 67.7% had gingival bleeding (BOP), 34.4% had Clinical Attachment Loss (CAL) > 4 mm, and over 50% of patients had a pocket depth (PD) > 4 mm. By controlling the patient’s age, a direct correlation was detected between the duration of CKD and DMFT index (r=0.64, P<0.001). Moreover, the prolongation of the disease period was detected in patients with CAL>4 mm (P=0.02). Likewise, a direct correlation was detected between the duration of CKD and the periodontal index (r=0.48, P<0.001). Conclusion: Given the direct correlation between the periodontal conditions and duration of CKD, regular biannual dental visits are essential for CKD patients. All physicians are encouraged to include regular oral health checkups in the treatment protocol for CKD patients.

2016 ◽  
Vol 17 (5) ◽  
pp. 388-393 ◽  
Author(s):  
M Shilpa ◽  
Sandhya P Naik ◽  
Shrudha Potdar ◽  
Siddana G Reddy ◽  
Priyanka K Patwardhan ◽  
...  

ABSTRACT Background Sense of coherence (SOC) is an important psychological factor that enables people to cope with stressors and successfully maintain and improve health. Oral health affects general health and impacts quality of life. The aim of the present study is to assess the association between SOC and oral health status among 16 to 17-year-old preuniversity students in Virajpet, Karnataka, India. Materials and methods A total of 361 subjects were included in the study by stratified cluster random sampling method. Sense of coherence was measured using the Kannadatranslated 13-item scale proposed by Antonovsky. Oral health status was measured using oral hygiene index – simplified (OHI-S), Silness and Loe Plaque index, Community Periodontal Index (CPI) and Loss of Attachment (LA) as well as decayedmissing- filled teeth (DMFT) index. Chi-square test and analysis of variance were used to evaluate the association between SOC and oral health. Results There was no statistically significant association of plaque index and caries experience with SOC, whereas the SOC scores were found to be significantly associated with loss of attachment and OHI-S among the subjects. The distribution of the mean number of sextants with loss of attachment was more among males. Conclusion Sense of coherence has a role to play in the maintenance of oral health. There is a need to closely examine the psychodynamic factors that affect oral health. Clinical significance There is good evidence that SOC is a resource capable of promoting health, strengthening resilience, and developing a subjectively positive state of health. How to cite this article Shilpa M, Naik SP, Potdar S, Reddy SG, Patwardhan PK, Shree SS. Sense of Coherence and Oral Health Status among 16 to 17-year-old Preuniversity Students of Virajpet Taluk: A Cross-sectional Study. J Contemp Dent Pract 2016;17(5):388-393.


2021 ◽  
Author(s):  
Soheila Shaghaghian ◽  
Mojtaba Homayooni ◽  
Maryam Amin ◽  
Fahimeh Rezazadeh

Abstract Background: Human immunodeficiency virus (HIV) continues to be a major global issue. HIV-infected patients commonly experience oral health problems. This study aimed to assess oral health status of the patients and its related factors in Shiraz, Iran.Methods: In this cross-sectional study, by using simple random sampling, 250 HIV-infected patients were selected from Shiraz Voluntary Counseling and Testing Center in 2019. Patients' decayed, missing, and filled tooth (DMFT) index, plaque index (PI), and community periodontal index (CPI) were determined. Associations between patients' characteristics and the above-mentioned indices were examined by using Pearson correlation, one way ANOVA, chi-square, and independent sample T test. Results: Of the 222 participants, 111 (50%) had 15 or more missed teeth and 79 (35.6%) were edentulous. Their mean (SD) DMFT and PI were 20.71 (10.74) and 1.11 (0.79), respectively. About 40% of them had healthy gingiva. DMFT (p<0.001), PI (p<0.001), and CPI (p=0.002) were significantly worse in men than women. The patients' DMFT and edentulous status were significantly associated with their age (both p<0.001) and duration of disease (p=0.001 and p=0.008, respectively). Unemployed patients had the worst DMFT, PI, and CPI (all p<0.001) and the highest percentage of edentulous individuals (p=0.003). All examined indices were significantly worse in cigarette smokers, alcoholics, addicts, and patients with a previous history of imprisonment (all p<0.001).Conclusions: Overall, oral health status of the HIV-infected patients was unsatisfactory, which might indicate their inadequate access to dental services. Therefore, effective interventional programs are needed for prevention and early treatment of dental problems among this population, especially for more vulnerable groups such as older men with low socioeconomic status, and those with high-risk behaviors.


2021 ◽  
Vol 11 (1) ◽  
pp. 7-10
Author(s):  
Jesmin Sultana Lucky ◽  
Kazi Silvia Kabir ◽  
AFM Shahidur Rahman ◽  
Polash Das

Background: According to World Health Organization (WHO), diabetes mellitus, is a silent epidemic which affects large number of people around the world and is directly related to the oral health status of the patients. Objectives: To know the level of oral health and its impact on daily performance in adult population with Diabetes. Methods: A cross sectional study was comprised of group of 100 diabetic patients (males=68, females=32) from the OPD of Dhaka Dental College and Shaheed Suhrawardy Medical college, Dental unit of Dhaka. Oral health status is assessed by WHO described DMFT caries index and CPITN (community periodontal index treatment need). And oral impact on daily performance is determined by a modified form of OIDP index. Clinical examinations were included for the assessment of Dental Status. Chi-square was used for statistical evaluation. Results: Mean DMFT of the study population of Decayed, Missing and filled tooth were 3.89±3.35, 3.04±2.66 and 3.87±2.66 However, in case of CPITN index of the study population, Supragingival or subgingival pocket more than 6mm was in 32% cases. Mean scores of overall impacts on daily performances (OIDP) was 2.18±1.85. Bivariate analysis revealed that the self-reported oral impacts from the participants were not significantly associated (p≥0.05) with those who were diagnosed with presence of periodontal pockets more than 6 mm (32%). Conclusions: Oral health is an essential part of general health. Despite dental caries was comparatively low in diabetics, periodontal status was compromised which affected the participant’s daily life chiefly through difficulty in eating. Routinely follow-up of dental problems of the diabetics and oral health education is much required. Update Dent. Coll. j: 2021; 11 (1): 7-10


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.


2021 ◽  
Vol 10 (2) ◽  
pp. 96-102
Author(s):  
Muhammad Mansoor Majeed ◽  
Naseer Ahmed ◽  
Muhammad Uzair ◽  
Dinaz Ghandhi ◽  
Thelma Farast Bashir ◽  
...  

Background: Oral health is an integral part of general health. Loss of teeth reduces the quality of life. Periodontal diseases constitute the major cause of tooth extraction in adults. A high prevalence of periodontal diseases among adults with considerable disparities between populations has been reported. Many studies have been reported in the literature depicting the periodontal status and treatment needs of different populations. This study aimed to assess the oral health status and treatment needs of police personnel in Sindh Police, Pakistan. Methods: In this cross-sectional study, 174 police personnel from the Special Security Unit (SSU) of Sindh Police in Karachi were examined clinically and evaluated using the WHO 2013 Oral Health Assessment Form. Consent was obtained from the concerned authorities. Results: -The study showed that 43.1% (n=75) periodontal status as healthy, 35% (n=61) reported gingivitis and periodontitis and 21.8% (n=38) reported moderate to severe periodontitis. The significant difference found in the periodontal health among males (X2=71.18, P<0.001) and females (X2=9.90, P<0.009). More than 83.3% were suffering from Dental caries. The majority of the examined participants needed prompt treatment which included scaling and tooth restorations. Conclusion: Periodontal and oral health status among the police personnel was noted to be most compromised and there is an immense need to conduct oral health awareness sessions as a mandatory part not only in their training period but should be employed in their daily routine.


2019 ◽  
Vol 6 (2) ◽  
pp. 71-79
Author(s):  
Agustin Wulan Suci Dharmayanti ◽  
Suhartini Suhartini ◽  
Banun Kusumawardani

Latar belakang Kualitas hidup manusia ditentukan oleh tingkat sosiodemografi, status kesehatan umum dan rongga mulut yang saling berkaitan. Ras dan suku menentukan genetika dalam merespon keradangan, kerentanan jaringan rongga mulut terhadap bakteri atau injuri, meregulasi hormon reproduksi, dan sindrom menopause. Akan tetapi hubungan faktor tersebut masih  belum banyak terungkap, khususnya pada Suku Osing. Suku Osing merupakan salah satu suku yang masih memegang kuat adat istiadat.Tujuan penelitian ini adalah untuk mengetahui status kesehatan rongga mulut wanita suku Osing. Metode Penelitian observasional dengan desain cross sectional.Subyek penelitian dikelompokan menjadi kelompok usia produktif dan menopause. Pada subyek penelitian dilakukan pemeriksaan status kesehatan rongga mulut meliputi jumlah gigi yang tersisa di rongga mulut, indeks periodontal, karies dan kebersihan rongga mulut. Semua data dikategorikan kemudian akan dilakukan uji korelasi non parametric (p?0,05). Hasil Kelompok wanita usia menopause pada penelitian ini sudah mengalami menopause dalam kurun waktu 5-10 tahun.Jumlah gigi wanita usia menopause lebih sedikit dibanding wanita usia produksif (p?0,05). Wanita usia menopause lebih banyak menderita penyakit periodontal yang bersifat irreversible (2,65 ± 0,35) daripada wanita usia produktif (1,16 ± 0,27). Indeks karies kelompok wanita usia menopause (D=166, M=570) lebih tinggi dibanding wanita usia produktif (D=247, M=162). Akan tetapi, kedua kelompok ini mempunyai tingkat kebersihan mulut yang sama. Selain itu terdapat hubungan antara tingkat kebersihan mulut, penyakit periodontal, karies dan lamanya menopause (R>0,3). Simpulan Status kesehatan rongga mulut wanita usia menopause suku Osing di Desa Kemiren, Kecamatan Glagah, Banyuwangi lebih buruk dibanding wanita usia produktif. Akan tetapi, perlu penelitian lebih lanjut mengenai faktor-faktor yang mempengaruhi status kesehatan rongga mulut tersebut.   Background Social-demography, health status, and oral health specify a quality life, which all of them are correlated. Races and ethnic assign genetic aspect, especially in inflammation respond, oral tissue susceptibility to bacterial infection and injuries, hormone regulation, and menopause syndrome. However, the relationships are unexplored yet, especially in osingese. Osingese is one of ethnic which hold the customs strongly. The objective of this study was to know the oral health status of Osingese Women. Method This study was observational with a cross-sectional design. The subjects were classified into productive and menopause age. All of the subjects were examined their oral health, including remain teeth, periodontal index, caries index, and oral hygiene index. All of the data were categorized and analyzed by non-parametric correlation analysis (p?0.05). Result Menopause aged group experienced menopause period about 5-10 years. The number of teeth of the menopause group was less than productive group (p?0.05). The menopause group more sustained irreversible periodontal diseases (2.65 ± 0.35) than the productive group (1.16 ± 0.27). Caries index in the menopause group (D=166, M=570) was higher than the productive group (D=247, M=162). However, their oral hygiene index was the same. Moreover, there presented the relationship between oral hygiene, caries index, periodontal index, and menopause status (R>0.3). Conclusion Oral health status menopause aged osingese women was poorer than the productive group. However, it needed further study to investigate the other factor influencing oral health status. Keywords: caries, periodontal disease, oral hygiene, menopause, Osingese


Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Ritu Gupta ◽  
Arun Kumar Acharya

Background and Objectives. Pregnancy can be a risk factor for dental diseases as oral tissues are liable to changes due to hormonal variations. The aim of the study was to assess the oral health status and treatment needs among pregnant women of Raichur district, Karnataka, India.Methods. Cross-sectional data was collected from 300 primigravidae from all the 5 taluks of Raichur district visiting the respective community health centre at taluk headquarters. A specially designed questionnaire was used to assess the demographic variables and oral hygiene practices. A clinical examination was done according to WHO (World Health Organization) criteria 1997 and recorded using WHO Oral Health Assessment Form.Results. The mean age of the pregnant women in the study was 21.8 (2.12) years. The prevalence of caries and periodontal diseases was 62.7% and 95%, respectively. The mean DT, MT, FT, and DMFT were 2.06 (2.5), 0.03 (0.17), 0.04 (0.27), and 2.13 (2.54), respectively. The mean OHI-S was 2.87 (1.27). Chi-square test showed that CPI scores increased with the trimester of pregnancy.Conclusion. The present study demonstrates poor oral hygiene and high prevalence of periodontal diseases, as well as a large proportion of unmet dental treatment needs among pregnant women of Raichur district, India.


Author(s):  
Shibani Sushmitha Ray ◽  
Sunil Kumar Doddaiah ◽  
Chandan N. ◽  
Arun Gopi ◽  
Narayan Murthy M. R. ◽  
...  

Background: Regardless of the improvements in the field of healthcare, there is a section of people who live away from civilization known as indigenous people or tribals. Information regarding oral health status is instrumental in the planning and implementation of oral health policies and programmes related to promotion of oral health. The present study aimed to assess the oral health status of the tribal population of Chamarajanagar district.Methods: A cross‑sectional survey of 256 tribals of Chamarajanagar district was conducted. A modified WHO oral health assessment form 2013 was utilized and examined according to the WHO methodology 2013. The recorded data was statistically analysed using the statistical package for the social sciences version 24.Results: Based on the age-category, majority of them belonged to the age group of 35-44 years. All the participants belonged to the sub-caste of Soligas. The total decayed missing filled teeth (DMFT) among the subjects was 5.5±4.14, 114 (44.5%) of them had gingival bleeding, 76 (29.7%) of them had pockets of 4-5 mm depth, 14 (5.5%) of them had pockets of >6 mm depth, 74 (28.9%) had loss of attachment of 4-5 mm, 16 (6.3%) of them had loss of attachment of 6-8 mm, 3 (1.2%) had leukoplakia, 1 (0.4%) had lichen planus, 12 (4.7%) had ulceration and 12 (4.7%) had abscess.Conclusions: This study showed that a majority of tribes used toothbrush and toothpaste to routinely clean their teeth. High prevalence of dental caries and periodontal diseases was observed among the participants.


2019 ◽  
Vol 31 (1) ◽  
pp. 81-86

The purpose of this study was to investigate oral health status and oral health care services utilization among Myanmar residents in Japan. A crosssectional epidemiological study was performed among 152 Myanmar residents aged 18 to 67 years in Tokyo, Japan. Clinical oral examinations and questionnaire surveys were conducted from June to July, 2017. Caries prevalence for all participants was 70.4% with mean decayed, missing, and filled teeth (DMFT) of 2.72±2.91. The prevalence of periodontal disease (Community Periodontal Index - CPI code 1) for all participants was 93.4%. A total of 67 participants (44.1%) had the experience of dental visits in Japan. Most participants (84.2%) had Japanese health insurance, and the participants with health insurance had a significantly higher number of filled teeth than those without (p=0.036). DMFT (p=0.020) and the prevalence of periodontal disease (p=0.049) were significantly lower in participants with health insurance than in those without. Further, self-perceived oral health was better in participants with health insurance than those without (p=0.001). The status of health insurance was indicated to influence on oral health status. In order to promote oral health and facilitate on owning health insurance to Myanmar residents in Japan, oral health education also should be provided to enhance their oral health knowledge.


Author(s):  
Prakash Poudel ◽  
Rhonda Griffiths ◽  
Amit Arora ◽  
Vincent W. Wong ◽  
Jeff R. Flack ◽  
...  

This study assessed self-reported oral health status, knowledge, and behaviours of people living with diabetes along with barriers and facilitators in accessing dental care. A cross sectional survey of 260 patients from four public diabetes clinics in Sydney, Australia was undertaken using a 35-item questionnaire. Data were analysed using SPSS software with descriptive and logistic regression analyses. More than half (53.1%) of respondents reported having dental problems which negatively impacted their related quality of life. Less than half (45%) had adequate oral health knowledge. Only 10.8% reported receiving any oral health information in diabetes care settings, which had higher odds of demonstrating adequate oral health knowledge (AOR, 2.60; 95% CI, 1.06–6.34). Similarly, 62.7% reported seeing a dentist in the last 12 months. Having private health insurance (AOR, 3.70; 95% CI, 1.85–7.40) had higher odds of seeing a dentist in the past 12 months. Dental costs were a major contributor to avoiding or delaying dental visit. Patients living with diabetes have unmet oral health needs particularly around the awareness of its importance and access to affordable dental services. Diabetes care providers can play a crucial role in this area by promoting oral health to their patients.


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